2019 Agent/Broker Compensation for Selling Health or Drug Plans,,,,,,,,,,,,,,,,,,,,
"Data as of October 2, 2018.  Includes all contracts/plans sold for 2019.  Employer sponsored plans (800 series) are excluded. ",,,,,,,,,,,,,,,,,,,,
"Notes: This chart provides information that consumers may consider while making their decisions about the health plan or drug plan that best meets their needs.  It displays the amounts that independent sales agents are paid by companies for selling Medicare health or drug plans.  In some cases, the amount is displayed as a range.  The range represents the maximum and minimum amounts paid by the company.  Consumers should note that payments to agents in these plans may differ, but must fall within the range.  For plans that did not use independent sales agents, the N/A or not applicable is displayed in the compensation amount column.  This means that the agents selling these plans receive a base salary and are not compensated solely based on the number of sales.",,,,,,,,,,,,,,,,,,,,
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State Code,County,Company Name,Plan Name,Used Agent Brokers?,Used Captive Agents?,Used Employed Agents?,Used Independent Agents?,Used Referral Fees?,Referral Fee High,Referral Fee Low,Initial Compensation Low,Initial Compensation High,Renewal Compensation Low,Renewal Compensation High,Contract ID,Plan_ID,Segment_ID,Status,Date Attested,Plan Type Description
AR,Cross,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Atascosa,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
WV,Randolph,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
WV,Kanawha,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
OK,Wagoner,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
OH,Lucas,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
WI,Dane,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
WI,Jefferson,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
WV,Barbour,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Braxton,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Allegheny,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Osage,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
CA,Los Angeles,Imperial Health Plan of California,Senior Value-LA (HMO SNP),Y,N,Y,Y,N,,,567,567,284,284,H5496,10,0,Completed,07/28/2017 16:14,HMO/HMOPOS
VA,Hopewell City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,King and Queen,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Westmoreland,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
IA,Story,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
TX,Brazoria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Waller,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
PA,McKean,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
AR,Randolph,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
OH,Marion,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,1,Completed,07/25/2017 10:12,Local PPO
OH,Richland,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
GA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Tift,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Sumter,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
KS,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Nassau,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
IN,Hamilton,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,151,0,Completed,07/12/2017 15:39,Local PPO
IL,Kane,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,21,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Dade,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Saratoga,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SC,Williamsburg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
IN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Waseca,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
PA,Northampton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NH,Grafton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Santa Rosa,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Tioga,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Blair,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
PA,Susquehanna,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,7,Completed,06/29/2017 13:12,Local PPO
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
NC,Guilford,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Falls Church City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Moore,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Norman,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
SC,Georgetown,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,Campbell,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Suffolk,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
GA,Camden,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
KS,Wabaunsee,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,St. Martin,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Sandusky,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
AR,Independence,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Clark,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Garrard,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Licking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Pickaway,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Summit,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Estill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Roane,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
GA,Jefferson,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
PA,Centre,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Centre,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
IL,Calhoun,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Hernando,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
IN,Ripley,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,124,0,Completed,07/25/2017 10:12,PFFS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Focus (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,19,0,Completed,07/25/2017 12:50,Local PPO
FL,Pinellas,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Saguache,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,5,0,Completed,07/28/2017 17:35,1876 Cost
FL,Bay,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Le Sueur,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Polk,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
PR,Naranjito,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Toa Baja,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AZ,Gila,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Clackamas,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
LA,Catahoula,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Howard,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Brunswick,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,St. Helena,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
WI,Jefferson,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
KS,Wyandotte,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Saunders,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,Tulare,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Caroline,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Madison,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
CO,Arapahoe,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
WI,Ozaukee,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Vermillion,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Sonoma,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,148,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Johnston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
TN,Marshall,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Franklin,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Randolph,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,3,Completed,06/29/2017 13:12,Local PPO
PR,Toa Alta,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Davidson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
VA,James City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Piatt,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
KS,Douglas,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
NJ,Passaic,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
WV,Tyler,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,6,Completed,07/27/2017 12:35,HMO/HMOPOS
MS,Lamar,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Richland,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
IN,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
ND,Slope,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
TX,Medina,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,1,Completed,07/26/2017 17:12,Local PPO
TX,Comal,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Atascosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Douglas,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Swift,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wadena,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Marshall,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Aransas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Gila,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,13,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Braxton,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IA,Van Buren,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
PA,Wayne,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Lenawee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
AL,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PR,Culebra,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AL,Pike,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AR,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MN,Ramsey,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Chattahoochee,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Pickens,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
SC,Jasper,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
HI,Honolulu,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Essential (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,25,0,Completed,07/24/2017 12:23,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,29,0,Completed,07/24/2017 12:23,Local PPO
ND,Walsh,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Harding,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
TX,Collin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Jasper,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Liberty,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Brown,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Appanoose,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
WV,Roane,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,Portage,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,Pima,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,129,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Renville,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MT,Carbon,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
AR,Crawford,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Sebastian,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AL,Autauga,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,1,Completed,07/24/2017 10:22,Local PPO
WI,Iowa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MO,Dallas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Denver,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Warren,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Northampton,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
MN,Wadena,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NM,Santa Fe,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,1,0,Completed,07/14/2017 12:55,HMO/HMOPOS
IL,Peoria,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
OH,Sandusky,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
PA,Forest,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
CO,Larimer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Dona Ana,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Haakon,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Edmunds,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,McCook,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Fayette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Jackson,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,7,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,2,Completed,07/17/2017 11:05,HMO/HMOPOS
IL,Cook,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/25/2017 10:12,Medicare-Medicaid Plan HMO/HMOPOS
MN,Crow Wing,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lake of the Woods,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Leelanau,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Scott,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
FL,Lee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
TX,Hockley,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Morrow,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,1,0,Completed,07/28/2017 11:13,Local PPO
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Howell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Clearfield,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
MO,Gasconade,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Howard,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
AL,Montgomery,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,20,0,Completed,07/24/2017 12:23,Local PPO
GA,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
WI,Washburn,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mower,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sherburne,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Fayette,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MI,Mackinac,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
TN,Cheatham,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,116,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,4,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Salt Lake,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,4,0,Completed,07/26/2017 17:12,Local PPO
UT,Weber,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,2,0,Completed,07/26/2017 17:12,Local PPO
MI,Cass,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
MI,Ottawa,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,4,Completed,07/24/2017 10:22,Local PPO
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Washington,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MN,Aitkin,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
VA,Franklin City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hamblen,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
IN,Gibson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Walton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lamar,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
WA,Wahkiakum,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Suffolk,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
MO,Miller,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
IA,Fremont,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Duplin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NY,Suffolk,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
ND,Nelson,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AL,Shelby,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Berks,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
OH,Preble,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MT,Flathead,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
MN,Kanabec,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
PA,York,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
VA,Roanoke City,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Salem City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KS,Butler,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
FL,Volusia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Coshocton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Noble,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ottawa,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,McDowell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Hopkins,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NE,Gage,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Madison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
ME,Hancock,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Chautauqua,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
FL,Columbia,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,270,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Waukesha,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,9,0,Completed,07/28/2017 12:26,Local PPO
AL,Chilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,55,0,Completed,07/24/2017 10:45,HMO/HMOPOS
IN,Hendricks,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,121,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Preferred (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,135,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Caswell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Norfolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,6,Completed,07/17/2017 11:05,HMO/HMOPOS
AL,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,125,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,13,0,Completed,06/21/2017 11:09,HMO/HMOPOS
MI,Lapeer,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Lebanon,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,4,Completed,06/29/2017 13:12,HMO/HMOPOS
NJ,Gloucester,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
TN,Warren,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
WV,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Darke,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Owen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Duplin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Greenbrier,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Creek,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Mayes,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Lincoln,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Winona,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Cortland,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NY,Oneida,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NY,Seneca,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
OH,Madison,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
AL,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,75,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Decatur,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Madison,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MI,Clinton,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,7,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MN,Brown,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
KS,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,San Patricio,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Luzerne,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Philadelphia,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Butler,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
AZ,Maricopa,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
FL,Lee,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,27,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Hillsborough,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
AL,Escambia,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Columbia,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Chautauqua,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IA,Dallas,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Baker,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Franklin,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
OH,Van Wert,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Bristol City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Nassau,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Yates,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
GA,Fulton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Houston,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Warren,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Guadalupe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Jackson,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Winona,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,McMinn,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bledsoe,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Leon,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MO,Jasper,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NM,Grant,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PA,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
GA,Floyd,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PA,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Hormigueros,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Scotts Bluff,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Stark,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
PA,Clinton,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,1,0,Completed,07/12/2017 15:39,Local PPO
FL,Citrus,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,7,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Greene,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Hale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Greene,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Calumet,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
IA,Scott,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
TX,Tarrant,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5656,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Van Buren,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Franklin,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
OR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
IN,Bartholomew,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Marion,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Vermilion,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
NM,Los Alamos,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,2,0,Completed,07/14/2017 12:55,HMO/HMOPOS
ID,Bingham,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
KY,Simpson,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
VA,Bland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Mecklenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
IL,De Witt,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Boone,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Cuyahoga,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Lawrence,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
VA,James City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Prince William,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
TX,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Preble,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Caldwell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Hertford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Knox,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Halifax,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
WV,Pocahontas,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Blair,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,13,0,Completed,07/27/2017 12:35,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Kanabec,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
FL,Miami-Dade,Humana Inc.,Humana Value Plus H1036-264 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,264,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Prince William,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Shawano,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,134,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Avery,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Suffolk,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
MO,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
GA,Butts,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Anoka,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TX,Bandera,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
AL,Lawrence,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Franklin,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Brazoria,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Cottonwood,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
TX,Willacy,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Barrow,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Boone,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
FL,Miami-Dade,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Schenectady,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
MO,Perry,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Dade,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Polk,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Morovis,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Rincon,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
GA,Jones,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Barbour,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KY,Taylor,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,1,Completed,07/24/2017 7:36,HMO/HMOPOS
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
WV,Clay,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Leavenworth,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Deaf Smith,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Rogers,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Tipton,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
MT,Jefferson,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
FL,Miami-Dade,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Wythe,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
VA,Brunswick,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
OR,Jackson,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,13,0,Completed,07/06/2017 14:24,Local PPO
OR,Marion,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,3,Completed,07/06/2017 14:24,Local PPO
OR,Multnomah,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Bronx,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
OR,Douglas,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
TN,Grainger,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Hancock,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
NY,Richmond,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Fayette,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
ID,Payette,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Mathews,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Catoosa,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Appling,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Pendleton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Spencer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Coffee,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Adair,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Bonneville,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,21,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Renville,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
RI,Washington,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,06/05/2017 13:34,Medicare-Medicaid Plan HMO/HMOPOS
CO,Teller,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
AR,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Adams,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,Coke,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
KS,Douglas,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Dale,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamblen,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,16,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Clark,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WV,Harrison,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
OH,Shelby,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
TX,Coke,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
VA,Westmoreland,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
MI,Ingham,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
TX,Jefferson,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,23,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,1,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Rockdale,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Richmond,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,445,0,228,H8029,1,0,Completed,07/18/2017 12:59,Medicare-Medicaid Plan HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
NM,Sierra,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
NM,Eddy,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NY,Niagara,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Humphreys,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Decatur,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MN,Lyon,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Churchill,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,8,0,Completed,06/27/2017 19:00,Local PPO
IL,McLean,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
ID,Bonneville,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
PA,Schuylkill,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
AR,Jefferson,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
DE,Sussex,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,10,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Flathead,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Putnam,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Rockland,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,McKean,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
AL,Clarke,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Clark,Humana Inc.,Humana Gold Plus H5619-101 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,101,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Hampton City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Colquitt,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
WV,Roane,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Brooke,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Clarion,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Coosa,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
SC,Hampton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
ND,Towner,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
NY,Jefferson,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,Orleans,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Bay,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,143,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Brown,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,16,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Clark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Monroe,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bexar,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7678,1,0,Completed,06/07/2017 11:54,HMO/HMOPOS
TX,Collin,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7678,1,0,Completed,06/07/2017 11:54,HMO/HMOPOS
ME,Knox,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Lee,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
NY,Kings,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Potter,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
AL,Jefferson,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Ventura,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,63,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Miller,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KY,Laurel,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
VA,Salem City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AZ,Pinal,Humana Inc.,Humana Gold Plus H2649-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OK,Logan,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Carbon,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
SC,Edgefield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,DeKalb,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3822,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,St. Louis,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
OH,Union,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
AR,Phillips,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Level (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H5471,42,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
PR,Ceiba,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
SD,Clay,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MN,Marshall,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Smith,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MI,Montcalm,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
AR,Stone,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IA,Audubon,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
TX,Swisher,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
DE,New Castle,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
MO,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Neosho,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Franklin,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,102,0,Completed,07/12/2017 15:39,Local PPO
NJ,Ocean,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,29,0,Completed,07/26/2017 10:13,HMO/HMOPOS
IN,La Porte,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
SC,Pickens,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
ID,Canyon,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
NM,Sandoval,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
OH,Trumbull,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
CO,Montezuma,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
MO,Washington,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Peoria,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,17,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
ND,Morton,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
GA,Screven,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,2,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Story,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IL,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
TX,Atascosa,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Douglas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,7,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,2,Completed,07/17/2017 11:05,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,17,0,Completed,06/21/2017 11:09,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
VA,Wise,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
MO,Cass,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
TX,Galveston,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,1,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
PA,Centre,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,1,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Haywood,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Poinsett,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,34,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
TN,Knox,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
NY,Ulster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IL,Cook,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
MO,Lawrence,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
ME,Kennebec,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
AR,Logan,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bradley,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
MO,Caldwell,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
PA,Cambria,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
CA,Kings,Humana Inc.,Humana Gold Plus H5619-015 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Yancey,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
WV,Harrison,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Mineral,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Faulkner,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
AL,Limestone,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,McClain,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Nowata,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Overton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Santa Cruz,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Caldwell,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Bristol City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
NE,Saline,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,165,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Person,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Rutland,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
FL,Collier,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,29,0,Completed,07/06/2017 14:45,HMO/HMOPOS
KS,Johnson,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,94,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,15,0,Completed,07/21/2017 17:33,HMO/HMOPOS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,5,0,Completed,06/21/2017 11:09,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TX,Crosby,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
NC,Transylvania,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Clearwater,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,3,Completed,06/29/2017 13:12,Local PPO
WA,King,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,3,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Genesee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
MN,Itasca,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Ozark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
IN,Perry,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
VA,Amelia,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
WI,Racine,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lawrence,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,5,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Logan,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
PA,Juniata,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Lehigh,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
PA,Northumberland,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
VA,Wythe,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore City,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
LA,Acadia,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,St. Landry,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Franklin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Johnston,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
AL,Chambers,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Logan,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Will,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,5,0,Completed,07/26/2017 16:56,HMO/HMOPOS
IA,Johnson,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. John the Baptist,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Hamilton,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
VA,Rockingham,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
AL,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Berks,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,Juniata,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Kings,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Tioga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
WI,Marathon,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
SC,York,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NM,Valencia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,46,0,Completed,07/24/2017 12:23,Local PPO
SD,Haakon,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grant,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Baker,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MT,Ravalli,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
OH,Mercer,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Hot Spring,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Botetourt,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
PR,Toa Baja,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Augusta,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,Yolo,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,74,0,Completed,07/27/2017 13:34,HMO/HMOPOS
KS,Johnson,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MO,Camden,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Clarke,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Coffee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Kenosha,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
IN,Gibson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,22,0,Completed,07/24/2017 12:23,Local PPO
GA,Spalding,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Buffalo,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Butte,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
GA,Banks,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PA,Allegheny,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,1,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Jefferson,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
AR,Miller,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue (PPO),Y,Y,Y,Y,N,,,175,175,75,75,H7971,1,0,Completed,07/26/2017 10:13,Local PPO
OH,Meigs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,24,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Colbert,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,McIntosh,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
OR,Morrow,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
IA,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
SD,Yankton,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
GA,Lamar,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
FL,Pinellas,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Daviess,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,New London,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,Buncombe,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,7,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NC,Wake,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct preferredPLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6306,6,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
AR,Lonoke,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,2,Completed,07/13/2017 12:29,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Haywood,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Clarke,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
NC,Hyde,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
GA,Paulding,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Westchester,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Marshall,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
WI,Dunn,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Braxton,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,Wayne,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Hanover,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
CO,Crowley,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
NY,Albany,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PA,Montgomery,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
NY,Tompkins,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
WI,Waukesha,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
GA,Taylor,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Pope,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OK,Oklahoma,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
KY,Clay,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KS,Harvey,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Westmoreland,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
AZ,Pima,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,34,0,Completed,07/25/2017 10:12,Local PPO
KS,Harvey,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
PA,Lehigh,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
AL,Talladega,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
NJ,Union,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Benton,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3811,3,0,Completed,07/31/2017 19:26,HMO/HMOPOS
OH,Butler,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,1,Completed,07/24/2017 7:36,HMO/HMOPOS
TX,Polk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Riverside,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
OH,Portage,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
TX,Atascosa,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Peoria,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NY,Rensselaer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Marin,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,48,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Columbia,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
AL,Baldwin,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,20,0,Completed,07/25/2017 10:12,Local PPO
TX,Hays,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,6,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Summit,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
MN,Dakota,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
GA,Hall,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Fauquier,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Cannon,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hickman,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
AR,Fulton,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
WI,Waukesha,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Winneshiek,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
KS,Johnson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
MN,Murray,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Wadena,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
PA,Crawford,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
PA,Westmoreland,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
NY,Chemung,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Blair,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Passaic,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
MO,Schuyler,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Covington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
TX,Hardin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
TX,Harris,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Miami-Dade,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,63,0,Completed,07/18/2017 13:53,HMO/HMOPOS
CA,San Diego,SCAN Health Plan,Scripps Classic offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,5,0,Completed,06/26/2017 14:13,HMO/HMOPOS
IN,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Grant,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,10,0,Completed,07/26/2017 12:58,HMO/HMOPOS
OH,Darke,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Pike,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
SC,Union,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
PR,San Juan,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
OH,Allen,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Tioga,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,36,0,Completed,07/20/2017 14:11,Local PPO
PA,Fayette,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
PA,Wyoming,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
VA,Williamsburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Richmond,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Toombs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Beaufort,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Boyle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lehigh,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,1,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Pope,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
AL,Calhoun,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NY,Seneca,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NH,Hillsborough,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Parke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Oswego,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
WI,Portage,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Rains,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Richland,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
IN,Noble,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
SD,Jackson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Dooly,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Lorain,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,2,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CT,Tolland,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
KY,Kenton,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Polk,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
IA,Bremer,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
WV,Taylor,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
FL,Volusia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,10,0,Completed,07/24/2017 12:23,Local PPO
NY,New York,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
KY,Estill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,McKean,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Sumter,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
SC,Union,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
MN,Wadena,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
LA,Orleans,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Franklin,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
NY,Franklin,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
VA,Clarke,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Greene,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
NY,Essex,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Harrison,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
IA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
FL,Charlotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,33,0,Completed,07/24/2017 12:23,Local PPO
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
LA,Assumption,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Cass,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,13,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MO,Phelps,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
TX,Refugio,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
TX,Lynn,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Madison,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
WA,Cowlitz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Orange,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Albany,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
OH,Butler,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
TN,Cheatham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Lake,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
ID,Bonner,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
KY,Hardin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
MO,Howard,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PA,Washington,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MO,Lafayette,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Lincoln,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
VA,Falls Church City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
KY,Oldham,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
TX,Dallas,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IA,Dickinson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Lee,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
FL,Polk,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Greene,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,9,0,Completed,07/24/2017 14:11,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Palm Beach,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,New York,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,1,Completed,07/20/2017 15:47,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
VA,Martinsville City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,99,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KY,Fayette,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,118,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Scott,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
WA,Snohomish,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,St. Charles,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hancock,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
TN,Fentress,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Jackson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
TN,Morgan,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
NE,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,3,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MO,St. Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Tioga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,McHenry,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
IL,Livingston,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Tazewell,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Laclede,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
PA,Adams,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
PA,Montour,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
PA,Greene,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
TX,Tarrant,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MT,Jefferson,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Philadelphia,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MN,Sibley,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Oklahoma,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NE,Lancaster,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,38,0,Completed,07/12/2017 15:39,Local PPO
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
IN,St. Joseph,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,18,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,Isle of Wight,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Jessamine,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Union,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,Hall,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Armstrong,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Anderson,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
AL,Hale,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Chambers,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
IA,Washington,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Graham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OK,Garvin,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
OK,McClain,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
NE,Sarpy,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Union,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
PA,Bedford,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Williams,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clay,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,51,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
OR,Tillamook,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
FL,Leon,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
GA,Oconee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Osceola,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WV,McDowell,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MI,Montcalm,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
KS,Johnson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
TX,Van Zandt,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
NC,Wilkes,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Bayamon,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Ward,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Hart,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
TX,Comal,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,York,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,138,0,Completed,07/25/2017 10:12,Local PPO
OK,Canadian,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Chester,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,9,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Maunabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MO,DeKalb,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
CA,San Francisco,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,19,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Koochiching,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Grant,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,1,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,3,0,Completed,07/26/2017 12:58,HMO/HMOPOS
GA,Walton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Champaign,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Ingham,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Vega Baja,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Bronx,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Josephine,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
FL,Levy,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MS,Monroe,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
NJ,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
PR,Comerio,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Northampton,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PA,Pike,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Nicollet,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OK,Mayes,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MN,Goodhue,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Hancock,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Twiggs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Oklahoma,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Citrus,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
NJ,Morris,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Lewis,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Comanche,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Lawrence,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Tuscaloosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WA,King,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WV,Ritchie,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Orange,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5943,2,0,Completed,06/26/2017 14:13,HMO/HMOPOS
HI,Honolulu,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,Y,N,Y,N,,,455,455,228,228,H3832,11,0,Completed,07/20/2017 22:08,Local PPO
IN,Clark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,DuPage,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Clinton,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
GA,Jefferson,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,1,Completed,07/26/2017 16:51,HMO/HMOPOS
HI,Honolulu,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ME,Oxford,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Norton City,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Elkhart,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KS,Wilson,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Pike,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,18,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OK,Woods,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Unicoi,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Stanislaus,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,68,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,130,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Charlotte,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,217,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Madison,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,151,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
FL,Volusia,Guidewell Mutual Holding Corporation,FHCP s Medvantage Savings Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,14,0,Completed,07/28/2017 10:27,HMO/HMOPOS
ME,Sagadahoc,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NY,Wyoming,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
KY,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,68,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Dickenson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Clark,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
OH,Ottawa,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
CA,Sutter,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Gaston,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
AR,Dallas,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Mississippi,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
KY,Boone,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Geauga,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Poquoson City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Saratoga,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Pottawattamie,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
FL,Bay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,8,0,Completed,07/24/2017 12:23,Local PPO
PA,Indiana,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
PR,Culebra,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Nassau,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
OR,Douglas,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
PA,Warren,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
PA,Fulton,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Dauphin,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
PA,Mifflin,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
AL,Mobile,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Bullitt,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Van Buren,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Evangeline,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Chatham,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Hertford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Escambia,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Talladega,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,44,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,245,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Russell,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Talladega,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Allen,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,3,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Cumberland,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Harris,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7678,1,0,Completed,06/07/2017 11:54,HMO/HMOPOS
ME,Sagadahoc,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,134,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IA,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Gogebic,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
SD,Mellette,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Landry,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
AZ,Maricopa,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9312,1,0,Completed,06/30/2017 16:42,Local PPO
LA,Sabine,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
KY,Meade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Pendleton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hopewell City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,3,Completed,06/29/2017 13:12,HMO/HMOPOS
MA,Bristol,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,N,N,,,,,,,H9585,1,0,Completed,07/26/2017 18:10,HMO/HMOPOS
AR,Madison,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
AR,Madison,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Bexar,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MT,Flathead,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,York,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Polk,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Boone,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IL,Warren,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
OK,Logan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NY,Queens,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Bridges Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,29,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Lebanon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Northampton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MS,Harrison,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MD,Carroll,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,18,0,Completed,07/12/2017 15:39,Local PPO
NY,Schuyler,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
WI,Chippewa,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Allegheny,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Los Angeles,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,567,567,284,284,H5810,1,0,Completed,06/06/2017 15:33,HMO/HMOPOS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
PR,Guayama,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
OR,Douglas,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,20,0,Completed,06/30/2017 19:02,HMO/HMOPOS
IN,Kosciusko,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Lawrence,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OK,Tulsa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MT,Powell,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Marlboro,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,1,Completed,07/27/2017 13:39,HMO/HMOPOS
KY,Henderson,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Colonial Heights City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Richmond City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,East Carroll,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Wood,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
GA,Berrien,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Preble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Duplin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Jessamine,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Daviess,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
GA,Paulding,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MS,Rankin,Humana Inc.,Humana Gold Plus H1036-274 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,274,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,St. Joseph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,121,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Philadelphia,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,42,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Coleman,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Concho,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
IA,Black Hawk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Fayette Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,44,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Orange,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,3,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Giles,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Fayette,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
NY,Niagara,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3227,1,0,Completed,07/27/2017 16:53,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Highland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Perry,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Dinwiddie,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Nottoway,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Charles City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sevier,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,12,0,Completed,07/24/2017 16:56,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
PA,Wayne,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,Scott,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
SD,Butte,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Campbell,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Ziebach,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Charles,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Hart,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Oconee,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
NC,Hoke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Tyrrell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Hamilton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Nassau,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Hamilton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Ramsey,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
VA,Henrico,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
VA,Powhatan,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
PR,Cidra,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Herkimer,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
PA,Delaware,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Marion,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Calhoun,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MS,Hinds,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OK,Bryan,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Fayette,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
AL,Jackson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
TX,Hardin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Webb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Los Angeles,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MN,Clearwater,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
IL,Madison,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Linn,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
MN,Brown,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
VA,Wythe,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Amherst,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Cherokee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,Trimble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Logan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Washington,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Blaine,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
CA,Santa Clara,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,1,0,Completed,06/06/2017 3:07,HMO/HMOPOS
FL,Osceola,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,269,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Porter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Carroll,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,153,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Washington,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Fairfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Salem City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Walker,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Langlade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,Tolland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Lawrence,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
FL,Polk,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MO,Stone,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
AR,Clay,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Alleghany,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
OH,Lorain,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Ida,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Morton,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TN,Benton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,McMinn,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Morgan,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
VA,Fredericksburg City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Suffolk,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Richmond,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Nowata,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OH,Clark,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NY,Clinton,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
AR,Independence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,McNairy,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,2,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
NY,Suffolk,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
NY,Broome,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
NY,Cayuga,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
MO,Christian,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Orocovis,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Citrus,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Swift,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Meriwether,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Grundy,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,New York,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
MA,Suffolk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Chambers,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Henderson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Jackson,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lebanon,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
OH,Paulding,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NC,Washington,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
PA,Potter,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
PR,Vieques,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,1,Completed,07/26/2017 16:51,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Adams,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
AR,Garland,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,1,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Yakima,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
LA,Evangeline,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Terrebonne,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Colleton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
NH,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Upson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Boone,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Harmony Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,32,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Summers,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
LA,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-257 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,257,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Sarasota,Humana Inc.,Humana Gold Plus H1036-215 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,215,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
AR,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,La Crosse,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Travis,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rusk,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WA,Snohomish,Providence Health & Services,Providence Medicare Harbor + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,49,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WI,Juneau,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
GA,Laurens,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
MN,Lake,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,2,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Fayette,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
NC,Orange,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Lorain,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Summit,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Isanti,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NJ,Essex,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
AR,Pope,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,3,Completed,07/13/2017 12:29,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Gibson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Lincoln,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Boulder,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orange,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KS,Osage,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
TN,Bradley,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,El Paso,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
TX,Tarrant,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
TX,El Paso,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PA,Clinton,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Prince Edward,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
CA,Santa Clara,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,21,0,Completed,07/27/2017 13:34,HMO/HMOPOS
AR,Crawford,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Palm Beach,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MN,Koochiching,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Linn,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Marinette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
NM,Sierra,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
ID,Boise,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
SC,Jasper,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
PA,Forest,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
LA,Washington,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Gallia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Boone,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Hertford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AZ,Pima,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,119,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Mecklenburg,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Lafayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Dade,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
CA,San Francisco,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,Catawba,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coke,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
KY,Boone,Catholic Health Initiatives,Classic Plus Rx - N Kentucky (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,2,0,Completed,07/27/2017 18:54,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Obion,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
PA,Clearfield,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,6,Completed,07/27/2017 12:35,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,445,0,228,H8029,1,0,Completed,07/18/2017 12:59,Medicare-Medicaid Plan HMO/HMOPOS
WI,Bayfield,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
LA,West Baton Rouge,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Bibb,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Dawson,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
VA,Giles,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,York,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Orange,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Jackson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
TN,Lawrence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Spotsylvania,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
MN,Lake of the Woods,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,Wabash,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
CO,Crowley,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
VA,Hampton City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MD,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
KY,Letcher,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
FL,DeSoto,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
NC,Pender,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
TN,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Washington,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Jefferson,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
PA,Dauphin,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
PA,Lebanon,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Osceola,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MS,Washington,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
NY,Erie,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,New Kent,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
OH,Ashland,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
TX,Wilson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
PA,Jefferson,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
WI,Dane,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PR,Luquillo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Manatee,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
OK,Roger Mills,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,1,Completed,07/20/2017 15:47,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
WV,Hancock,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Cabell,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Canovanas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
UT,Davis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,4,0,Completed,07/26/2017 17:12,Local PPO
CA,Riverside,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,45,0,Completed,06/26/2017 14:13,HMO/HMOPOS
IN,Whitley,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,Josephine,Centene Corporation,Health Net Violet 3 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,15,0,Completed,07/06/2017 14:24,Local PPO
PA,Westmoreland,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
PA,Snyder,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
AL,Bibb,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Hanover,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Kanawha,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
DC,District of Columbia,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Rockbridge,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
LA,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,100,1,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,9,0,Completed,07/26/2017 17:12,Local PPO
ID,Ada,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,10,0,Completed,07/26/2017 17:12,Local PPO
NY,Cayuga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
VA,Bath,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
NE,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
PA,Fayette,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Franklin,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
TN,Sequatchie,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Boise,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,77,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Johnston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,King,Providence Health & Services,Providence Medicare Summit + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,47,0,Completed,07/07/2017 13:42,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Hamilton,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Hot Spring,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
AZ,Gila,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,1,Completed,07/27/2017 12:35,HMO/HMOPOS
MI,Macomb,Centene Corporation,Michigan Complete Health (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H9487,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MD,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
MN,Stevens,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
FL,Miami-Dade,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,62,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Craig,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Logan,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Knox,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Jo Daviess,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Roane,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Sarasota,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
FL,Alachua,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
NH,Hillsborough,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Rincon,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Frio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Montgomery,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
CT,Tolland,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
GA,Dooly,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Collier,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Lowndes,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Sacramento,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,64,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Cole,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
CA,San Joaquin,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
KY,Cumberland,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
KS,Allen,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Ness,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Pratt,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Chilton,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Morgan,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Sheboygan,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Boulder,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Schuyler,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
OR,Marion,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
OR,Yamhill,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
LA,Pointe Coupee,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lancaster,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
PA,Venango,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
LA,East Feliciana,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Hamilton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Mahoning,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Powell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bullitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Jackson,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Pawnee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
FL,Osceola,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,247,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Lucie,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,249,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
CO,Boulder,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Fairfield,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
IN,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,44,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,45,0,Completed,07/24/2017 10:45,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Madison,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Milam,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Irion,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lee,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
VA,Virginia Beach City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,61,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Tama,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WI,Portage,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
PA,Berks,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,4,Completed,06/29/2017 13:12,Local PPO
OH,Hocking,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Izard,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
AR,Washington,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
MN,Pine,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pennington,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
OH,Lucas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,New York,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Cass,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
NY,Westchester,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Trigg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Wirt,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Crawford,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,St. Francis,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MN,Douglas,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
LA,St. John the Baptist,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Orleans,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Catawba,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Yadkin,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Walton,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,271,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
KY,Pendleton,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
NY,Jefferson,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Chemung,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,134,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hickman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,49,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Platte,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,Ozark,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MO,Iron,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Perry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
IN,Kosciusko,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MN,Cook,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,Benson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
FL,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Wabash,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Steele,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Olmsted,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
PA,Mifflin,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Sarasota,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,61,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,37,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Douglas,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
KS,Geary,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Winston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
FL,Marion,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,36,0,Completed,07/24/2017 12:23,Local PPO
GA,Coweta,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Lyon,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
PR,Penuelas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
KY,Meade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Hardy,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Tipton,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Cherokee,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
WV,Brooke,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,Grundy,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Southampton,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
CA,Los Angeles,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,6,0,Completed,07/28/2017 18:46,HMO/HMOPOS
MO,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
WV,Berkeley,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
WI,Ozaukee,Independent Care Health Plan Inc.,Aurora Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,9,0,Completed,07/26/2017 12:18,HMO/HMOPOS
VA,Fairfax City,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MO,St. Louis City,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
MT,Pondera,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MT,Sanders,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
ID,Ada,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
SC,Aiken,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
PA,Wayne,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
KY,Oldham,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WA,Cowlitz,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
NY,Saratoga,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
FL,Lake,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Broward,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
GA,Newton,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Greene,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NY,Herkimer,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
PA,Cambria,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Armstrong,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Clay,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Duval,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare NNJ Prime Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,86,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OK,Atoka,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KY,Marshall,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NE,McPherson,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
MO,Cape Girardeau,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
TX,Newton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
HI,Hawaii,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,8,0,Completed,07/20/2017 22:08,Local PPO
FL,Hernando,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,57,0,Completed,07/18/2017 13:53,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Montgomery,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,Fulton,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
SC,Marion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3251,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,Parker,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
HI,Honolulu,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Cuyahoga,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
VA,Smyth,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,San Augustine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Licking,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Campbell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Giles,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Shelby,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Westchester,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,10,0,Completed,06/28/2017 12:35,Local PPO
OH,Hamilton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Berks,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
PA,Lycoming,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,New York,Jewish Guild for the Blind,GuildNet Gold Plus FIDA Plan POS (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H0811,1,0,Completed,07/26/2017 13:17,Medicare-Medicaid Plan HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hardeman,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Washington,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
TN,Henry,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Benton,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
TN,Bradley,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
WI,Crawford,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,4,0,Completed,06/12/2017 11:28,1876 Cost
VA,Lunenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
MT,Mineral,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fayette,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Roane,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WV,Putnam,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,23,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Elk,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Greene,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,Carver,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MD,Harford,"Medstar Health, Inc.",MedStar Medicare Choice (HMO),Y,N,Y,Y,N,,,455,455,228,228,H9915,8,0,Completed,07/11/2017 8:53,HMO/HMOPOS
MO,Gasconade,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Wake,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Columbus,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Bullitt,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/28/2017 15:20,HMO/HMOPOS
WV,Lewis,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
TX,Lamb,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
WI,Ozaukee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PA,Adams,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
PA,Cumberland,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
OK,Ottawa,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Okeechobee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
NC,Edgecombe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
CO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
OH,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
TX,Fort Bend,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,1,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Marion,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,2,0,Completed,07/28/2017 11:13,Local PPO
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
AR,Jefferson,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,2,Completed,07/13/2017 12:29,HMO/HMOPOS
MO,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Nassau,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,19,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Grainger,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
MO,Laclede,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Polk,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,57,0,Completed,07/18/2017 13:53,HMO/HMOPOS
CA,Sonoma,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,54,0,Completed,06/26/2017 14:13,HMO/HMOPOS
IN,Tippecanoe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Williams,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Dodge,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Fredericksburg City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Augusta,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,New York,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/07/2017 14:53,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NJ,Union,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
VA,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Roanoke City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OH,Butler,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,15,0,Completed,07/26/2017 16:54,HMO/HMOPOS
GA,DeKalb,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MA,Suffolk,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MS,Jones,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Dyer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Plaquemines,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Madison,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IL,DuPage,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Washington,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Oneida,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
NY,Yates,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NY,Cayuga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Cortland,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Pickaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Tallapoosa,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Florence,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Bates,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Osceola,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Hot Spring,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,9,0,Completed,07/31/2017 19:26,HMO/HMOPOS
MS,Rankin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NJ,Middlesex,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
ND,Kidder,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Becker,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Tripp,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TX,Collin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,El Paso,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Alamosa,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,6,0,Completed,07/28/2017 17:35,1876 Cost
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Nelson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Schoharie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Van Zandt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lac qui Parle,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MI,Jackson,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
MI,Lenawee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,4,Completed,07/24/2017 10:22,Local PPO
TX,Medina,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,3,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Campbell,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
MN,Chisago,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,St. Louis City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Boone,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Parke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Menominee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MO,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
VA,Fairfax,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
ME,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
FL,Hillsborough,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,52,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Goochland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,King and Queen,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
KY,Boone,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Suffolk City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Staunton City,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Douglas,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,13,0,Completed,07/06/2017 14:24,Local PPO
MN,Kanabec,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
IL,Montgomery,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
NC,Pender,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Calcasieu,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Cameron,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Warren,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Beaver,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
SC,Cherokee,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Colleton,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Lunenburg,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Tazewell,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Paulding,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,DeKalb,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Pickens,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
GA,Fulton,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NY,Herkimer,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
IA,Warren,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
NE,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Franklin,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Allegany,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Madison,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
VA,Norton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
SC,Marlboro,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Hamlin,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hanson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
LA,Allen,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Trumbull,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Sullivan,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,2,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
VA,Pittsylvania,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,99,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NC,Wake,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Cass,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wabasha,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamilton,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Putnam,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Kane,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
VA,Salem City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MI,Iosco,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,Alpena,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
TX,Bexar,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,25,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WY,Uinta,Aetna Inc.,Altius Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Hudspeth,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,4,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Jackson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
NC,Henderson,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,7,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NC,Yadkin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Montgomery,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
AR,St. Francis,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MT,Custer,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Perry,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
WA,King,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
NC,Anson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,De Soto,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Ottawa,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
KS,Nemaha,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
NC,Pitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Ohio,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Robertson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Mayes,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IA,Osceola,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Goochland,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Tippecanoe,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Dallas,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,5,0,Completed,06/14/2017 16:42,Local PPO
PA,Berks,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,47,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Tift,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Carbon,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,67,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IN,Ohio,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,124,0,Completed,07/25/2017 10:12,PFFS
KS,Kiowa,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Fayette,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Lowndes,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
CA,Orange,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
SD,Hanson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Edmunds,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Fall River,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
NH,Cheshire,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,2,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Scott,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AL,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Tyler,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Warren,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MO,Gasconade,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Boone,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,DuPage,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Van Buren,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
NM,Chaves,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Steuben,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Schenectady,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Hill,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mason,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Licking,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Craig,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mitchell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
KS,Harvey,Aetna Inc.,Coventry Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,1,0,Completed,07/24/2017 14:11,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,2,0,Completed,07/31/2017 19:26,HMO/HMOPOS
KS,Sherman,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Clay,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
ND,Nelson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Benton,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jones,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
CO,Chaffee,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
OH,Clermont,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
IA,Scott,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
AZ,Pima,Anthem Inc.,CareMore COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,5,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TX,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Brown,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Jackson,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Renville,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MI,Benzie,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Midland,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
IA,Dickinson,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
IL,Carroll,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
GA,Fulton,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3572,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
VA,Albemarle,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Marion,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,2,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Davie,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Clark,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Mercer,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
LA,Madison,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Morehouse,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Caswell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Pickens,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
SD,Lincoln,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NH,Rockingham,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Copiah,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,151,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Henrico,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Monroe,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
CO,Denver,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
CO,Summit,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,137,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
OH,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
FL,Polk,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Bracken,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Clair,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
GA,Cherokee,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
GA,Paulding,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,71,0,Completed,07/25/2017 10:12,Local PPO
AL,Chilton,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
IA,Kossuth,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PR,San Sebastian,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Turner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,19,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Lewis,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
CA,Kern,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,53,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Audrain,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NE,Cass,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3170,1,0,Completed,07/27/2017 14:27,HMO/HMOPOS
CA,Stanislaus,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NY,New York,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0088,1,0,Completed,07/28/2017 11:13,Local PPO
MO,Washington,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Erie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,3,0,Completed,07/24/2017 14:11,HMO/HMOPOS
PA,Lancaster,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,9,0,Completed,07/10/2017 11:38,HMO/HMOPOS
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
WV,Wirt,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
SD,Day,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Campbell,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Clay,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Clinch,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
VA,Roanoke,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Geauga,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,1,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clermont,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,Champaign,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
PR,Dorado,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CO,Arapahoe,Humana Inc.,Humana Value Plus H2649-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Denver,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Cedar,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
IA,Warren,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,St. Joseph,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,White,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
IA,Washington,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
MO,Barton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TN,Henderson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,455,0,228,H3018,1,0,Completed,07/25/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Canyon,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1969,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1969,2,0,Completed,07/26/2017 17:12,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,2,0,Completed,06/14/2017 16:42,Local PPO
PA,Franklin,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
MN,Rice,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Swift,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
UT,Davis,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
AR,Calhoun,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
PA,Delaware,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Polk,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,Washington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Worcester,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
CO,Pueblo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Carbon,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,1,Completed,07/20/2017 14:11,Local PPO
AR,Searcy,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Fairfield,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
OH,Defiance,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Ritchie,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Searcy,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
OK,Tillman,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
IA,Story,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Cattaraugus,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Chester,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,43,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Otsego,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
IN,Porter,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
PA,Franklin,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
IL,Henry,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
FL,Volusia,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
CA,Santa Clara,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,41,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Knox,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Blair,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Northampton,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,10,0,Completed,07/10/2017 11:38,HMO/HMOPOS
GA,Bibb,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Lyon,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Jefferson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
AL,Perry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
TX,Newton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Hood,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Stone,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IN,De Kalb,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Vinton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
PA,Washington,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AR,Fulton,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,St. Francis,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Multnomah,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,Polk,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Westchester,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Crawford,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Harrison,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Sullivan,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,36,0,Completed,07/20/2017 14:11,Local PPO
MI,Monroe,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,8,0,Completed,07/26/2017 16:54,HMO/HMOPOS
WV,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
MD,Baltimore City,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. John the Baptist,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Pickaway,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
KY,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Prince Edward,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
IA,Monroe,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Monmouth,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Cabo Rojo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Pinellas,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
WI,Dodge,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Green,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Shawano,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
GA,Coweta,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
MD,Prince George s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
SD,Bennett,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
FL,Broward,Anthem Inc.,HealthSun HealthAdvantage Plan (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,12,0,Completed,07/14/2017 16:29,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
GA,Cobb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Cumberland,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Rutherford,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Manistee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,11,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,11,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WA,Spokane,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,1,0,Completed,07/10/2017 17:32,HMO/HMOPOS
IL,Richland,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
AR,Cleburne,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Garland,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WI,Sauk,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
TX,Williamson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,7,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Crosby,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Rutherford,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PA,Luzerne,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Forsyth,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Bay,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,65,0,Completed,07/18/2017 13:53,HMO/HMOPOS
WV,Wood,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Gwinnett,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
PR,Bayamon,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Corozal,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Maunabo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
FL,Pinellas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Franklin,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
AZ,Pima,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,8,0,Completed,06/19/2017 17:18,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Fremont,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Monmouth,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Preble,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Kings,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Jasper,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Scott,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Greene,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
VA,Norton City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KY,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,24,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Woodruff,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MS,Rankin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
TN,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WA,Asotin,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,2,0,Completed,07/26/2017 17:12,Local PPO
NY,Saratoga,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Berks,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Cambria,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
AL,Blount,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Humacao,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
OH,Pickaway,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,6,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Williamsburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,El Paso,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Montgomery,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Morgan,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
CA,Riverside,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,30,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Waseca,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Bedford,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
KY,Clinton,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
IL,Henderson,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Fentress,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,McNairy,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
FL,Seminole,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,10,0,Completed,07/24/2017 12:23,Local PPO
FL,Sarasota,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,9,0,Completed,07/24/2017 12:23,Local PPO
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Randolph,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Bergen,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
LA,Madison,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Greene,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,Mifflin,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Lancaster,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
VA,Salem City,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,1,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Thurston,Humana Inc.,Humana Gold Plus H5619-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,62,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Bracken,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,25,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Beaver,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
LA,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,St. Helena,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Oswego,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Kern,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,62,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,15,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Lawrence,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,1,0,Completed,07/24/2017 14:11,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,1,0,Completed,07/24/2017 14:11,HMO/HMOPOS
FL,Osceola,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Mills,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,16,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Rock,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
KY,Breathitt,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
KS,Finney,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Jackson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
FL,Okaloosa,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,18,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Cedar,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Rockwall,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Fulton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
VA,Botetourt,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,101,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Benzie,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
TN,Grundy,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
NM,Grant,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Susquehanna,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,2,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Richmond,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
VA,York,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Coffee,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,Trimble,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
SC,Union,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
TX,Chambers,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
PR,Hatillo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Rockwall,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Williamson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Peoria,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,McLean,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Shelby,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
IA,Harrison,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MO,Barry,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
WV,Nicholas,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NJ,Gloucester,"Clover Health Holdings, Inc.",Clover Health NJ Purple (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,32,0,Completed,07/25/2017 8:01,Local PPO
KY,Trimble,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,3,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,Bristol City,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Washington,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Wells,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Spokane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1286,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Warren,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Union,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KS,Wyandotte,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Champaign,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Lake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Fayette,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,24,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Crawford,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MA,Worcester,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
IL,Cook,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TN,Maury,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Essex,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Flagler,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,156,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Osceola,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,146,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
OR,Douglas,ATRIO Health Plans,ATRIO Silver (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,2,0,Completed,06/28/2017 15:06,Local PPO
PA,Somerset,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Calloway,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Madison,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TN,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Campbell,Catholic Health Initiatives,Classic Plus Rx - N Kentucky (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,2,0,Completed,07/27/2017 18:54,HMO/HMOPOS
ND,Dickey,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Houston,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Allen,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
FL,Seminole,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,92,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Ellis,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,1,0,Completed,07/16/2017 17:10,Local PPO
NC,Catawba,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Oswego,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NJ,Gloucester,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
HI,Honolulu,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,24,0,Completed,07/24/2017 12:23,Local PPO
MN,Wadena,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MA,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Walker,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Delaware,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MO,Newton,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Jo Daviess,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
TN,Jefferson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,2,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,39,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,York,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Greene,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Fort Bend,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Charlevoix,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,13,0,Completed,06/26/2017 13:34,HMO/HMOPOS
TX,Bexar,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
SD,Pennington,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WV,Wetzel,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
GA,Union,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Payette,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Bonneville,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
NY,Niagara,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Portsmouth City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Bedford,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Bradley,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
NY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Gray,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
IN,Sullivan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Lagrange,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Marshall,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Auglaize,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
AL,Escambia,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,20,0,Completed,07/25/2017 10:12,Local PPO
SC,McCormick,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Williamsburg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Teller,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Clear Creek,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
OH,Geauga,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,11,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Accomack,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
PR,Culebra,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
GA,Burke,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Suffolk City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Knox,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Washington,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Bernardino,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,39,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Dillon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Chesterfield,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Lynchburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Brown,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,5,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Hughes,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
CA,Los Angeles,Imperial Health Plan of California,Traditional Plus-LA (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,8,0,Completed,07/28/2017 16:14,HMO/HMOPOS
IA,Keokuk,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Bonner,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,1,0,Completed,07/26/2017 17:12,Local PPO
NY,New York,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Chemung,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
TX,Wood,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sauk,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
NE,Saunders,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3170,2,0,Completed,07/27/2017 14:27,HMO/HMOPOS
WI,Racine,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,San Bernardino,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Baraga,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
IN,Elkhart,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MN,Lyon,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wabasha,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Pulaski,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Suwannee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Henry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KS,Harvey,Humana Inc.,Humana Gold Plus H2649-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Greene,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
GA,Douglas,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Fulton,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Olmsted,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Red Lake,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TX,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Barbour,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MO,St. Louis City,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Upshur,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
WV,Wayne,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
VA,Carroll,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Lake,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
TN,Hickman,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
PA,Snyder,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Le Sueur,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
SC,Clarendon,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
MO,Ray,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Cook,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6080,1,0,Completed,07/26/2017 16:58,Medicare-Medicaid Plan HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,2,Completed,07/26/2017 16:51,HMO/HMOPOS
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,St. Charles,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,1,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Jackson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,Muskegon,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,5,0,Completed,07/26/2017 16:54,HMO/HMOPOS
WV,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
VA,Chesapeake City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,1,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Richmond,"QHP Financial Group, Inc.",Advantage Silver - NY City (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,20,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NC,Wilkes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Vance,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Boyd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,1,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Pope,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
OK,Logan,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
MN,Kandiyohi,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Mahnomen,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
AZ,Yuma,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. Martin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,San Diego,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
ME,Kennebec,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Miami-Dade,Humana Inc.,Humana Gold Plus H1036-054C (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Buena Vista City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
NY,Albany,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Jefferson,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,DeKalb,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MN,Sherburne,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,San Bernardino,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,1,0,Completed,07/27/2017 20:51,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Coosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
TX,Hidalgo,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Webb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Cherokee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,25,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Logan,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Poinsett,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
AL,Butler,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
ME,Kennebec,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Niagara,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NC,Davie,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Powhatan,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Nicollet,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
PA,Montgomery,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,43,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
ME,Kennebec,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
VA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Hood River,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,39,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MN,Cook,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
GA,Dodge,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Medina,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
TX,Cameron,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
TN,Johnson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Sullivan,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Williamson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Seminole,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,22,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Juneau,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
OH,Clinton,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NH,Grafton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,HealthSun MediMax (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,6,0,Completed,07/14/2017 16:29,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Muscatine,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
PR,Ceiba,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Aibonito,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,Hardin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Boone,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Kendall,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Butler,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
TN,Loudon,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Owyhee,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
TX,Orange,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Lawrence,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Putnam,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Berks,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NM,Los Alamos,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,1,0,Completed,07/14/2017 12:55,HMO/HMOPOS
SC,Calhoun,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
OH,Hocking,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
SC,Kershaw,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Franklin,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
PA,Lebanon,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
PA,Cameron,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PA,Mercer,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
AR,Woodruff,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Brunswick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
WI,Oconto,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Trujillo Alto,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
IL,Morgan,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Pettis,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
AR,Perry,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
PA,Clearfield,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
AR,Cleburne,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Jessamine,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Newton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Orange,California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,21,0,Completed,07/21/2017 17:33,HMO/HMOPOS
KY,Floyd,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
MI,Gratiot,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2247,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
FL,Miami-Dade,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
ND,Oliver,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
SD,Mellette,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Pulaski,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
CO,Prowers,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
LA,LaSalle,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
WV,Kanawha,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Denver,Humana Inc.,Humana Value Plus H2649-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Pueblo,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Suffolk,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Marion,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,13,0,Completed,06/21/2017 11:09,HMO/HMOPOS
MN,Kittson,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pennington,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
VA,Lee,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
AR,Ashley,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Maury,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Sevier,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Sandusky,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Hidalgo,CIGNA,Cigna-HealthSpring CarePlan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,455,0,228,H8423,1,0,Completed,07/25/2017 17:34,Medicare-Medicaid Plan HMO/HMOPOS
OR,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Bath,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,5,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IN,Warrick,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Lake,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,Camas,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
LA,Natchitoches,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
MT,Teton,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,6,Completed,07/26/2017 11:41,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
GA,Spalding,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Clark,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Lafayette,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,39,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Caroline,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Bergen,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OK,Okmulgee,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Chester,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Yamhill,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,2,Completed,07/06/2017 14:24,Local PPO
OR,Columbia,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Barrow,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
WV,Wood,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Avery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Monroe,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
NJ,Ocean,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Spartanburg,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Treutlen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Morrow,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Rockcastle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Caldwell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OR,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
TN,Obion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,24,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Northumberland,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,McKean,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TX,Falls,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bell,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
IA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Poweshiek,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,75,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
MO,Miller,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,1,0,Completed,07/24/2017 14:11,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,2,0,Completed,07/18/2017 12:54,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Nicholas,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
WV,Raleigh,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
IN,Franklin,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,124,0,Completed,07/25/2017 10:12,PFFS
WI,Columbia,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MI,Houghton,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MN,Clay,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Fayette,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Stark,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Clermont,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IA,Muscatine,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Columbia,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
CO,Jefferson,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Suffolk,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,122,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Salt Lake,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H4605,1,0,Completed,07/26/2017 17:12,Local PPO
MN,Jackson,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
TN,Knox,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,McLean,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
OH,Hamilton,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
MI,Oceana,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,Kent,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,1,Completed,07/24/2017 10:22,Local PPO
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PA,Adams,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,6,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
TN,Decatur,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Chester,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
TN,Polk,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
FL,Polk,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,59,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Delaware,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Grayson,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Putnam,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
OH,Butler,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
GA,Coweta,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Boone,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Jefferson,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Middlesex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
AZ,Pinal,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,6,0,Completed,06/19/2017 17:18,HMO/HMOPOS
OH,Mahoning,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Gloucester,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,7,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Henderson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IA,Polk,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
PA,Pike,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Snyder,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,7,0,Completed,07/26/2017 16:54,HMO/HMOPOS
CA,Orange,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Fresno,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
SC,Charleston,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
SC,Chester,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
NY,Nassau,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Lake,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,26,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NE,Sarpy,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3170,2,0,Completed,07/27/2017 14:27,HMO/HMOPOS
PA,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Hillsborough,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,19,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Butler,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
KS,Cheyenne,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
OK,Coal,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Brantley,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
AL,Colbert,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
IN,Marion,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
GA,Tattnall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Gallatin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
PA,Mercer,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
VA,Stafford,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
PA,Columbia,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
FL,Pinellas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
KS,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Garfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Lanier,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Pike,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
MN,Kandiyohi,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WV,Pocahontas,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
VA,Radford City,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
OK,Tulsa,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Boone,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
OH,Ashland,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
WI,Vilas,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Chester,"Health Partners Plans, Inc.",Health Partners Medicare Basic (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,1,0,Completed,07/10/2017 11:38,HMO/HMOPOS
GA,Twiggs,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Barbour,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
WV,Pocahontas,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Scott,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
NY,Richmond,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Chemung,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
AL,Calhoun,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Crenshaw,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,St. Croix,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
KS,Miami,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
MN,Kittson,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
AL,Randolph,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NH,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Ciales,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Titus,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,46,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Shelby,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
WA,Pierce,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Onondaga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Grant,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Wilkin,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
ME,Androscoggin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
CO,Broomfield,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Richmond City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Delaware,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Kings,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
MA,Plymouth,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,9,0,Completed,07/06/2017 14:10,HMO/HMOPOS
IL,DeKalb,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
ID,Bonner,Humana Inc.,Humana Gold Plus H5619-078 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,78,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Saline,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Penobscot,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Buena Vista City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Spalding,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Beaufort,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Craighead,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MS,Harrison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Forsyth,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
CA,San Bernardino,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,14,0,Completed,06/26/2017 11:39,HMO/HMOPOS
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Collin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,5,0,Completed,06/14/2017 16:42,Local PPO
WI,Winnebago,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Brazos,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
VA,Fairfax,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Wapello,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Spartanburg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MO,Christian,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Taney,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Fayette,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mahnomen,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Scott,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Clinton,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
IL,Montgomery,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,2,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Shelby,Anthem Inc.,Amerivantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Lucas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Minidoka,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,4,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
WI,Menominee,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
WI,Waukesha,Independent Care Health Plan Inc.,Aurora Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,9,0,Completed,07/26/2017 12:18,HMO/HMOPOS
PA,Perry,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
IN,Porter,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
PA,Cameron,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
AR,Benton,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,56,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Houston,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
LA,Union,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Monroe,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
ME,York,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Roanoke,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Thurston,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
NC,Avery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Clinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Portage,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Bedford,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
NJ,Camden,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
LA,East Baton Rouge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Bullock,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Lamar,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
NY,Broome,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
CA,San Francisco,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,1,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,97,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Madison,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NY,Wayne,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Hernando,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,251,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Fountain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Orange,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Lancaster,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Simpson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
MN,Cook,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
WI,Kenosha,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Philadelphia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Polk,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Republic,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,St. Clair,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Mobile,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
TX,Fort Bend,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
CO,Broomfield,Humana Inc.,Humana Value Plus H2649-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Butler,Humana Inc.,Humana Gold Plus H2649-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Seneca,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,35,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,4,0,Completed,06/21/2017 11:09,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Riverside,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Crawford,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
OH,Sandusky,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Box Elder,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Norman,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NC,Lincoln,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Dickson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Franklin,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
PA,Allegheny,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OK,Mayes,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,6,0,Completed,06/26/2017 13:34,Local PPO
PA,Somerset,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
PA,Northampton,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Benton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Morgan,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IA,Page,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Pamlico,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Cumberland,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
ND,Burleigh,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Richmond City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Norfolk City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Lafourche,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
AL,Mobile,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
LA,St. James,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Boone,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
TN,Pickett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Caswell,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Polk,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,253,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Baker,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
AR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Bartholomew,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
OH,Jefferson,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Irion,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Marion,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
VA,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Otsego,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,39,0,Completed,07/24/2017 12:23,Local PPO
SD,Perkins,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TN,Blount,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Grundy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orange,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,2,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Polk,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
MO,Jasper,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
PA,Greene,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Indian River,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,35,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Walker,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
IL,Randolph,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Morris,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Citrus,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,93,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MS,Stone,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,Fresno,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,536,,,H0504,31,0,Completed,07/21/2017 17:33,HMO/HMOPOS
MO,Scott,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Franklin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Fond du Lac,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MN,Traverse,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Cavalier,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Jasper,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Lowndes,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Brown,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Bee,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Perry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Loudoun,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Putnam,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
WI,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
PA,Blair,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Sullivan,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Lincoln,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cheatham,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,2,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Peoria,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Berrien,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
AR,Garland,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,52,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
ME,York,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Wyoming,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Spotsylvania,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
MN,Wadena,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Marion,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,7,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,Roanoke City,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,1,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Milam,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Lyman,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Campbell,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Peach,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Pulaski,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Jefferson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Alachua,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Sumter,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Oconto,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Bullitt,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
FL,Marion,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,Stanislaus,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,36,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Westmoreland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,12,0,Completed,07/24/2017 14:11,HMO/HMOPOS
MN,Marshall,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OK,Jackson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
WI,Columbia,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MO,Platte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Sherburne,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
GA,Oconee,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Mahoning,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
CO,Boulder,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Jefferson,Humana Inc.,Humana Gold Plus H2649-064 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,64,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Camden,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Tompkins,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Mills,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sequatchie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Boise,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,10,0,Completed,07/26/2017 17:12,Local PPO
FL,Alachua,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,214,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Franklin City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IN,Hamilton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
NY,Delaware,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Montgomery,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
WI,Columbia,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Bosque,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
GA,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NJ,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
IL,Jo Daviess,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,3,0,Completed,06/12/2017 11:28,1876 Cost
PR,Naranjito,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NC,Randolph,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
WI,Sheboygan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Hunterdon,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MN,Houston,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
FL,Polk,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Allegany,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
CA,San Bernardino,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,7,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,St. Louis City,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Sedgwick,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Adair,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Naguabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Sarasota,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Grady,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
SC,Berkeley,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,36,0,Completed,07/24/2017 12:23,Local PPO
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
AL,Lauderdale,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Clay,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,1,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Winona,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MO,Miller,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
AR,Sharp,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Bath,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
CA,Contra Costa,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
MI,Benzie,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WA,Pierce,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,Hidalgo,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,14,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Wayne,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Gem,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
NY,Clinton,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
GA,Troup,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Yell,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Erie,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Greene,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Deschutes,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
TN,Rhea,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WA,Yakima,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),N,N,N,N,N,,,,,,,H5826,10,0,Completed,06/29/2017 11:10,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
GA,Chattahoochee,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Roanoke,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Wise,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Sandusky,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Beaver,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Clearfield,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MI,Missaukee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Mason,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
MO,Douglas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Raleigh,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
MI,Wexford,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
OH,Fulton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,4,Completed,06/29/2017 13:12,Local PPO
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
IN,Allen,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,2,0,Completed,07/06/2017 14:24,Local PPO
PR,Penuelas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hancock,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
MN,Grant,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,2,0,Completed,06/14/2017 16:42,Local PPO
ID,Madison,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
SC,Greenville,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Conway,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,49,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MO,Boone,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,11,0,Completed,07/24/2017 17:36,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Van Buren,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
VA,Hanover,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NV,Washoe,Renown Health,Senior Care Plus: Value Basic Plan (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,9,0,Completed,06/27/2017 19:00,HMO/HMOPOS
ME,Androscoggin,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Allen,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,Bracken,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Grant,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Swain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Putnam,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Jessamine,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,Warren,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,2,0,Completed,07/26/2017 16:56,HMO/HMOPOS
AR,Saline,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ND,Adams,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Oliver,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
TX,Hidalgo,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
AL,Madison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Talladega,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Assumption,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Greene,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Blue Earth,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Watonwan,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clay,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Grundy,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Dade,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
PA,Potter,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
IA,Jasper,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OH,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Guadalupe,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
AL,Bullock,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Polk,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
KS,Norton,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Queens,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,Saratoga,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,4,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Utuado,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Yauco,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Travis,Humana Inc.,Humana Gold Plus H2649-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Williamson,Humana Inc.,Humana Gold Plus H2649-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,64,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
UT,Davis,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H4605,1,0,Completed,07/26/2017 17:12,Local PPO
OH,Preble,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Kootenai,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,4,Completed,06/29/2017 13:12,HMO/HMOPOS
GA,Clarke,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Putnam,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
CA,Riverside,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,10,0,Completed,06/26/2017 14:13,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
GA,Columbia,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Clayton,Anthem Inc.,BCBSHP MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Bristol City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
MA,Suffolk,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NJ,Hudson,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Rockbridge,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Bates,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
MO,Ray,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
IA,Johnson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
FL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,8,0,Completed,07/24/2017 12:23,Local PPO
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Scott,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DC,District of Columbia,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Galax City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Patrick,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Alexander,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Columbiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Monroe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Davie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Putnam,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MS,Rankin,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus SNP-DE H1036-104A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,104,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Davidson,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,251,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Charlottesville City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Patrick,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Prince Edward,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
WI,Outagamie,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
WI,Outagamie,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IL,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Champaign,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
TN,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Wythe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Winona,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Winona,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hand,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
AL,Jefferson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Meigs,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,7,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WI,Rusk,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CO,Delta,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PA,Cumberland,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Broward,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Winnebago,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,16,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
KS,Gray,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
OK,Choctaw,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Huerfano,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
MO,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Tarrant,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,2,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Wood,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
CT,Tolland,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Wasatch,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
CA,Los Angeles,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,1,Completed,10/17/2017 0:50,HMO/HMOPOS
CA,San Luis Obispo,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,2,Completed,10/17/2017 0:50,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,4,Completed,06/29/2017 13:12,Local PPO
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
NM,Valencia,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Adams,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Montgomery,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8133,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,27,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Alleghany,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Gibson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Jackson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
TN,Macon,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
WI,Calumet,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Owyhee,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MT,Pondera,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MN,Steele,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
OK,Osage,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
LA,St. Helena,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Perry,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
IN,Boone,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,York,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Walla Walla,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
NC,Mitchell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Holmes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Boone,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
CA,Sacramento,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,84,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Dinwiddie,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Surry,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Marathon,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Clay,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Travis,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Warren,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
MN,Steele,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Knox,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Monroe,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Washington,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Clackamas,"CareOregon, Inc.",CareOregon Advantage Star (HMO),Y,Y,Y,Y,N,,,0,402,0,201,H5859,3,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
IA,Sac,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WV,Pendleton,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
TX,Lubbock,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
AR,Randolph,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Northumberland,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CO,Custer,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Collier,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MS,Noxubee,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
TN,Gibson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Lunenburg,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Decatur,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Perry,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
CA,Marin,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,46,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Murray,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Todd,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
AR,Johnson,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Waller,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Nottoway,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
NC,Transylvania,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Dutchess,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Yamhill,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Lewis,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
NY,Richmond,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
MO,Johnson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
OK,Tulsa,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
PA,Jefferson,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
PA,Lycoming,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Allegheny,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
VA,Culpeper,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Hopewell City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Iberia,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Iberville,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
PA,Blair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Pushmataha,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Clay,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Erie,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
WI,Outagamie,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
WI,Green Lake,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Snyder,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Schoharie,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
VA,Fairfax,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
VA,Fredericksburg City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MO,Platte,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Franklin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Shackelford,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
MN,Blue Earth,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
WV,Harrison,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
FL,Broward,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,68,0,Completed,07/25/2017 10:12,Local PPO
IN,Wells,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
OH,Medina,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,24,0,Completed,07/25/2017 10:12,Local PPO
FL,Lake,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Marion,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
AL,Mobile,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Lehigh,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Orange,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Rusk,Humana Inc.,Humana Gold Plus H2649-055 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jasper,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MO,Stone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TX,Randall,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Houston,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,2,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WI,Racine,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2879,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Saluda,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
LA,West Feliciana,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Guilford,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,214,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Summit,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
AR,Sebastian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lafayette,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
NC,Swain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Moore,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
AR,Jefferson,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
AL,Bibb,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
IA,Webster,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
TX,Collin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,35,0,Completed,07/24/2017 12:23,Local PPO
NE,Sherman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Cuyahoga,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
NJ,Morris,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
FL,Hernando,Anthem Inc.,Optimum Gold Plus Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,32,0,Completed,07/06/2017 14:45,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Falls,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mills,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NC,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9047,43,0,Completed,07/07/2017 13:42,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Care1st TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,567,0,284,H5928,9,0,Completed,07/24/2017 20:49,HMO/HMOPOS
WV,Marion,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
WI,Walworth,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Winona,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
AL,Lowndes,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Preston,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Delta,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Delta,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Bartholomew,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
OR,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
TX,Ellis,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Waseca,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Boone,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
WV,Putnam,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
KS,Leavenworth,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
CA,Sutter,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,46,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
MI,Mason,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
MN,Houston,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NC,Chatham,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NJ,Atlantic,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
TN,McNairy,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Carroll,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
WV,Harrison,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IN,Dearborn,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Ripley,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Philadelphia,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Dane,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
FL,Broward,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Brunswick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
IL,DuPage,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6080,1,0,Completed,07/26/2017 16:58,Medicare-Medicaid Plan HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,1,Completed,07/26/2017 16:51,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
FL,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Goodhue,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
NC,Brunswick,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Monmouth,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
LA,Union,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Ottawa,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
AR,Little River,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Woodford,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Fannin,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Greenup,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Mineral,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Kingfisher,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Peoria,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
GA,Twiggs,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
TN,Humphreys,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OK,Carter,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
IN,Fountain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Monroe,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Alliance Lung Care (HMO SNP),Y,N,N,Y,Y,100,0,0,511,0,256,H3962,18,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,13,0,Completed,07/26/2017 10:13,HMO/HMOPOS
TX,Nueces,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Vernon,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NV,Nye,Humana Inc.,HumanaChoice H5216-141 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,141,0,Completed,07/25/2017 10:12,Local PPO
IA,Butler,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AL,Hale,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
FL,Pasco,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Chenango,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
CA,Riverside,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,60,4,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Wright,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Dallas,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,St. Lucie,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NE,Lincoln,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
KS,Chautauqua,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Cass,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Canyon,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
OR,Lane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst AssuredCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,35,0,Completed,07/14/2017 10:43,HMO/HMOPOS
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Charleston,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
MO,Clay,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,5,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Lancaster,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
KY,Montgomery,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,McCormick,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
LA,Tangipahoa,"PH Holdings, LLC",Peoples Health Choices Select (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,7,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Richland,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Muhlenberg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,33,0,Completed,07/27/2017 12:35,HMO/HMOPOS
IL,Winnebago,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TN,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Cayuga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,St. Lawrence,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,Genesee,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,265,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Autauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hidalgo,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7678,1,0,Completed,06/07/2017 11:54,HMO/HMOPOS
KY,McCracken,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Pickaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Fall River,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
GA,Oglethorpe,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Butler,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MO,St. Charles,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Houston,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Carter,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sequatchie,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Missaukee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
PA,Wyoming,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
TX,Medina,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,El Paso,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
MT,Ravalli,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,8,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Cumberland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Seneca,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SD,Moody,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
AR,Washington,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
OK,Wagoner,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
TX,Starr,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
NJ,Passaic,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
PA,Berks,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
AL,Walker,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AR,Benton,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,16,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,Monroe,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
GA,Treutlen,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
WI,Portage,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brule,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MD,Baltimore City,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
AL,Bibb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clark,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Shawnee,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
VA,Henry,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,99,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Becker,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
GA,Chatham,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Van Wert,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Broward,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clinton,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,Medina,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
TX,Denton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,2,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Williamson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,New Haven,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Franklin,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Willacy,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Boulder,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Cumberland,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
CA,Orange,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,34,0,Completed,06/26/2017 14:13,HMO/HMOPOS
ID,Elmore,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
ME,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
NY,Essex,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
GA,Paulding,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
VA,Augusta,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
OH,Summit,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Greene,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,New York,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
OR,Coos,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
IL,Putnam,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
MO,Newton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
PA,Lebanon,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
SC,Williamsburg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
LA,Orleans,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Colleton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
GA,Heard,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Harmony Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,32,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Cambria,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Fairfield,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
NY,Richmond,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
NY,Jefferson,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
LA,St. Landry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Yates,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
FL,Manatee,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,160,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Kane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vigo,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Falls,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Person,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Elbert,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
OK,Logan,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
SC,Spartanburg,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
TX,Tarrant,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
IL,Greene,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
AL,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
AL,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PR,Gurabo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VT,Caledonia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Monroe,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
PA,Dauphin,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Humacao,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
TX,Edwards,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IN,Warrick,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
IN,Miami,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
WV,Lewis,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
PA,Columbia,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
NC,McDowell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
AL,Madison,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
GA,Irwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NE,Dakota,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MS,Forrest,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,St. Lawrence,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
IA,Hardin,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Colorado,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Transylvania,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Sampson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Sheridan,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
PR,Utuado,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
TN,Coffee,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Gibson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
PR,Cidra,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Plumas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Fayette,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PA,Forest,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NC,Guilford,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
WV,Clay,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
WI,Brown,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
FL,Levy,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
IN,Gibson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
GA,Richmond,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
MO,Taney,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Henry,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,4,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
KY,Pike,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PA,Erie,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
PR,Naguabo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Seminole,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
IL,Bond,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Bedford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KS,Clay,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Maricao,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CA,Solano,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Van Buren,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
CT,Fairfield,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Stearns,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,3,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Webb,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,14,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NC,Alexander,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Grainger,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Loudon,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
TN,Putnam,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
CA,San Bernardino,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,10,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Adams,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
WI,Washington,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
OK,Muskogee,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Polk,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
AR,Sebastian,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Faulkner,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Polk,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Union,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,21,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Mahoning,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,174,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Lewis,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
IL,Adams,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
OK,McClain,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Cameron,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
KY,Jefferson,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Surry,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,St. Bernard,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Effingham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
UT,Weber,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OR,Benton,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
OR,Benton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AZ,Pinal,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
PA,Cameron,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,Lycoming,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Carbon,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
CA,Madera,Humana Inc.,Humana Gold Plus H5619-013 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Kosciusko,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Albemarle,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,St. Charles,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Tipton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Cocke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Obion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Lewis,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,Niagara,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
OK,Johnston,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
ME,Waldo,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Cortland,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Fairfield,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,Lake,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
MI,Van Buren,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
TN,Overton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Obion,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
PR,Hormigueros,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Seminole,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Polk,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Denver,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Pueblo,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Hudson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
GA,Columbia,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
PA,Luzerne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Dickinson,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MN,St. Louis,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
TN,DeKalb,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Graham,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,1,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Union,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Jefferson,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
NY,Richmond,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Lewis,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
CA,Santa Clara,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,25,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Venango,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Chester,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,8,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Brooke,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
MO,Adair,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
OR,Lane,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,29,0,Completed,07/24/2017 12:23,Local PPO
SD,Potter,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Butte,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Dewey,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,West Feliciana,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Cabell,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Pulaski,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,San Patricio,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,53,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Coos,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Arenac,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
FL,Charlotte,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
OR,Polk,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,2,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
AR,Franklin,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Arapahoe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
AR,Arkansas,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Union,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Park,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Appomattox,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Putnam,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
MT,Ravalli,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
WV,Ohio,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
LA,Jackson,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Armstrong,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
AL,Limestone,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Auglaize,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Chatham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Hocking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Nicholas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Jackson,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,24,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,Mercer,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TN,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Piscataquis,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
VA,Radford City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
CA,Los Angeles,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,14,0,Completed,06/26/2017 11:39,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,56,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Adams,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Jefferson,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Aroostook,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Wood,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
IA,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,68,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Deschutes,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,38,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
AR,Montgomery,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Hickman,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
GA,Monroe,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
KY,Henderson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
KY,Clinton,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
WV,Upshur,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
WV,Mineral,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
MN,Faribault,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
GA,Randolph,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IL,Mercer,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
FL,Hillsborough,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Ralls,Aetna Inc.,Advantra (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Montgomery,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,14,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NH,Hillsborough,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,3,0,Completed,07/25/2017 8:54,Local PPO
MN,Hennepin,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Chariton,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Monroe,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
MO,Jackson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
SC,Union,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,2,0,Completed,07/24/2017 12:23,Local PPO
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,35,0,Completed,07/24/2017 12:23,Local PPO
SD,Tripp,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
PR,Ciales,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Lucas,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OR,Crook,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
WI,Waushara,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
KY,Pendleton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Christian,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
FL,St. Lucie,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,62,0,Completed,07/25/2017 10:12,Local PPO
TN,Fentress,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
AR,Fulton,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
SC,Horry,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Jones,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Aguadilla,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WI,Racine,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
GA,Sumter,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NM,Colfax,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
PA,Montgomery,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Ray,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
TX,Austin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
KS,Jefferson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
SC,Hampton,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,75,0,Completed,07/25/2017 10:12,Local PPO
OH,Knox,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
IA,Wright,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
SC,Sumter,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Autauga,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
FL,Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,17,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Cape Girardeau,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KY,Carlisle,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
SC,Richland,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Clark,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Taylor,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
AL,Baldwin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Bourbon,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Denver,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Cass,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CO,Douglas,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Hennepin,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
TN,Loudon,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Wetzel,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
PA,Crawford,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Carroll,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
OK,Adair,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CA,Santa Clara,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Rabun,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
VA,King George,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,6,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
WI,Outagamie,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Walton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,6,Completed,07/26/2017 11:41,Local PPO
AR,Clark,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Galveston,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Cumberland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Amelia,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
NY,Queens,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/07/2017 14:53,HMO/HMOPOS
OR,Josephine,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
IL,McLean,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
TX,Denton,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,2,0,Completed,07/25/2017 17:34,Local PPO
PA,Lancaster,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
NE,Cass,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Salem City,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,1,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Oldham,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Grant,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Auglaize,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Harmony Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,20,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
IA,Fayette,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
PA,Perry,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
CA,Stanislaus,Humana Inc.,Humana Gold Plus H5619-032 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Grayson,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
MD,Harford,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Assumption,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Spartanburg,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,Y,N,Y,N,,,0,455,0,228,H8170,2,0,Completed,07/06/2017 10:58,HMO/HMOPOS
KY,Lewis,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Meade,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Wyoming,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Summit,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Kiowa,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Dickson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Baker,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Polk,ATRIO Health Plans,ATRIO Silver Rx (Willamette) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7006,3,0,Completed,06/28/2017 15:06,Local PPO
WI,Marinette,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
VA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Lorain,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,1,Completed,07/26/2017 17:12,Local PPO
OH,Mahoning,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
TN,Roane,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Yamhill,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MO,Cedar,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
PA,Crawford,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
TN,Perry,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,445,0,228,H8029,1,0,Completed,07/18/2017 12:59,Medicare-Medicaid Plan HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,3,Completed,06/29/2017 13:12,Local PPO
NM,McKinley,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PR,Maunabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Franklin,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Moore,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,1,0,Completed,06/12/2017 11:28,1876 Cost
NY,Chenango,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Riley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Madison,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Montgomery,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Wayne,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
KY,Floyd,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Dauphin,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Cass,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
PA,Juniata,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Grayson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Polk,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
GA,Forsyth,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
AR,Montgomery,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PA,Lebanon,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
MN,Becker,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
NJ,Gloucester,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,85,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Chase,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Upson,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
AL,Tuscaloosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
CA,Kern,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ND,Pembina,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Meade,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Otero,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
MO,Jasper,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,5,0,Completed,06/21/2017 11:09,HMO/HMOPOS
TN,Marion,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Defiance,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Mercer,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Cache,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
MN,Polk,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MN,Ramsey,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
OR,Multnomah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
PA,Wyoming,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
GA,Newton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Greene,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
KY,Boyd,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
ME,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
WI,Iowa,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,1,0,Completed,06/12/2017 11:28,1876 Cost
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
MT,Wheatland,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Franklin,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,New Kent,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
OK,Muskogee,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PA,Juniata,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
VA,Norton City,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Fluvanna,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Cameron,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Yancey,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Harmony Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,20,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Lebanon,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,2,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Henry,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
MN,Sherburne,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
NE,Washington,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Yolo,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,39,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Highlands,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,230,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Philadelphia,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,43,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IL,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Swain,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Poweshiek,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Prime + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,37,0,Completed,07/07/2017 13:42,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,St. Louis,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Crawford,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WV,Clay,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
PA,Bucks,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
CA,San Bernardino,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,126,0,Completed,07/12/2017 15:39,Local PPO
OH,Marion,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
PA,Wyoming,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
WI,Washington,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
GA,Warren,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Oglethorpe,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
WI,Taylor,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
OR,Benton,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,9,0,Completed,07/31/2017 19:26,HMO/HMOPOS
KS,Ness,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Harper,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
FL,Escambia,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,18,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Comerio,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Washington,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Richmond,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
WV,Preston,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Wyoming,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
IN,Henry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Tipton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Somerset,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
MT,Lincoln,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
GA,Bryan,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Muscogee,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,New York,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/07/2017 14:53,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
AL,Baldwin,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Richmond,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,18,0,Completed,07/26/2017 18:49,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IA,Webster,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bradley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Escambia,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,214,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Harrison,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus H1036-199 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,199,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Wabash,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Charlotte,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,McCracken,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rains,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NY,Onondaga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
LA,Iberia,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Hamilton,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IL,DuPage,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,106,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,18,0,Completed,06/21/2017 11:09,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Wright,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,McDowell,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Steele,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Billings,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
OH,Highland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Teller,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MO,Moniteau,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
IA,Lyon,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MN,Itasca,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Waseca,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
TN,Marshall,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Livingston,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
VA,Bristol City,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
TX,Coke,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NJ,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
PR,Camuy,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Lewis,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
MI,Allegan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
NY,Westchester,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,121,0,Completed,07/12/2017 15:39,Local PPO
GA,Twiggs,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
NC,Pamlico,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Luzerne,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
VA,Lee,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Johnson,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Gallatin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Bridges Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,29,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MN,Wadena,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
OH,Ashtabula,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
OR,Linn,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,408,408,204,204,H3811,1,0,Completed,07/31/2017 19:26,HMO/HMOPOS
GA,Pickens,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Jones,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Madison,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Brooks,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
AL,Monroe,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
CA,Riverside,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H9104,6,0,Completed,06/26/2017 14:13,HMO/HMOPOS
TX,Tyler,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Maury,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
WI,Rock,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Franklin,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
GA,Richmond,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
SC,Edgefield,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CO,Denver,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Glades,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Branch,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
OK,Carter,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Ritchie,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Nowata,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
VA,Botetourt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. James,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. Helena,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Fayette,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Falls Church City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Nassau,"QHP Financial Group, Inc.",Advantage Health LI - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,3,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NC,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Darke,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Durham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Halifax,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
MA,Plymouth,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Acadia,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
IN,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Albany,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Runnels,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,55,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,74,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Roanoke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Butte,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
LA,Caddo,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AR,Saline,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Stafford,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Greene,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Greene,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,110,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Steele,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Saginaw,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Marion,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IN,Pulaski,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,Logan,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
TX,Willacy,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
AR,Johnson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Ingham,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IA,Adams,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
VA,Falls Church City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
CO,Park,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ME,Oxford,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Calumet,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Schenectady,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Mercer,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
VA,Arlington,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Wilkinson,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Pitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Muhlenberg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day In Control Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,26,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Jackson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Autauga,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
IL,Knox,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,2,0,Completed,07/26/2017 16:56,HMO/HMOPOS
IL,Mercer,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,2,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Dickson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IL,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,50,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Northampton,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Genesee,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,77,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Cavalier,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sanborn,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MD,Wicomico,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
CA,San Diego,Sharp Healthcare,Sharp Direct Advantage Platinum Card (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5386,4,0,Completed,07/26/2017 12:00,HMO/HMOPOS
GA,Crawford,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TN,Madison,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Decatur,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MS,Holmes,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
TX,Harris,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8197,1,0,Completed,06/07/2017 12:14,Medicare-Medicaid Plan HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
NC,Washington,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Las Piedras,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Charlevoix,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Montgomery,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IN,Johnson,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
IA,Harrison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
CO,Fremont,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
SC,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,06/14/2017 16:42,Medicare-Medicaid Plan HMO/HMOPOS
NE,Cass,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3170,2,0,Completed,07/27/2017 14:27,HMO/HMOPOS
OH,Union,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,Muscogee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Madison,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Madison,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
TX,Wilson,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Tazewell,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,8,Completed,07/17/2017 11:05,HMO/HMOPOS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,Wright,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
NM,Lincoln,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
MO,Washington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
WI,Monroe,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Pennington,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,8,0,Completed,06/27/2017 19:00,Local PPO
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Cumberland,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
PA,Allegheny,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,17,0,Completed,07/25/2017 10:12,Local PPO
PA,Adams,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
CO,Fremont,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Dinwiddie,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Indiana,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
KY,Nelson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
GA,DeKalb,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MN,Todd,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Somerset,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
MS,Hinds,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
CA,Plumas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NC,Orange,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
OH,Cuyahoga,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Douglas,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MI,Wayne,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MI,Ottawa,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
TX,San Jacinto,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IA,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Franklin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Winnebago,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AL,Elmore,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
FL,Orange,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Steuben,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
AL,Lowndes,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,66,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IL,Greene,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Indiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
NE,Johnson,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Geauga,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,Webster,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Kenosha,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
MI,Macomb,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,2,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Crockett,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MO,Wright,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Mississippi,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,34,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,De Kalb,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Lorain,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
OH,Washington,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
AR,Baxter,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Howard,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Grayson,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
TX,Hidalgo,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MT,Broadwater,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lehigh,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Kings,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/07/2017 14:53,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Cooper,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
IL,Monroe,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Morris,"Clover Health Holdings, Inc.",Clover Health NJ Purple (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,32,0,Completed,07/25/2017 8:01,Local PPO
PA,Cumberland,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Wyoming,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
DE,Kent,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Charles City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Webster,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Cuyahoga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Ottawa,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IL,Kane,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,3,0,Completed,07/26/2017 16:56,HMO/HMOPOS
GA,Peach,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NC,Stanly,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Manatee,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,251,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Waushara,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,144,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Berks,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,9,0,Completed,06/28/2017 12:35,Local PPO
WI,Sheboygan,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SC,Oconee,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stutsman,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Meade,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Simpson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
LA,Cameron,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
MO,Miller,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
VA,Fredericksburg City,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Marshall,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
IN,Whitley,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
PR,Corozal,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Bryan,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
CO,Douglas,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
NC,Johnston,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,139,0,Completed,07/12/2017 15:39,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,New York,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Northampton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NY,Yates,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
IL,Clinton,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,York,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KY,Calloway,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
FL,Duval,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ID,Canyon,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,31,0,Completed,07/24/2017 12:23,Local PPO
MN,Scott,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
WI,Forest,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Pleasants,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Lincoln,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,DeKalb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Wilson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Marion,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,16,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NC,Forsyth,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
GA,Polk,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
TX,Fort Bend,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PA,Chester,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
IL,McHenry,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
MI,Washtenaw,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
MI,Midland,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
IL,Coles,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
PA,Monroe,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Christian,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Bartholomew,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Crawford,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
OH,Noble,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
AR,Faulkner,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
WI,Iowa,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,4,0,Completed,06/12/2017 11:28,1876 Cost
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MA,Essex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,9,0,Completed,07/06/2017 14:10,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Ogle,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
IA,Washington,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NE,Wayne,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
NC,Alleghany,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Ashe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,LaSalle,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Cameron,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,St. Charles,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Carroll,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Logan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Prince Edward,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
MI,Genesee,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OK,Grant,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NM,Sandoval,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6526,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Albany,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Winona,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MD,Frederick,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
ID,Boise,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,8,0,Completed,07/26/2017 17:12,Local PPO
NY,Franklin,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
FL,Columbia,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,68,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Catawba,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Jefferson,Humana Inc.,Humana Community HMO (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,236,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,265,1,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
OH,Fairfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Newton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,16,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
KS,Smith,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MN,Pine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
PA,Montgomery,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,9,0,Completed,07/24/2017 10:45,Local PPO
GA,Jasper,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Kendall,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Appomattox,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AL,Autauga,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Shelby,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MO,Johnson,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,McDuffie,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Nemaha,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Talladega,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Vernon,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
TN,Monroe,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Luna,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
TN,Hamilton,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Williamson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
AZ,Pima,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9287,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Lancaster,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
GA,Twiggs,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,6,Completed,07/26/2017 11:41,Local PPO
SC,Edgefield,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Orangeburg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Canyon,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
PA,Philadelphia,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
PA,Delaware,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
OR,Clackamas,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
AZ,Apache,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Carroll,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
VA,Roanoke,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Bedford,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Cumberland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
CA,San Bernardino,INLAND EMPIRE HEALTH PLAN,IEHP DualChoice (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H5355,1,0,Completed,06/19/2017 19:41,Medicare-Medicaid Plan HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
PA,Northampton,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Chesapeake City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,72,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,73,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Richmond,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
CA,Sonoma,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,45,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,251,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Jefferson,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
ME,Oxford,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Ontario,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Wood,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
IA,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Hamlin,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hanson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Meade,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
AL,Bibb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Alachua,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
NY,Monroe,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
KY,Kenton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,85,0,Completed,07/12/2017 15:39,Local PPO
OH,Lucas,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
TX,Llano,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,McIntosh,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/07/2017 12:31,HMO/HMOPOS
NM,McKinley,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
KS,Butler,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MI,Gladwin,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
TX,Chambers,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AR,Searcy,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Boone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Worth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Jackson,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
CO,Morgan,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
NY,Steuben,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
NY,Greene,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Montgomery,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
AL,Jefferson,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Crawford,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
GA,Hart,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
FL,Pasco,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Madison,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
ND,Cass,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MO,Johnson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AL,Jackson,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
IL,Kane,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Dallas,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
FL,Palm Beach,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Monongalia,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Mahnomen,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
VA,Loudoun,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Tattnall,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,8,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Kings,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
PA,Clarion,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Monroe,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
KY,Scott,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Licking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Pulaski,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Worcester,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
WV,Preston,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Venango,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Cleburne,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,6,Completed,07/13/2017 12:29,PFFS
AR,Conway,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
AL,Franklin,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Okfuskee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
GA,Houston,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
KY,Harrison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
WI,Waushara,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
IL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
ND,Foster,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Prowers,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
AL,Etowah,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
CO,Larimer,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Benton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Williamson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,116,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Cass,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamilton,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,6,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Vigo,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WI,Jefferson,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
TX,Lubbock,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Calhoun,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,46,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Seneca,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Daggett,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Owyhee,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MN,Pine,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NM,San Miguel,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
AZ,Pima,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/19/2017 17:09,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,59,0,Completed,07/25/2017 10:12,Local PPO
OR,Multnomah,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Barry,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
IN,Delaware,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
VA,Accomack,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
GA,Evans,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
ID,Boise,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
NY,Onondaga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Genesee,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Steuben,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IL,Madison,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lancaster,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,10,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Sumter,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NJ,Somerset,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KS,Coffey,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
FL,Polk,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,Lafayette,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
IN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Benton,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sanborn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Mary,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Talbot,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Baldwin,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
NH,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Los Angeles,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,17,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Auglaize,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Oconto,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Aransas,Humana Inc.,Humana Gold Plus H2649-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Fannin,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Barry,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Black Hawk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Cayuga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Ozark,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
SD,McCook,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,San Luis Obispo,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,N,,,0,138,,,H0504,39,0,Completed,07/21/2017 17:33,HMO/HMOPOS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
TX,Kleberg,Humana Inc.,Humana Gold Plus H2649-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Mecklenburg,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Butler,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Manistee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
WI,Kewaunee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Franklin,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
PA,Dauphin,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,4,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Lee,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Chester,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
KY,Greenup,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
AR,Phillips,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Scott,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Madison,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Barceloneta,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
HI,Kauai,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,,,H5969,2,0,Completed,06/30/2017 23:07,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,8,1,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
IA,Lucas,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Johnston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Assumption,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lawrence,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,51,0,Completed,07/24/2017 10:45,HMO/HMOPOS
IN,Jackson,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Posey,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Tarrant,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,5,0,Completed,06/14/2017 16:42,Local PPO
PA,Venango,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life Options (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H3907,32,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Steuben,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Falls,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,McLeod,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brule,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Plaquemines,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
AL,Morgan,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
CT,Litchfield,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
CA,Orange,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,6,0,Completed,07/28/2017 18:46,HMO/HMOPOS
NC,Iredell,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Bedford,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Sumner,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
VA,Carroll,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
TX,Dallas,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Piscataquis,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Medina,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,1,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Columbiana,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MO,Clay,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
MN,Steele,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MO,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Palm Beach,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,58,0,Completed,07/18/2017 13:53,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,33,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Beaver,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Cherokee,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,3,0,Completed,07/14/2017 12:55,HMO/HMOPOS
OH,Morgan,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
VA,Richmond City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
PR,San Lorenzo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Klamath,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
TN,Campbell,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Giles,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Greene,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
KS,Sedgwick,Aetna Inc.,Coventry Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,17,0,Completed,07/12/2017 15:39,Local PPO
KS,Leavenworth,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
OK,Kingfisher,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Marion,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Snohomish,Humana Inc.,Humana Gold Plus H5619-063 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,63,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. Mary,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Spencer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Northampton,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,1,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Dallas,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NE,Holt,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Cannon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Ascension,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
OR,Marion,ATRIO Health Plans,ATRIO Gold Rx (Willamette) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7006,1,0,Completed,06/28/2017 15:06,Local PPO
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Seneca,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Davidson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wabasha,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MI,Ogemaw,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Hillsdale,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MO,Lawrence,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Middlesex,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
TN,Davidson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Gem,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
TN,Sumner,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,McNairy,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Weakley,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
IL,McLean,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
AR,Nevada,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Powhatan,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Pottawatomie,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Nassau,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,Queens,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
OK,Cleveland,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Kanawha,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
PA,Lebanon,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
PA,Franklin,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
PA,Crawford,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
LA,Lafourche,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Hinds,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,St. Lucie,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,226,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Colonial Heights City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Randolph,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
HI,Kauai,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,40,0,Completed,07/25/2017 10:12,Local PPO
OH,Clark,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
WV,Calhoun,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
MN,Nobles,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
PA,Northampton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
VA,Virginia Beach City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Franklin,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,James City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Noble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Yell,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
VA,Danville City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Miami,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
OH,Columbiana,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,1,Completed,07/18/2017 9:33,Local PPO
NY,Rensselaer,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,109,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Westchester,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
MN,Carlton,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Haakon,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bleckley,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Lorain,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Tucker,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,Schuyler,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PA,Erie,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
GA,McDuffie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Aguas Buenas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Harrisonburg City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Crane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Erie,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Wagoner,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
OH,Hardin,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,138,0,Completed,07/25/2017 10:12,Local PPO
TX,Orange,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
SC,Williamsburg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Marinette,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Laclede,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Hidalgo,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,11,0,Completed,06/26/2017 13:34,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Ashland,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
IL,Cook,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
KY,Owsley,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OR,Columbia,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
KY,Floyd,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WV,Cabell,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
AR,Sebastian,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
FL,Walton,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
WA,Island,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
NY,Tioga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NE,Douglas,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3170,1,0,Completed,07/27/2017 14:27,HMO/HMOPOS
OH,Delaware,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
AL,Wilcox,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
CA,Napa,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,52,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Beltrami,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Churchill,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,6,0,Completed,06/27/2017 19:00,Local PPO
IL,Boone,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Cumberland,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
GA,Glascock,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
ID,Bonneville,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
SC,Calhoun,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
SC,Richland,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
KS,Johnson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Williams,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Blair,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
IN,Gibson,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Vanderburgh,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,Carter,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Owsley,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NE,Dakota,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Madison,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
FL,Duval,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clinton,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Miami,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
WI,Marathon,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
FL,Indian River,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Duval,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,85,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,DuPage,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,21,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Cambria,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Osceola,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KY,Graves,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
AL,Morgan,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
MI,Delta,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
DE,New Castle,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,12,0,Completed,07/24/2017 12:23,Local PPO
ND,Dunn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
WI,Taylor,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Bath,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Randolph,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AL,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Greene,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,51,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Obion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Blue Earth,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mahnomen,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sherburne,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Polk,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
TX,Tyler,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
VA,Northampton,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
MI,Alpena,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
MI,Clinton,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,McDowell,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,4,Completed,06/29/2017 13:12,Local PPO
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
NY,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Morgan,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Jackson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Roseau,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
TN,Dickson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
GA,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NC,Anson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Toa Baja,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Cloud,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Wayne,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
NC,Durham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,183,0,Completed,07/12/2017 15:39,Local PPO
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
NC,Catawba,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Saratoga,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Care1st TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,567,0,284,H5928,1,0,Completed,07/24/2017 20:49,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Keweenaw,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MI,Mackinac,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MN,Beltrami,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Butts,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Florence,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Shelby,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Mahaska,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
WV,Jackson,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
IA,Linn,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Saratoga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MD,Howard,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,97,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
FL,Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Bergen,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,84,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Richmond,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,8,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,18,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,Marin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Marin San Mateo (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,31,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Fentress,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MO,Jasper,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Greene,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Taney,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Green,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
PR,Yabucoa,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Conway,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,49,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
VA,Covington City,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Westmoreland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NE,Jefferson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Wood,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
SC,Charleston,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
KS,Harvey,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IN,Johnson,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,San Mateo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Tolland,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,137,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Muscatine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
AZ,Gila,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/19/2017 17:09,HMO/HMOPOS
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Barry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Queens,Jewish Guild for the Blind,GuildNet Gold Plus FIDA Plan POS (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H0811,1,0,Completed,07/26/2017 13:17,Medicare-Medicaid Plan HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Robertson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,2,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Noble,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Union,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marquette,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Calumet,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Dunn,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stutsman,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hand,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Butte,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Clermont,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Hinds,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Washington,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
AR,Grant,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
MN,Lake of the Woods,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mahnomen,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
WV,Pleasants,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Fayette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
PA,Jefferson,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
CO,Broomfield,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Prairie,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Franklin,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Martin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3251,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
SD,Brookings,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OH,Defiance,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
VA,Franklin,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,1,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Allendale,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,12,0,Completed,07/24/2017 16:56,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Polk,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,1,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Bullock,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Oklahoma,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Winnebago,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,3,0,Completed,07/26/2017 16:56,HMO/HMOPOS
OH,Lake,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
TN,Overton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Hamilton,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NC,Stanly,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Polk,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,231,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,270,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Delaware,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,19,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst AssuredCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,35,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Fredericksburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Greene,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Clay,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Marshall,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
OH,Medina,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
MN,Norman,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
LA,West Baton Rouge,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Radford City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
TX,Hidalgo,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8197,1,0,Completed,06/07/2017 12:14,Medicare-Medicaid Plan HMO/HMOPOS
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,San Juan,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Schuylkill,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
AR,Scott,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
MO,Barry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
FL,Citrus,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
MN,Traverse,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
MN,Marshall,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Douglas,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,10,0,Completed,07/26/2017 12:58,HMO/HMOPOS
OH,Jefferson,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
UT,Iron,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
KS,Wyandotte,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Lincoln,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Mathews,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Virginia Beach City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
PA,Lancaster,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,82,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,77,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Cedar,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,9,0,Completed,06/28/2017 12:35,Local PPO
AL,St. Clair,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
NY,Columbia,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
OH,Butler,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
SC,Laurens,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,140,0,Completed,07/12/2017 15:39,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Columbiana,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
NC,Pitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Muhlenberg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day In Control Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,27,0,Completed,07/17/2017 20:44,HMO/HMOPOS
SC,York,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,1,Completed,07/27/2017 12:35,HMO/HMOPOS
KY,McCracken,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
NE,Douglas,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Champaign,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,17,0,Completed,06/26/2017 8:52,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Fairfield,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
IN,Kosciusko,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,20,0,Completed,07/24/2017 12:23,Local PPO
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
AR,Randolph,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Green,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
SD,Lake,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
LA,Washington,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
WV,Monroe,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
OH,Mahoning,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
FL,Pinellas,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Oneida,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Crawford,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Ocean,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,82,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3811,3,0,Completed,07/31/2017 19:26,HMO/HMOPOS
KY,Perry,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Suffolk,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,Montgomery,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
WI,Pierce,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Corson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
GA,McIntosh,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
VT,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Lincoln,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Tucker,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Dodge,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
GA,Madison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
VA,Buchanan,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
WV,Ritchie,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IN,Montgomery,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,Stephenson,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WV,Cabell,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
WI,Forest,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MO,St. Louis,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IL,Union,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PA,Carbon,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
NC,Forsyth,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
TX,La Salle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Rains,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
TX,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Wabash,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
NM,Rio Arriba,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
MO,Carroll,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Benton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PA,Bucks,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,122,0,Completed,07/25/2017 10:12,Local PPO
TX,Zavala,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
KY,Clark,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
GA,Rockdale,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
SD,Hutchinson,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
KS,McPherson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
AL,Monroe,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
MO,Warren,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Venango,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Conejos,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,6,0,Completed,07/28/2017 17:35,1876 Cost
TX,Bexar,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Delaware,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Salt Lake,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,2,0,Completed,07/26/2017 17:12,Local PPO
WI,Sauk,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Lawrence,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Coffee,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MT,Beaverhead,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
PR,Aguas Buenas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
AZ,Pinal,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,186,0,Completed,07/12/2017 15:39,Local PPO
LA,Caddo,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
TX,Rockwall,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
WI,Washington,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
GA,Lee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OR,Columbia,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
MO,Laclede,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
PA,Montgomery,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,122,0,Completed,07/25/2017 10:12,Local PPO
PA,Centre,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
OH,Belmont,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
AR,Scott,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Park,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
NY,Nassau,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,29,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Walker,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Stone,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Schuylkill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Grundy,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Washington,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NE,Buffalo,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
AL,Etowah,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
PA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
WA,Thurston,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Otter Tail,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Red Lake,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Chelan,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,10,0,Completed,07/26/2017 12:58,HMO/HMOPOS
NC,Burke,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
GA,Jenkins,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
PA,McKean,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
SC,Greenwood,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
NC,Haywood,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
IN,Lake,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Chippewa,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WI,Waukesha,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
IN,Dubois,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
KY,Leslie,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
LA,St. Mary,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,57,0,Completed,07/25/2017 10:12,Local PPO
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
PA,Wayne,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Collier,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
KS,Kearny,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Rawlins,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Escambia,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
SD,Clark,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Winona,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MD,Prince George s,"Medstar Health, Inc.",MedStar Medicare Choice Care Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,10,0,Completed,07/11/2017 8:53,HMO/HMOPOS
AL,Cullman,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Dallas,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Collin,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Coffee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Curry,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
PA,Monroe,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
HI,Kauai,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,Y,N,Y,N,,,455,455,228,228,H3832,11,0,Completed,07/20/2017 22:08,Local PPO
IL,Kankakee,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/25/2017 10:12,Medicare-Medicaid Plan HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
AZ,Santa Cruz,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,16,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,Midland,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Hoke,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
WV,Marion,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MT,Rosebud,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
AR,Saline,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MO,Dallas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Brazos,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
IL,Lee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,Branch,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
GA,Pickens,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,McHenry,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,106,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MD,Montgomery,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,97,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Norfolk,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,122,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TX,Cameron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Adams,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IN,Brown,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
GA,Clayton,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
GA,Glascock,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Webster,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AZ,Maricopa,CIGNA,Cigna-HealthSpring Achieve Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
MI,Oscoda,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
TN,Decatur,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Salt Lake,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Red Lake,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NM,Sierra,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
MO,St. Louis,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
IN,Shelby,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
SC,McCormick,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Forsyth,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
AR,Independence,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Southampton,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Toa Alta,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Missoula,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
FL,Orange,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Ozark,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Wyoming,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
IN,Hamilton,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Caroline,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
WA,Kitsap,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
PA,Westmoreland,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
MO,Platte,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San German,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Benton,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OH,Sandusky,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Indiana,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
OH,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Bertie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Mitchell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Todd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Pontotoc,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Perry,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,34,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MD,Prince George s,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,97,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Danville City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,99,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
GA,Lumpkin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,De Kalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Yates,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Sutton,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Marion,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Herkimer,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Chenango,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
NY,Wyoming,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
PR,Aibonito,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,3,Completed,06/29/2017 13:12,Local PPO
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
MN,Olmsted,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Potter,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Franklin,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
AR,Baxter,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Bath,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Robertson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Muskogee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Benton,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
LA,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,270,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Bronze Rx (Basin) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,1,0,Completed,06/28/2017 15:06,Local PPO
IN,Blackford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,153,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Crawford,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
MN,Chippewa,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lincoln,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
OR,Washington,FamilyCare Incorporated,FamilyCare Advantage Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H3818,3,0,Completed,06/14/2017 13:43,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Stephens,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Wilcox,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Houston,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
KY,Trimble,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
FL,Palm Beach,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,65,0,Completed,07/25/2017 10:12,Local PPO
MO,Pulaski,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Lyon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,Lewis,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Humphreys,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Wayne,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Fayette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
ID,Twin Falls,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
OR,Lane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Washington,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
IA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,San Diego,SCAN Health Plan,Scripps Signature offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,4,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Butler,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Berks,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
GA,Wayne,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
GA,Forsyth,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Clear Creek,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,King,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,8,0,Completed,06/29/2017 11:10,HMO/HMOPOS
WA,King,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),N,N,N,N,N,,,,,,,H5826,10,0,Completed,06/29/2017 11:10,HMO/HMOPOS
OH,Geauga,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
OH,Allen,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MO,Taney,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
AR,Baxter,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IL,Edwards,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PR,Penuelas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Rooks,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Cape Girardeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Mahoning,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
PA,Juniata,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
NC,Randolph,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,170,0,Completed,07/12/2017 15:39,Local PPO
PA,Lebanon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Putnam,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Wayne,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MN,Olmsted,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WI,Portage,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
WI,Shawano,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
OH,Mercer,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Bartholomew,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
FL,Flagler,Guidewell Mutual Holding Corporation,FHCP s Medvantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,7,0,Completed,07/28/2017 10:27,HMO/HMOPOS
GA,Columbia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
MI,Ontonagon,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,33,0,Completed,07/24/2017 12:23,Local PPO
MN,Clearwater,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA9 Vantage 100 (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,22,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MD,Frederick,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,97,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Gloucester,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Muskingum,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Travis,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,25,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,Benton,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,2,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Defiance,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Colfax,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
NY,New York,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,1,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Prince William,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,43,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Smith,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Dinwiddie,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Henry,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MN,Cass,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Hubbard,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
GA,Fayette,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Lexington City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Larimer,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Person,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
PR,Lajas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
AR,Lee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
NM,Curry,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
TX,Delta,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,57,0,Completed,07/25/2017 10:12,Local PPO
MO,Osage,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
OH,Morgan,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
IA,Sioux,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NC,Haywood,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
IA,Marion,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
TX,Gregg,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
NY,New York,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,28,0,Completed,07/06/2017 14:45,HMO/HMOPOS
SD,Hand,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4868,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
NH,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Johnson,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Jackson,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,2,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Volusia,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,16,0,Completed,07/24/2017 14:05,HMO/HMOPOS
NV,Storey,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,7,0,Completed,06/27/2017 19:00,Local PPO
PA,Blair,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,Casey,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MT,Beaverhead,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
GA,Harris,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
IL,Monroe,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Norfolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
PA,Pike,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
PA,Indiana,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
LA,Pointe Coupee,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Lincoln,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Chattahoochee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Putnam,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,24,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
WV,Berkeley,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
AR,Boone,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KY,Henderson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
GA,Taliaferro,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
WV,Gilmer,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
PA,Susquehanna,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NY,Albany,Humana Inc.,HumanaChoice H5970-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,8,0,Completed,07/25/2017 10:12,Local PPO
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Mercer,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Yellow Medicine,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,Sacramento,California Physicians  Service,Blue Shield Trio Medicare (HMO),Y,Y,N,Y,Y,100,100,0,510,,,H0504,37,0,Completed,07/21/2017 17:33,HMO/HMOPOS
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
MN,Itasca,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Clay,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Dane,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
LA,St. Tammany,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
CO,Teller,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Jefferson,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MO,Jackson,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Richmond,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Geauga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NV,Clark,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,94,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Tolland,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Bledsoe,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,15,0,Completed,07/24/2017 10:22,HMO/HMOPOS
OH,Morrow,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
OR,Crook,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
TX,Johnson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Wood,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TN,Claiborne,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
GA,Fulton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IN,Hendricks,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
FL,Marion,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Broome,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Lewis,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
AL,Chilton,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Sawyer,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Hickory,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NE,Saunders,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3170,1,0,Completed,07/27/2017 14:27,HMO/HMOPOS
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Greene,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Dunklin,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Albany,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
WI,Burnett,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Kewaunee,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Fort Bend,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Leavenworth,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Jefferson,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Rensselaer,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3342,19,0,Completed,07/18/2017 9:33,Local PPO
MI,Tuscola,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
MI,Mecosta,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
TN,Claiborne,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Robertson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Grainger,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Blaine,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,4,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MN,Roseau,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
WA,Pierce,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Faribault,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Anderson,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Alpena,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MO,Callaway,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Southampton,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
OK,Logan,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PR,Ponce,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Keith,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Salem,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/ Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,4,0,Completed,07/26/2017 10:13,HMO/HMOPOS
IN,Newton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
AR,Clark,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
AR,Logan,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
PA,Bradford,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Kleberg,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Kerr,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
GA,Gwinnett,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
KS,Miami,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Harrison,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
CT,Middlesex,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
PR,Comerio,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Miami-Dade,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NJ,Somerset,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,12,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SD,Lincoln,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,El Paso,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
FL,Seminole,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,56,0,Completed,07/18/2017 13:53,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,6,0,Completed,06/26/2017 14:13,HMO/HMOPOS
ID,Bonneville,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,9,0,Completed,06/15/2017 15:55,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
SC,Orangeburg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,Pima,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
LA,St. John the Baptist,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Spartanburg,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,86,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Dane,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
OH,Medina,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,4,Completed,07/27/2017 12:35,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-257 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,257,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Covington City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Oliver,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
GA,Barrow,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Elmore,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Seneca,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Woodford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Plymouth,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,120,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,64,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Riverside,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Warren,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Craig,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Giles,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Cannon,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
VA,Petersburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Buchanan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Kidney Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,31,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ND,Morton,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Becker,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
MN,Benton,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Washington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Rockland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
VA,Smyth,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
WV,Cabell,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
AR,Crawford,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Harris,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
TX,Wood,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Rappahannock,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
VA,Salem City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,Barry,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,1,Completed,07/24/2017 10:22,Local PPO
TN,Lauderdale,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
CA,Stanislaus,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,1,Completed,10/17/2017 0:50,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Lawrence,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,34,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Carter,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
IN,Brown,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Greene,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
ID,Kootenai,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,10,0,Completed,06/07/2017 12:34,HMO/HMOPOS
AR,Searcy,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Izard,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Richmond,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cannon,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,8,0,Completed,06/29/2017 11:10,HMO/HMOPOS
WA,Douglas,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
MO,Vernon,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
KS,Johnson,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
OH,Henry,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
TX,Nacogdoches,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Steuben,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Miami-Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-077A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Columbia,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lorain,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
FL,Escambia,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Hamilton,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
SC,Anderson,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
MS,Simpson,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
GA,Houston,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,La Porte,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Walworth,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
ID,Ada,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
CO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Hopewell City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
PA,Armstrong,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
MT,Yellowstone,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
TN,Lake,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TX,Denton,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,1,0,Completed,07/25/2017 17:34,Local PPO
MO,Audrain,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Ashe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
IN,Lake,Humana Inc.,Humana Gold Plus H5619-053 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,53,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Lake,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Lorain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Wetzel,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Mercer,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Pottawatomie,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,100,1,Completed,07/06/2017 14:24,HMO/HMOPOS
NC,Alamance,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Lyon,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Todd,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bryan,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,McIntosh,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Hancock,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
KY,Union,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Lincoln,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
TX,Collin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MI,Cass,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
TX,Tyler,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
AL,Wilcox,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
PR,Orocovis,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
UT,Summit,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,197,0,Completed,07/12/2017 15:39,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Newton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
PA,Sullivan,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
OH,Stark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Auglaize,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Larue,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Dual Coverage (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,24,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MA,Essex,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
GA,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Owen,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Marion,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Falls,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TX,Menard,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
VA,Bland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Lexington,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
ND,Stutsman,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Miner,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
OH,Defiance,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Tarrant,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,2,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Washington,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,2,0,Completed,07/26/2017 9:21,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Anderson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
TN,Warren,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Saratoga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
KS,Gove,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
VT,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Walker,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Oconto,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
MO,Newton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Stark,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
IN,Newton,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
OH,Ashland,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
PA,Delaware,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,5,0,Completed,07/25/2017 10:12,Local PPO
PA,Wyoming,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
NY,Westchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Lafayette,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,West Carroll,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Pulaski,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Oldham,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Tazewell,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Alexandria City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Dodge,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
TX,Grayson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Ben Hill,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Auglaize,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Garrard,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WA,San Juan,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Will,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
ME,Kennebec,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
OK,Cleveland,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
FL,Walton,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,214,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
NY,New York,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,63,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Middlesex,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Lake of the Woods,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NY,Chemung,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
GA,Stewart,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
FL,Palm Beach,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,68,0,Completed,07/25/2017 10:12,Local PPO
NC,Cabarrus,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
NY,Dutchess,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
NC,Cumberland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,169,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IL,Kankakee,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,06/14/2017 16:42,Medicare-Medicaid Plan HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Travis,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Naguabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
WV,Greenbrier,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
KS,Lincoln,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Oconto,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
IN,Steuben,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MN,Todd,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sherburne,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Jasper,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Multnomah,FamilyCare Incorporated,FamilyCare Community (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H3818,2,0,Completed,06/14/2017 13:43,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Forest,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chisago,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TX,Hidalgo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Franklin,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,7,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MO,Cooper,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Okaloosa,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Brooke,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Webster,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Benton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Scott,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
TX,Cameron,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Jackson,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MI,Gladwin,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Doddridge,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WV,Tucker,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
CA,San Francisco,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,32,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,Presque Isle,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Clinton,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,4,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Cameron,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,Putnam,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Benton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Roane,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
FL,Polk,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,66,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,New York,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Kenosha,Independent Care Health Plan Inc.,Aurora Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,9,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Waseca,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
AR,Chicot,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Caroline,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
PA,Lancaster,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
IA,Black Hawk,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Rowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Richland,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Plaquemines,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Richmond,"QHP Financial Group, Inc.",Advantage Health NYC - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,17,0,Completed,07/26/2017 18:49,HMO/HMOPOS
KY,Spencer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Union,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Union,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Montcalm,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Catawba,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
MO,Christian,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Lane,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,1,Completed,07/26/2017 17:12,Local PPO
TX,Jim Wells,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pope,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kittson,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
WI,Pierce,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Hays,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Lee,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
VA,Mecklenburg,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
CO,Fremont,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PA,Jefferson,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
OR,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
PR,Utuado,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Perkins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Colonial Heights City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
VA,Falls Church City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IL,Madison,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KY,Carroll,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Green,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KY,Trimble,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
OH,Preble,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
WV,Marshall,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
KY,Fayette,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
VA,Manassas Park City,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Tyler,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WI,Jefferson,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
CO,Gilpin,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
PA,Lawrence,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
AL,Franklin,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
IL,Monroe,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Indian River,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Barrow,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Richmond,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Limestone,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Kenton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Richmond,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
AL,DeKalb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IA,Jones,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
PR,Caguas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Madison,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
PA,Mercer,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Wood,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Green Lake,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
OR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,29,0,Completed,07/24/2017 12:23,Local PPO
MN,Pennington,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
TX,Jefferson,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MT,Treasure,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Putnam,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Callaway,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
IA,Decatur,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
AR,Sebastian,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Hardy,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NY,Franklin,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Ellis,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
NY,Otsego,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,15,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WV,Mason,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WV,Jefferson,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AR,Dallas,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MO,Ste. Genevieve,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Collin,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Patrick,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MN,Rice,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
FL,Seminole,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
NJ,Atlantic,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
NC,Cabarrus,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
PA,Bradford,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
IN,La Porte,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,7,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,Johnson,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Pemiscot,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Northumberland,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
KS,Cherokee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
CO,Morgan,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Gibson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Roane,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Erie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
PA,Dauphin,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,3,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Moore,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Polk,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
TX,Potter,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
IN,Hendricks,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Pope,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Newberry,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Delaware,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
WI,Milwaukee,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Prince William,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Norman,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Butts,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
NC,Richmond,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
IN,Hamilton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
AR,Jackson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Bridges Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,29,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Canyon,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OH,Geauga,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
ME,Waldo,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
WI,Fond du Lac,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
IN,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Belmont,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,1,Completed,07/18/2017 9:33,Local PPO
FL,Duval,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
WI,Oneida,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
WI,Rusk,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mills,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TN,Cocke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Juneau,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
OR,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
SD,Marshall,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Hancock,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
NY,Warren,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
FL,Manatee,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
VA,Hampton City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,1,Completed,07/25/2017 10:12,Local PPO
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
WA,King,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,1,0,Completed,07/10/2017 17:32,HMO/HMOPOS
TX,Washington,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
CO,Park,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PA,Centre,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
VA,Gloucester,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MD,Prince George s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,35,0,Completed,07/24/2017 12:23,Local PPO
NY,Cortland,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
MO,Jackson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AL,Lee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Bay,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Montgomery,Humana Inc.,Humana Gold Plus H2649-064 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,64,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Jackson,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,20,0,Completed,06/30/2017 19:02,HMO/HMOPOS
MO,Gasconade,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,1,0,Completed,07/28/2017 11:13,Local PPO
IN,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Traverse,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Huntingdon,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
SC,Jasper,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Pickens,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MN,Goodhue,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
LA,Webster,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Lafayette,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Beaver,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
VA,Richmond City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Madison,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Mary,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Vermilion,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
FL,Citrus,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,2,0,Completed,07/17/2017 9:31,HMO/HMOPOS
TX,Panola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Trumbull,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Dallas,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Kiowa,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NC,Stanly,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Lancaster,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
OH,Jefferson,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Tarrant,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,1,0,Completed,07/16/2017 17:10,Local PPO
VA,Craig,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
PA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,35,0,Completed,07/24/2017 12:23,Local PPO
MN,Douglas,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
PR,Sabana Grande,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Frio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MO,Bollinger,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Camden,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,115,0,Completed,07/12/2017 15:39,Local PPO
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
VA,Newport News City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,1,Completed,07/25/2017 10:12,Local PPO
MI,Muskegon,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
ID,Gem,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
KY,Johnson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
PA,Beaver,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TN,Anderson,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
KS,Linn,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
TN,Rutherford,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
IA,Ida,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Marion,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,92,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
PA,Lehigh,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,9,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Dearborn,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,124,0,Completed,07/25/2017 10:12,PFFS
WI,Wood,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Putnam,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Clear Creek,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,St. Louis City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Kewaunee,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Tazewell,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
GA,Monroe,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Greenville,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Marlboro,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Hamilton,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
IN,Porter,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NV,Lyon,"UnitedHealth Group, Inc.",Senior Dimensions Greater Nevada (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2931,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Banks,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
GA,Pickens,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
KY,Carter,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Dallas,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
WV,Nicholas,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
WV,Monongalia,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
NY,Suffolk,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,29,0,Completed,07/06/2017 14:45,HMO/HMOPOS
IL,St. Clair,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MN,Mahnomen,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
KS,Elk,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Kewaunee,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Langlade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Bandera,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Marion,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
WA,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Salem,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Clay,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Clinton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Manitowoc,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Jasper,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
LA,Winn,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Wadena,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,Madison,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
OH,Guernsey,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
KS,Cherokee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KS,Johnson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
GA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,28,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AR,Carroll,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Forest,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Duval,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NE,Blaine,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
GA,Early,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
CA,Riverside,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Mineral,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,5,0,Completed,07/28/2017 17:35,1876 Cost
FL,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Clay,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,33,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Aetna Medicare PinnacleHealth Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,91,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Orange,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,McHenry,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Fairfield,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
AR,White,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,2,Completed,07/13/2017 12:29,HMO/HMOPOS
AR,Sebastian,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
AR,Washington,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
NY,Rockland,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
GA,Gwinnett,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
PA,Fulton,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
AR,Carroll,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
WI,Ozaukee,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,Linn,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
IL,Douglas,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
MN,Redwood,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
GA,Monroe,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Stark,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
TX,Howard,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
ID,Boise,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
OH,Belmont,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,1,Completed,07/25/2017 10:12,Local PPO
WI,Marinette,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
IA,Tama,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
AL,Shelby,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,10,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Howard,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Cedar,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,80,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Cumberland,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Clayton,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Jackson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
OK,Bryan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Dale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
PA,Allegheny,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Parker,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Denver,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Sumter,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
WI,Outagamie,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Beltrami,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
SC,Oconee,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Jackson,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,16,1,Completed,07/06/2017 14:24,Local PPO
OR,Polk,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Lenawee,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
WV,Kanawha,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
IN,St. Joseph,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,51,0,Completed,06/26/2017 13:34,Local PPO
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
PR,Loiza,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Adams,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
WA,Spokane,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1286,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Lancaster,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
WA,Wahkiakum,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
SC,Beaufort,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KY,Kenton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Bertie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Webster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Hughes,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OH,Fayette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
KY,Boone,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Washington,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
WI,Menominee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TN,Meigs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Mahaska,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Richmond City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Summit,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Taliaferro,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
PA,Lancaster,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,El Paso,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,3,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,New York,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
VA,Nelson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
VA,Richmond City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
KY,Allen,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Putnam,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Louis,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Edgefield,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Fairfield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Waldo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
ID,Twin Falls,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
AR,Lee,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MA,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Multnomah,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,St. Clair,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NJ,Ocean,"Clover Health Holdings, Inc.",Clover Health NJ Purple (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,32,0,Completed,07/25/2017 8:01,Local PPO
PA,Somerset,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
PA,Franklin,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
NE,Washington,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Goochland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Iberia,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Brooke,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Saratoga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
IN,Blackford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Fulton,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
WI,Florence,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Coryell,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,77,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Manassas Park City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Hamilton,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,16,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
AL,Escambia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/07/2017 12:31,HMO/HMOPOS
PA,Lawrence,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
SD,Marshall,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
KY,Nelson,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
ID,Kootenai,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
GA,Greene,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
TX,Shelby,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Caddo,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Erie,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
IN,Warrick,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Kenton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Scott,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
FL,Broward,Humana Inc.,Humana Gold Plus SNP-DE H1036-255 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,255,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Kankakee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Franklin,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Owen,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Knox,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Montgomery,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
WI,Dane,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Milam,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
OH,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Gaston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
PA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Yuma,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
PR,Barceloneta,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clinton,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WI,Waukesha,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Sandoval,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OH,Cuyahoga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Bladen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
GA,Cobb,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
TN,Unicoi,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Pointe Coupee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
HI,Maui,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus H1036-056 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clermont,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,16,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
WI,Waupaca,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Vanderburgh,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Vigo,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,17,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,San Diego,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Henry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
UT,Salt Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
PA,Northampton,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cannon,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
VA,Patrick,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Hampton City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Rockland,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
VA,Charlotte,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
WV,Braxton,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Jefferson,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Franklin,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
OR,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,29,0,Completed,07/24/2017 12:23,Local PPO
MO,Wright,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Johnson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
IA,Cedar,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
TX,Franklin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
CT,Windham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Genesee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
TX,Franklin,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Roanoke,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MI,Barry,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
TX,DeWitt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Atascosa,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
NY,Chemung,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
MA,Bristol,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,159,0,Completed,07/12/2017 15:39,Local PPO
GA,Fayette,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Pulaski,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Weber,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,4,0,Completed,07/26/2017 17:12,Local PPO
CA,Yolo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
NY,Erie,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
VA,Goochland,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Moore,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Wilson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Johnson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
MN,Pine,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Seneca,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Spartanburg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Cobb,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Berks,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
SC,Greenville,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,N,Y,Y,N,,,25,455,0,228,H7165,1,0,Completed,07/31/2017 13:54,HMO/HMOPOS
ME,Sagadahoc,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,13,0,Completed,07/06/2017 14:10,HMO/HMOPOS
CA,San Francisco,Chinese Hospital Association,CCHP Senior Program (HMO),Y,N,Y,N,N,,,,,,,H0571,1,0,Completed,07/26/2017 11:49,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Claiborne,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
SC,Clarendon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,St. Clair,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
IN,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,Ponce,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
IN,Morgan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,151,0,Completed,07/12/2017 15:39,Local PPO
TX,Hood,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
UT,Rich,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,131,0,Completed,07/12/2017 15:39,Local PPO
ME,Cumberland,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,142,0,Completed,07/12/2017 15:39,Local PPO
GA,Henry,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
NY,Schenectady,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Fairfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,12,0,Completed,07/20/2017 14:41,HMO/HMOPOS
CA,Monterey,Montage Health,Aspire Health Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8764,1,0,Completed,07/26/2017 12:33,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Talbot,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
GA,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
ND,Griggs,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Taliaferro,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Hood,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
MO,Platte,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,1,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Cass,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
PA,Potter,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carver,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
PA,McKean,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wright,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MI,Calhoun,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
NM,Torrance,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Volusia,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MS,Wilkinson,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
IL,McHenry,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
OH,Lucas,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
NC,Montgomery,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,McNairy,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Indiana,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Beaver,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Woodford,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
GA,Warren,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
CO,Weld,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Yell,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Marion,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
OH,Licking,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Stephenson,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Scott,The Carle Foundation,Health Alliance Medicare Guide HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1737,1,0,Completed,07/26/2017 12:53,HMO/HMOPOS
PA,Butler,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
PA,Perry,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
MD,Kent,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
NH,Cheshire,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Wyandot,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Pickaway,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,18,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,23,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MN,Hennepin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
IA,Benton,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Woodbury,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Pinellas,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Washington,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
OH,Stark,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
IA,Benton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MN,Martin,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
PR,Rio Grande,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Isabela,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Hidalgo,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,455,0,228,H6870,1,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
PA,Fulton,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
PA,Dauphin,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
VA,Hampton City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Jasper,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Health LI - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,3,0,Completed,07/26/2017 18:49,HMO/HMOPOS
OH,Miami,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Alleghany,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Chatham,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
LA,West Baton Rouge,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Alameda,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,68,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Edmonson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Tioga,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rains,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Concho,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Sandusky,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Goochland,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,DeKalb,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TN,Washington,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,Kings,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,6,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Rock Island,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
NY,Dutchess,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Douglas,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Wilson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
WV,Brooke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
MD,Baltimore,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Pulaski,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Geauga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Meade,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Harmony Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,20,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Indiana,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Cherokee,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Cherokee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Tulsa,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
KY,Franklin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
MN,Pope,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
CA,Fresno,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Washington,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
AZ,Maricopa,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5590,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AL,Russell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,York,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Forest,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
FL,Pinellas,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Schenectady,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Polk,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,19,0,Completed,07/06/2017 14:45,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
AR,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MN,Pennington,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Burke,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,DeKalb,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KY,Clinton,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
WI,Adams,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MN,Swift,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
FL,Seminole,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Mercer,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
AR,Baxter,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
WV,Berkeley,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
TX,Lubbock,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TN,Cocke,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Loudon,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Pinal,Banner Health,University Care Advantage  (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,7,0,Completed,07/25/2017 11:49,HMO/HMOPOS
GA,Newton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IA,Humboldt,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
CO,Morgan,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Dade,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
AZ,Pinal,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Placer,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Alpena,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,Kent,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,4,Completed,07/24/2017 10:22,Local PPO
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Norfolk City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
ID,Bannock,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,9,0,Completed,06/15/2017 15:55,Local PPO
OH,Monroe,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
AR,White,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Powhatan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MT,Big Horn,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Boone,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Dauphin,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
ME,Androscoggin,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IA,Jackson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OH,Trumbull,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NY,Kings,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,2,0,Completed,07/25/2017 10:44,HMO/HMOPOS
MD,Montgomery,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
OH,Licking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MN,Cottonwood,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Montgomery,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Noble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
CA,Tulare,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,140,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Madison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Fulton,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Putnam,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
OK,Cherokee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
TN,Sequatchie,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
MI,Branch,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
FL,Wakulla,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
LA,Iberville,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Marion,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Stanislaus,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
FL,Hernando,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Noble,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Knox,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,54,0,Completed,07/24/2017 10:45,HMO/HMOPOS
FL,Flagler,Guidewell Mutual Holding Corporation,FHCP s Medvantage Rx Plus Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,2,0,Completed,07/28/2017 10:27,HMO/HMOPOS
WI,Dodge,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sutton,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
IA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Gurabo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Adams,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Gilmer,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TX,Rockwall,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Banks,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
FL,Holmes,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
ID,Payette,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
MO,Jefferson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Baxter,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Osceola,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
FL,Osceola,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Bucks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,511,511,21,256,H5932,10,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Diego,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,567,567,284,284,H5810,1,0,Completed,06/06/2017 15:33,HMO/HMOPOS
GA,DeKalb,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Fulton,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Ozaukee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,4,Completed,07/24/2017 7:36,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bledsoe,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Cleveland,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Denton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Lorain,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Sioux,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
NC,Stanly,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Stokes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Beaver,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,6,Completed,07/27/2017 12:35,HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Douglas,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Fillmore,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
NY,Bronx,Jewish Guild for the Blind,GuildNet Gold (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6864,1,0,Completed,07/26/2017 13:17,HMO/HMOPOS
GA,Cobb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
DE,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
WI,St. Croix,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sherburne,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pennington,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Tammany,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,3,0,Completed,07/25/2017 9:56,HMO/HMOPOS
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,St. Charles,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Wabasha,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
GA,Habersham,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Grant,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WV,Kanawha,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
PA,Lebanon,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
AZ,Pinal,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,103,0,Completed,07/25/2017 10:12,PFFS
MN,Nicollet,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
CO,Broomfield,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PR,Sabana Grande,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Chambers,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
MO,Howard,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,Jackson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Galveston,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
WV,Roane,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WI,Dodge,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
LA,Evangeline,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,135,0,Completed,07/25/2017 10:12,Local PPO
GA,Elbert,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Stephens,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Martin,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OK,Haskell,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
TX,Wilson,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
IL,Jasper,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,Van Buren,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PA,Philadelphia,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
FL,Osceola,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
NC,Cabarrus,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
OH,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
CT,New Haven,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Rockdale,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,White,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
MI,Montmorency,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
TX,Hays,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,25,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Cassia,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,4,0,Completed,07/26/2017 9:21,HMO/HMOPOS
NC,Cabarrus,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,27,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,York,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Lynchburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Roanoke City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Guanica,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Shelby,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WV,Hancock,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
SC,Oconee,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
SC,York,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
MI,Lapeer,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
MN,Becker,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
IL,Jasper,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
GA,Toombs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Fannin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,El Paso,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,107,0,Completed,07/12/2017 15:39,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Walton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
IL,Will,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,21,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Alexander,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MO,Butler,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
SC,Cherokee,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,36,0,Completed,07/24/2017 12:23,Local PPO
SD,Brookings,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MA,Worcester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
PR,Aguadilla,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,5,0,Completed,06/21/2017 11:09,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Oceana,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
SD,Turner,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
NH,Coos,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,El Paso,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Venango,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
TN,Chester,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Big Stone,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
NM,Harding,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
MO,Taney,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,19,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Greene,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
TN,Rhea,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MO,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Hancock,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Ozaukee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
NV,Carson City,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,8,0,Completed,06/27/2017 19:00,Local PPO
NM,Rio Arriba,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,2,0,Completed,07/14/2017 12:55,HMO/HMOPOS
ID,Kootenai,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,11,0,Completed,06/15/2017 15:55,Local PPO
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
NY,Essex,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
PA,Lehigh,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
PR,Patillas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Pickens,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
VA,Hopewell City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Greene,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
SC,Colleton,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,22,0,Completed,07/25/2017 17:34,HMO/HMOPOS
SC,Dorchester,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Danville City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Union,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
TX,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Carter,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Campbell,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
PA,Blair,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MI,Wayne,Centene Corporation,Michigan Complete Health (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H9487,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
OK,Blaine,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MS,Madison,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
GA,Cherokee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Las Marias,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Karnes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
FL,Miami-Dade,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
OH,Warren,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,87,0,Completed,07/12/2017 15:39,Local PPO
GA,Baldwin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Osceola,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,92,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,22,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
IL,St. Clair,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
AR,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Quebradillas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MN,Freeborn,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Holt,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
NY,Columbia,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,2,Completed,07/25/2017 8:54,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
IN,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
NM,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,42,0,Completed,07/24/2017 12:23,Local PPO
SD,Beadle,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
CA,San Bernardino,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,16,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Nelson,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AL,Blount,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
WV,Raleigh,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Washington,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MI,Alpena,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Hillsdale,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Broomfield,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Coffee,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
CO,Teller,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Erie,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Morgan,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
WA,Snohomish,"Molina Healthcare, Inc.,",Molina Medicare Choice (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
VA,Pittsylvania,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,2,Completed,07/27/2017 12:35,HMO/HMOPOS
FL,Polk,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
MN,Winona,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hanson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Walker,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
IA,Story,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NJ,Camden,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
NY,Tioga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,McDowell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
GA,Quitman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NC,Sampson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,169,0,Completed,07/12/2017 15:39,Local PPO
OH,Union,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Carson City,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
GA,Monroe,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
PA,Chester,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NY,Cortland,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
FL,Sumter,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
WV,Wetzel,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Fulton,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
SC,Saluda,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MI,Alger,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MD,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
SD,McCook,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Ashland,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Cameron,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
FL,Collier,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
GA,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Adams,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Chautauqua,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Marshall,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Randolph,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Dewey,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Madison,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,21,0,Completed,06/15/2017 15:55,HMO/HMOPOS
IA,Cedar,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Alamance,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,4,0,Completed,06/21/2017 11:26,Local PPO
OH,Hamilton,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
NC,Rockingham,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Muskingum,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
NY,Suffolk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Wood,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IA,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Mahaska,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Burke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Cape May,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,13,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Washington,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Carroll,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
IN,Blackford,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
MO,Washington,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KS,Pottawatomie,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
PR,Toa Alta,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Saline,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Pickaway,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Adams,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
NY,Allegany,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Hillsborough,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Giles,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
GA,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PA,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Fajardo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OK,Latimer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Butler,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
OH,Miami,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
GA,Burke,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Rincon,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
TX,Austin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Carter,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Lawrence,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Charles,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Freeborn,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Calhoun,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
IN,Daviess,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
IA,Ringgold,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PA,Adams,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
CA,San Bernardino,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,19,0,Completed,07/27/2017 13:34,HMO/HMOPOS
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
MN,Stearns,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Cherokee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
TX,Hardin,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Brazoria,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Will,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Creek,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
NE,Saunders,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Prince George,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Pickaway,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Henderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Pike,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Johnston,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Pike,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Stark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Holmes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bourbon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
VA,Appomattox,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
PA,Berks,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,4,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Bronx,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cheatham,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Wilson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Cocke,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
TN,Union,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Kershaw,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
GA,Monroe,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Cross,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Little River,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Ocean,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NJ,Morris,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Westmoreland,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
NC,Transylvania,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Lane,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
GA,Muscogee,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
MO,Christian,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
PA,Susquehanna,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Wayne,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
PA,Westmoreland,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
CA,Stanislaus,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Josephine,ATRIO Health Plans,ATRIO Silver Rx (Rogue) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,16,0,Completed,06/28/2017 15:06,Local PPO
AL,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,50,0,Completed,07/24/2017 10:45,HMO/HMOPOS
KY,Marshall,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Lewis,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
KY,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,67,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Albany,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
LA,Evangeline,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Arecibo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Fort Bend,Humana Inc.,Humana Gold Plus H2649-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Adams,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Bullock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Gwinnett,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Loudon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Washington,Aetna Inc.,Aetna Medicare Mon Valley Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,119,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MI,Van Buren,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WI,Vilas,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MI,Calhoun,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
AZ,Pinal,CIGNA,Cigna-HealthSpring Achieve Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Bledsoe,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Smith,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,4,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Rowan,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Franklin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Fayette,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
TN,Robertson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
TN,Fentress,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
TN,Grundy,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
MN,Yellow Medicine,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IN,Jasper,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
LA,De Soto,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
SC,Union,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Drew,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Jackson,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Cumberland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Fremont,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OH,Wayne,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Clayton,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Carter,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MO,Worth,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Iowa,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MD,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
MN,Sherburne,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
FL,Pinellas,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,6,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Bandera,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
VT,Rutland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
TX,Denton,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,2,Completed,07/17/2017 11:05,HMO/HMOPOS
CO,Denver,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
GA,Banks,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Paulding,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Wright,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
TX,Cooke,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
PA,Jefferson,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
OK,Mayes,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
GA,Oconee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
OR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Coffee,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Winnebago,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Yellow Medicine,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,1,0,Completed,07/28/2017 11:24,HMO/HMOPOS
WI,Kewaunee,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
VA,Falls Church City,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AR,Benton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
TN,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. John the Baptist,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Sagadahoc,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
IN,Jay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Lancaster,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Chemung,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NC,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
NM,Santa Fe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,46,0,Completed,07/24/2017 12:23,Local PPO
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,1,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
NY,Kings,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,White,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
PR,Carolina,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
PR,Catano,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
IA,Madison,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OK,Garfield,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
MS,Adams,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Monroe,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Yamhill,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
TX,San Jacinto,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
WI,Dunn,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Scott,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Campbell,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Orange,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Jackson,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Livingston,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
WV,Kanawha,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Clark,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
WV,Wetzel,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
IA,Poweshiek,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NE,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,Trinity,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Gonzales,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Schley,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IL,Cook,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Oneida,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
NY,Montgomery,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Madison,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
AL,Franklin,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Dauphin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Hillsborough,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Pope,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Preferred Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,Harrison,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WV,Ritchie,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,8,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MI,Houghton,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sully,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Edmunds,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
GA,Clayton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Bexar,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Mineral,"Friday Health Plans, Inc.",Friday Health Plans Platinum SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,7,0,Completed,07/28/2017 17:35,1876 Cost
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
GA,Forsyth,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MO,Marion,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,35,0,Completed,07/12/2017 15:39,Local PPO
IA,Louisa,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Richmond,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Chatham,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Lorain,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Somerset,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
OH,Fulton,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,11,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,Hamilton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Livingston,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Medina,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Bremer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Nicholas,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
PR,San German,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Ellis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Turner,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Putnam,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
WV,Wetzel,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
OK,Le Flore,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
PA,McKean,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
OH,Brown,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
NC,Guilford,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,17,0,Completed,07/25/2017 10:12,Local PPO
IA,Polk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
FL,St. Lucie,Humana Inc.,HumanaChoice H5216-060 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,60,0,Completed,07/25/2017 10:12,Local PPO
KS,Sedgwick,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
CO,Alamosa,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
PA,Indiana,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
FL,Lake,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Albany,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NJ,Somerset,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,80,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
AL,Dallas,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
AL,Pike,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Schenectady,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
NY,Saratoga,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
IL,Marshall,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
PA,Northampton,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
SC,Calhoun,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
PA,Bradford,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Lee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Vega Alta,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Blaine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Chattahoochee,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Lincoln,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TN,Trousdale,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IN,Lagrange,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
TX,Potter,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KS,Jefferson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Blue Earth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Delaware,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
OH,Holmes,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Madison,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
AL,Talladega,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
NE,Douglas,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3170,2,0,Completed,07/27/2017 14:27,HMO/HMOPOS
NE,Sarpy,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3170,1,0,Completed,07/27/2017 14:27,HMO/HMOPOS
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Orange,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,4,0,Completed,07/24/2017 20:49,HMO/HMOPOS
MN,Norman,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Berkeley,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
KS,Finney,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Henry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
TX,Parker,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Roane,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Cabo Rojo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Johnson,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Polk,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CO,Boulder,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Knox,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Ritchie,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MO,McDonald,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Kalkaska,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
WA,Spokane,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,30,0,Completed,07/24/2017 12:23,Local PPO
NC,Rowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,San Juan,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
WV,Morgan,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
WI,Milwaukee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Mercer,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
NM,Catron,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
FL,Glades,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,62,0,Completed,07/25/2017 10:12,Local PPO
IA,Linn,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
KY,Warren,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,20,0,Completed,07/25/2017 10:12,Local PPO
IL,Edgar,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
NY,Queens,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Jefferson,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
AL,Lee,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Langlade,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Manitowoc,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
FL,Pasco,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Wise,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Kleberg,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
NY,Chautauqua,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Rock,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
WV,Wyoming,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
IN,Posey,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Genesee,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
KY,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MS,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Appomattox,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IL,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,121,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Brevard,Guidewell Mutual Holding Corporation,FHCP s Premier Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,11,0,Completed,07/28/2017 10:27,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Gaston,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Fulton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
CT,Windham,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Blue Earth,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Gwinnett,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
KS,Butler,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WI,Marquette,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
AR,Pulaski,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Cheatham,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Dona Ana,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
MO,Webster,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Shelby,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
IA,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Lake,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,Suffolk,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
WI,Lafayette,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
WI,Richland,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
SC,Pickens,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Union,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
GA,Burke,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Walton,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Little River,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Warren,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Clear Creek,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Pima,Anthem Inc.,CareMore Smart Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,18,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Cooke,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lorain,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Williamsburg City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Marshall,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Lenawee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
KY,Bourbon,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MI,Lapeer,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
MI,Allegan,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,1,Completed,07/24/2017 10:22,Local PPO
TN,McNairy,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Marshall,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
ND,Bowman,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
FL,Dade,CIGNA,Leon Medical Centers Health Plans - Leon Cares (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,St. Louis City,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Branch,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
OH,Van Wert,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Henderson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Grainger,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
MO,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Tipton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Johnson,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
OH,Wyandot,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
CO,Denver,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Middlesex,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Kenosha,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AZ,Maricopa,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
IA,Muscatine,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,Newton,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Rowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MD,Cecil,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
WA,Spokane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1286,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Pike,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Hyde,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Gloucester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Tyler,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
SC,Charleston,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,3,0,Completed,07/31/2017 13:54,Local PPO
TN,Giles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
IN,Cass,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
TN,Polk,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
PA,McKean,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Lycoming,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MN,Kittson,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Thurston,The Carle Foundation,Health Alliance NW Pioneer Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,12,0,Completed,07/26/2017 12:58,HMO/HMOPOS
GA,Barrow,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
VA,Scott,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Dinwiddie,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Ocean,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Montgomery,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MO,Boone,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
AR,Howard,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Kennebec,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Gibson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Greenville,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Webster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,18,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Preston,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,2,Completed,07/27/2017 12:35,HMO/HMOPOS
NE,Fillmore,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,Anson,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Noble,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Elkhart,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Dearborn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Lafayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Centre,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
IA,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Radford City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Kings,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Ontario,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
MN,Ramsey,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
PR,Corozal,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Twin Falls,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,4,0,Completed,07/26/2017 9:21,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Austin,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
OH,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,55,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Onondaga,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
LA,Orleans,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
KY,Boone,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Mora,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Jefferson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Polk,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,37,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MS,Copiah,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,6,Completed,07/27/2017 12:35,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
MD,Anne Arundel,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
WI,Chippewa,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Benson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
GA,Baker,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Stephens,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Wilson,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Taylor,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MO,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
NC,Rowan,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Lawrence,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Prince George,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
ME,York,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
PR,Patillas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Teton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NC,Wake,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,168,0,Completed,07/12/2017 15:39,Local PPO
PR,Guanica,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
IN,Miami,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
TX,Dawson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
SC,Lexington,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
FL,Broward,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Clinton,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NE,Lancaster,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3170,1,0,Completed,07/27/2017 14:27,HMO/HMOPOS
NJ,Morris,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,80,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,DeKalb,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Mitchell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
PA,Clarion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Venango,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,San Patricio,Humana Inc.,Humana Gold Plus H2649-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Dallas,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Marshall,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
PR,Toa Baja,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
IN,Kosciusko,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Montgomery,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
AR,Chicot,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Polk,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,21,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Colonial Heights City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
FL,St. Johns,Guidewell Mutual Holding Corporation,FHCP s Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,10,0,Completed,07/28/2017 10:27,HMO/HMOPOS
TX,Denton,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,5,0,Completed,06/14/2017 16:42,Local PPO
PA,Erie,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,134,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,"Village Care of New York, Inc.",VillageCareMAX Full Advantage FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9345,1,0,Completed,07/25/2017 10:44,Medicare-Medicaid Plan HMO/HMOPOS
ND,Grant,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
GA,Rockdale,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orange,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Westchester,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
KS,Johnson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
VA,Albemarle,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
OK,Caddo,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MO,Clay,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Culpeper,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
PA,Snyder,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Oceana,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
OH,Geauga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NY,Broome,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,McMullen,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NE,Dawes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Seneca,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
NJ,Burlington,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,123,0,Completed,07/12/2017 15:39,Local PPO
GA,Laurens,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OH,Scioto,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
ND,Stutsman,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,59,0,Completed,07/25/2017 10:12,Local PPO
MO,Moniteau,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Bates,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
WA,Island,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
MN,Redwood,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
WA,King,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
OH,Madison,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Saline,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Lafayette,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
NJ,Middlesex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,30,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Tuscarawas,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
IN,Putnam,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
KY,Pike,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Westmoreland,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MN,Olmsted,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Bexar,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
MS,Walthall,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
CO,Mesa,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IA,Hamilton,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PA,Sullivan,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Polk,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,92,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Kern,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,N,,,0,138,,,H0504,38,0,Completed,07/21/2017 17:33,HMO/HMOPOS
KY,Grayson,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
AL,Baldwin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
PA,Westmoreland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Catoosa,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Costilla,"Friday Health Plans, Inc.",Friday Health Plans Platinum SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,7,0,Completed,07/28/2017 17:35,1876 Cost
VA,Culpeper,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
WA,King,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Franklin,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NM,Bernalillo,Humana Inc.,Humana Gold Plus H2649-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Greene,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
NY,Columbia,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Blount,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
NM,Harding,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NY,Wyoming,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Pueblo,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Maury,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Fairfax City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
PA,Lancaster,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
SC,Greenville,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,White,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
ND,Walsh,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Bennett,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
CO,Broomfield,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Suffolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
PA,Berks,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lackawanna,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,36,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Lee,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
IA,Wayne,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,Evans,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Avery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MS,Jones,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Essex,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Wilkin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Norman,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IL,Kane,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0281,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
AL,Coosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Meigs,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Polk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Madison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MN,Chippewa,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Polk,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MO,Ozark,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
NY,Greene,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Daviess,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,Colusa,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Seneca,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
VA,Fairfax City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OR,Deschutes,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
MN,Grant,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TX,Frio,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
TX,Taylor,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
CA,Siskiyou,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Botetourt,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,102,0,Completed,07/12/2017 15:39,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Lyon,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
ID,Kootenai,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
IA,Monona,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
IA,Henry,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Ocean,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Salem,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Madison,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,88,0,Completed,07/06/2017 14:36,HMO/HMOPOS
AL,Choctaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
VT,Windsor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Crowley,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
WI,Waupaca,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
VA,Falls Church City,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Lucas,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,6,Completed,07/26/2017 11:41,Local PPO
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
PR,Salinas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Cameron,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,2,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Wayne,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,1,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Howard,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Berrien,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
LA,Beauregard,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Jefferson,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Gallatin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Monroe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Van Wert,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lewis,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Crenshaw,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. Charles,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Highlands,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,268,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Montgomery,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Tallapoosa,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
OK,Kingfisher,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NJ,Bergen,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NJ,Hudson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Lyon,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,2,Completed,07/25/2017 8:54,HMO/HMOPOS
TX,Willacy,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Ellis,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
TN,Wilson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Union,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Northumberland,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bledsoe,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Pickett,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
FL,Charlotte,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Washington,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Christian,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
OH,Harrison,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,6,Completed,07/26/2017 11:41,Local PPO
PA,Cambria,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
CO,Boulder,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
VA,Pulaski,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Rutherford,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Perry,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
OR,Wallowa,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Cuyahoga,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
SC,Hampton,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,Habersham,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Caswell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Bedford,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
WV,Preston,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Chesapeake City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
LA,West Baton Rouge,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Mifflin,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
FL,Miami-Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ashtabula,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Cambria,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Tuscaloosa,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Winston,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
MN,Renville,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Pottawattamie,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Apache,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Decatur,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Autauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Allegany,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Oneida,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,1,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Wood,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
GA,Floyd,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
ND,Burleigh,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mower,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bledsoe,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
IA,Hancock,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,Greene,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
OH,Columbiana,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
FL,Martin,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,35,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Albany,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
CA,San Benito,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,37,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Lancaster,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
AR,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KY,Letcher,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,1,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MO,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Bonner,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
SC,Marion,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Bradford,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Montour,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
PA,Centre,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
NY,Westchester,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
IN,Howard,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Dodge,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
OH,Holmes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Humphreys,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,1,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Schoharie,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NH,Strafford,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Yellow Medicine,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
CO,Adams,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
PA,Mifflin,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Placer,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,38,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
FL,Bay,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
VA,Norton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Floyd,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
TX,Frio,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
MN,Steele,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
PA,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
MD,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
AZ,Pinal,Centene Corporation,Allwell CHF/Diabetes Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,38,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,St. John the Baptist,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Madison,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
GA,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hocking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Russell,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
GA,Rockdale,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NY,Rensselaer,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
WI,Portage,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
AR,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Licking,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
IN,Brown,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Pike,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Contra Costa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,70,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Pinellas,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,19,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Faulkner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
OH,Clermont,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,89,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KY,Christian,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
AL,Chambers,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Marathon,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
SD,McPherson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Clayton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MI,Iron,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
MO,Polk,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
GA,Hall,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Jefferson,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Wilcox,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OH,Lorain,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
IA,Iowa,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus H1036-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Rockbridge,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Spotsylvania,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
NE,Seward,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Codington,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
IL,Morgan,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
AL,Cherokee,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
CT,Windham,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Osceola,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
PA,Chester,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Harris,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Pleasants,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Ray,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Elbert,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
NM,Luna,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
IN,Warrick,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Macon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
OK,Logan,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Allen,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
AR,Crawford,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Newton,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,Butler,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WA,King,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),N,N,N,N,N,,,,,,,H5826,6,0,Completed,06/29/2017 11:10,HMO/HMOPOS
MO,Clinton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
OK,Tulsa,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
WA,Whatcom,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
IN,Boone,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Menifee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Crittenden,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Wolfe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MI,Benzie,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Tazewell,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
SC,Lee,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
IL,Clinton,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MS,Jackson,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
GA,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
GA,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
KS,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Keya Paha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Broome,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
NJ,Union,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Waseca,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Monroe,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Jefferson,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Boyle,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
SD,McCook,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
OK,Stephens,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
WA,Island,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
MO,Saline,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TN,Jefferson,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
IN,Switzerland,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
IN,Kosciusko,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
PA,Dauphin,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NE,Dodge,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3170,2,0,Completed,07/27/2017 14:27,HMO/HMOPOS
AR,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clark,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,Greene,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Upshur,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
MI,Branch,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2247,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CO,Conejos,"Friday Health Plans, Inc.",Friday Health Plans Platinum SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,7,0,Completed,07/28/2017 17:35,1876 Cost
PR,Hormigueros,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Gregg,Humana Inc.,Humana Gold Plus H2649-055 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Linn,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
HI,Honolulu,Hawaii Medical Service Association,Essential Advantage (HMO),Y,Y,N,Y,N,,,455,455,228,228,H7317,1,0,Completed,07/20/2017 22:13,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Kane,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Knott,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
UT,Cache,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,131,0,Completed,07/12/2017 15:39,Local PPO
NY,Schuyler,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
KY,Simpson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
NM,Taos,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
TX,Bandera,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Cherokee,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Shackelford,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KS,Cowley,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KS,Shawnee,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
WI,Green,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
WA,Spokane,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
VA,Smyth,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
NY,Chemung,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Oneida,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
FL,Volusia,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Henry,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,McCurtain,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Ford,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Randolph,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
CO,Prowers,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
MO,Lafayette,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Perry,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage POS (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,15,0,Completed,07/26/2017 12:58,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Union,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Beaufort,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Twin Falls,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,10,0,Completed,06/07/2017 12:34,HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
NY,Bronx,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/07/2017 14:53,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Rockwall,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
PA,Franklin,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
OH,Wood,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,11,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AL,Mobile,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Montgomery,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Monongalia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
WV,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
MD,Cecil,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
VA,Hampton City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Stafford,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Parke,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,McHenry,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Callaway,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
MN,Faribault,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MN,Freeborn,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Ottawa,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Durham,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
PA,Cameron,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Forsyth,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Perry,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Williamson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Cocke,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
PA,Cambria,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
AR,Jefferson,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Sussex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
OH,Licking,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,40,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Perry,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
ME,Oxford,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Spartanburg,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Greenville,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,86,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Essex,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WI,Columbia,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
OH,Pike,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Anderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Johnson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
WV,Nicholas,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Somerset,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Beaufort,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,3,0,Completed,07/31/2017 13:54,Local PPO
IL,McHenry,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,5,0,Completed,07/26/2017 16:56,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Hamblen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Clinton,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IN,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Talladega,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
VA,Newport News City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Colleton,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sanborn,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Miner,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Douglas,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Spink,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stutsman,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
LA,Bossier,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Greene,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,Jessamine,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,7,Completed,07/17/2017 11:05,HMO/HMOPOS
WI,Kenosha,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
WI,Ozaukee,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
CO,Denver,Denver Health and Hospital Authority,Denver Health Medicare Select (HMO),Y,N,Y,N,N,,,,,,,H5608,2,0,Completed,07/31/2017 15:53,HMO/HMOPOS
TX,Nueces,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
MI,Genesee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
MI,Ionia,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
MI,Ingham,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Marion,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
GA,Harris,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
PA,Lancaster,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
IN,De Kalb,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,Kent,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Tensas,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Spartanburg,Anthem Inc.,AFC Care Rx (HMO),Y,Y,N,Y,N,,,0,455,0,228,H8170,1,0,Completed,07/06/2017 10:58,HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
TX,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Vance,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Hancock,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Gilmer,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Cullman,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
IA,Franklin,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sumner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Sagadahoc,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Genesee,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
VA,Newport News City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Starke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Cattaraugus,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Montgomery,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Harrison,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
IA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Brule,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
AL,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Henry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Greene,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Lucas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Sampson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Amherst,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
PA,Blair,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Standard Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,15,0,Completed,07/27/2017 12:35,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NH,Cheshire,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Catawba,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Pickaway,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
CA,Riverside,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,1,0,Completed,06/26/2017 11:39,HMO/HMOPOS
TX,Fayette,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
PA,Mifflin,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Allen,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
TX,Madison,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
KY,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
GA,Treutlen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Clay,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grant,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Assumption,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MI,Midland,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
OH,Miami,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Evans,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Burlington,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Huron,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NH,Rockingham,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,2,0,Completed,07/18/2017 9:33,Local PPO
NY,Nassau,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
MN,Red Lake,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Rhea,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Delaware,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NC,Yadkin,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Manassas City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
WI,Calumet,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Luis Obispo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,167,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Fayette,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
OR,Marion,ATRIO Health Plans,ATRIO Silver Rx (Willamette) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7006,3,0,Completed,06/28/2017 15:06,Local PPO
NY,Herkimer,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
MS,Leake,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
GA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Maricopa,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,6,0,Completed,07/24/2017 12:23,Local PPO
PR,Carolina,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Jefferson,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
TX,Reagan,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
OH,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,73,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Fulton,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
PA,Berks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Pasco,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MO,Madison,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Wilcox,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
AL,Lawrence,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
NM,Luna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,42,0,Completed,07/24/2017 12:23,Local PPO
MN,Pipestone,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lawrence,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Pike,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Wasatch,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
VA,Hanover,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Treutlen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Anasco,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Neosho,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
IN,Marshall,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
PA,Sullivan,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
IN,Tippecanoe,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
VA,Wise,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
FL,Sumter,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PR,Rincon,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Villalba,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
NE,Boone,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
MO,Macon,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Kings,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,2,Completed,07/24/2017 7:36,HMO/HMOPOS
MN,Wright,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MD,Worcester,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
GA,Cherokee,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Aransas,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Franklin,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,101,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Van Buren,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
MI,Presque Isle,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,Montcalm,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
IN,Henry,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
MO,Montgomery,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PA,Cameron,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Radford City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
FL,Escambia,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
KS,Anderson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
PR,Catano,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Taliaferro,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/07/2017 12:31,HMO/HMOPOS
KY,Jessamine,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
IN,St. Joseph,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
IA,Audubon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Mahaska,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Crawford,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MS,Hinds,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
NY,Onondaga,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Boone,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,16,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Orange,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,13,0,Completed,07/05/2017 14:27,Local PPO
OH,Perry,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
CA,Ventura,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,29,0,Completed,07/21/2017 17:33,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,2,Completed,07/24/2017 7:36,HMO/HMOPOS
MA,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
PR,Rio Grande,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Wilson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,Canyon,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1969,2,0,Completed,07/26/2017 17:12,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,10,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Renville,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MT,Liberty,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
GA,Bryan,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,Jackson,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,12,0,Completed,07/06/2017 14:24,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,Ouachita,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Clinton,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,36,0,Completed,07/20/2017 14:11,Local PPO
CA,Riverside,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Martin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Bridges Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,28,0,Completed,07/17/2017 20:44,HMO/HMOPOS
ID,Payette,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
WI,Calumet,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Douglas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Falls Church City,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
FL,Pasco,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,567,567,284,284,H8677,2,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
CA,Riverside,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,67,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,San Benito,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,49,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Stone,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Ouachita,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Marion,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Muscogee,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Doddridge,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
AL,Chambers,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
MI,Houghton,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
TX,Bexar,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Monroe,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Rice,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
SC,Charleston,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,Jackson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Lane,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
OR,Baker,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Morrow,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Wasco,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
IN,Allen,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Portage,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,100,0,Completed,07/27/2017 10:38,Local PPO
FL,Columbia,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,De Kalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Mobile,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,53,0,Completed,07/24/2017 10:45,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
IN,Fountain,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Alameda,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,70,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Harrison,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,4,0,Completed,06/21/2017 11:09,HMO/HMOPOS
WA,Chelan,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
FL,Charlotte,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Livingston,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,Lincoln,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
GA,Dawson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Russell,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
GA,Warren,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
IA,Humboldt,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
MI,Allegan,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
NC,McDowell,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
PA,Monroe,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,2,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Wake,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct smartHMO (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6306,5,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Union,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Scott,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
IN,Henry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
VA,Prince William,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
NY,New York,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,07/25/2017 11:55,HMO/HMOPOS
VA,Norfolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
NJ,Somerset,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Mercer,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Kanawha,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Johnson,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
SC,Dillon,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
SC,Kershaw,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AZ,Maricopa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hays,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Newport News City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Overton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Logan,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Burlington,"Clover Health Holdings, Inc.",Clover Health NJ Purple (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,32,0,Completed,07/25/2017 8:01,Local PPO
PA,Cambria,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
IN,Morgan,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Marlboro,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
KS,Geary,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Halifax,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IA,Lyon,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Moore,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. James,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Madison,Humana Inc.,Humana Gold Plus H1036-274 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,274,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Stokes,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Prince George,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Miller,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,50,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,8,0,Completed,07/24/2017 10:45,HMO/HMOPOS
FL,Seminole,Guidewell Mutual Holding Corporation,FHCP s Premier Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,11,0,Completed,07/28/2017 10:27,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,91,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
GA,Clarke,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,San Jacinto,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Elk,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
NE,Boone,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. James,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,James City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
WI,Green Lake,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
WI,Washington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
PA,Forest,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Denton,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,1,0,Completed,07/16/2017 17:10,Local PPO
NY,Fulton,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
WI,Vernon,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Washington,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,82,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,67,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Peoria,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Orleans,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
MN,Jackson,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Putnam,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Houston,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Elmore,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Worcester,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,123,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Adams,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Fairfield,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Travis,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,7,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
TN,Gibson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hardin,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
AZ,Pinal,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Salem City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
IA,Wright,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MO,Platte,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
WV,Marshall,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Grant,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MI,Ionia,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
GA,Harris,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8133,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Milam,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NC,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Scott,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Poquoson City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MA,Norfolk,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Crawford,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Searcy,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MA,Nantucket,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
MI,Menominee,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
SD,Butte,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sherburne,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MD,Calvert,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
NJ,Cumberland,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Washington,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Goochland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cocke,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,Orange,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,3,0,Completed,07/25/2017 14:48,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Chester,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MS,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Oliver,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Hall,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
MO,Douglas,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,McDowell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,East Feliciana,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Augusta,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Union,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,McLean,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Holmes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Hancock,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Marshall,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Ouachita,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
WA,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
KY,Lincoln,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WI,Manitowoc,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Zavala,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Dallas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Prince William,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
SD,Fall River,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Jackson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NC,Transylvania,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
MT,Ravalli,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,89,0,Completed,07/25/2017 10:12,Local PPO
MS,Rankin,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
FL,Hillsborough,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Berks,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Pinellas,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Jackson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,St. Louis,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Douglas,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lehigh,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Queens,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,07/25/2017 11:55,Medicare-Medicaid Plan HMO/HMOPOS
TX,Van Zandt,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Fairfax City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Franklin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Chambers,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
NC,Orange,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WV,Clay,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
GA,Chattooga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
GA,Muscogee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
AL,Escambia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
MD,Queen Anne s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Mayaguez,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
SC,Pickens,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,140,0,Completed,07/12/2017 15:39,Local PPO
PA,Warren,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
MO,Newton,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Lewis,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
WV,Mercer,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Clark,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H9104,6,0,Completed,06/26/2017 14:13,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Delta,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
KS,Jefferson,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
IN,Floyd,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Fayette,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
MO,Barry,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
MO,Wright,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
SC,Allendale,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NM,Santa Fe,Health Care Service Corporation,Blue Cross Medicare Advantage Flex (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3251,21,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Portsmouth City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Abbeville,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,McLean,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Creek,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Spokane,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
KY,Kenton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
TN,Bledsoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
PA,Lebanon,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Chautauqua,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
PR,Anasco,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
OH,Belmont,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
UT,Morgan,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
VA,Charles City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Lancaster,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Weld,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,21,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ME,Aroostook,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Arlington,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Pocahontas,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NY,Greene,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Angelina,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
GA,Cherokee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Wyoming,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
PA,Montour,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
NM,Valencia,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
NY,Tioga,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
MO,Adair,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NM,Grant,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
TX,Morris,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Dade,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
VA,Manassas City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
TX,Tyler,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
NC,Polk,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
MN,Big Stone,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
KS,Jefferson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
AL,Franklin,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
PA,Blair,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
AL,Macon,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Barton,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,12,0,Completed,07/24/2017 14:11,HMO/HMOPOS
FL,Dade,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MO,Camden,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MN,McLeod,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
IA,Black Hawk,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
IA,Clinton,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
WV,Logan,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
SC,Lee,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
AL,Coffee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,1,Completed,07/26/2017 17:12,Local PPO
MN,Grant,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WA,Thurston,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,2,0,Completed,07/10/2017 17:32,HMO/HMOPOS
IL,Schuyler,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
OH,Delaware,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Van Buren,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Nicholas,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
CO,Grand,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PR,Coamo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Yates,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
GA,Gilmer,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,31,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Allen,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
SC,Cherokee,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,Monroe,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
IA,Warren,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
TX,Anderson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
SC,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Oswego,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Washington,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Fayette,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Orange,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
IA,Dallas,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AL,Henry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Montgomery,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
TX,Chambers,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Montgomery,Memorial Hermann Health System,Memorial Hermann Advantage (PPO),Y,N,Y,Y,N,,,455,455,228,228,H2968,1,0,Completed,07/28/2017 11:53,Local PPO
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
OR,Lane,Centene Corporation,Trillium Advantage Dual (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2174,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,Martin,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PA,Bucks,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,5,0,Completed,07/25/2017 10:12,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,6,Completed,07/26/2017 11:41,Local PPO
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
PA,Monroe,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,7,Completed,06/29/2017 13:12,Local PPO
UT,Utah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
TX,Cameron,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,14,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Alexandria City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
IL,Stephenson,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
PR,Gurabo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Loiza,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Clatsop,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
TX,Denton,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,40,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
SC,Greenville,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesterfield,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Scott,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Nassau,"QHP Financial Group, Inc.",Advantage Premium - LI (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,22,0,Completed,07/26/2017 18:49,HMO/HMOPOS
GA,Jenkins,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Garrard,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Grady,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Rogers,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Perry,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
CO,Broomfield,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Marion,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
ME,Waldo,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
VA,Bland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Warren,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Preferred Choice Dade (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NY,Schuyler,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Floyd,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Unicoi,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PR,Lajas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Sumner,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
CA,Riverside,"Universal Care, Inc",Brand New Day Harmony Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,20,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Blair,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
ND,Richland,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
GA,Hancock,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
UT,Duchesne,Aetna Inc.,Altius Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
UT,Davis,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Christian,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,De Witt,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,Ford,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IA,Woodbury,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
IA,Delaware,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IA,Woodbury,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,8,0,Completed,07/12/2017 15:39,Local PPO
NC,Pitt,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,New Hanover,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Wilson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
OK,Atoka,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AZ,La Paz,Humana Inc.,Humana Gold Plus H2649-033 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Teller,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Sonoma,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,52,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,1,0,Completed,07/28/2017 11:24,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Pike,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NC,Columbus,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
PR,Loiza,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
LA,Assumption,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Defiance,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
IN,Floyd,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Radford City,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
SC,Colleton,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
OH,Union,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
KS,Allen,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
OK,Jefferson,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Adair,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
LA,St. Charles,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MD,Howard,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
VA,Tazewell,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AR,Sebastian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Aroostook,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
OH,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Aitkin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
AR,Carroll,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Hanover,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OK,Cleveland,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Muskogee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OH,Montgomery,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
NY,Greene,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Volusia,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,156,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Randolph,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Madison,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Pickaway,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
MO,Christian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Polk,ATRIO Health Plans,ATRIO Gold Rx (Willamette) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7006,1,0,Completed,06/28/2017 15:06,Local PPO
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Simpson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Tompkins,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Albany,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
TX,Waller,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
AZ,Pima,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
TN,Clay,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Corozal,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
IL,Douglas,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Manassas Park City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Greene,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WA,Snohomish,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,126,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Beaver Valley Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,51,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,36,0,Completed,07/24/2017 12:23,Local PPO
MN,Nobles,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Billings,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
LA,Cameron,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Geauga,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,1,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Van Zandt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Faribault,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Pima,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,14,0,Completed,07/25/2017 11:49,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Alexander,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Prince William,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Suffolk,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OH,Warren,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
NJ,Atlantic,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,32,0,Completed,07/26/2017 10:13,HMO/HMOPOS
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OK,Johnston,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
IN,Grant,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
TX,Eastland,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
MS,Jefferson Davis,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
KS,Bourbon,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
KY,Barren,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,20,0,Completed,07/25/2017 10:12,Local PPO
IA,Buena Vista,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Crisp,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
TX,Comanche,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Loving,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KS,Geary,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Appling,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Schuyler,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
WI,Lincoln,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Santa Clara,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,16,0,Completed,07/24/2017 20:49,HMO/HMOPOS
KS,Chase,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Logan,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Osborne,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,9,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
WV,Roane,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WV,Wetzel,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MD,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
VA,Fairfax,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
NE,Box Butte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Medina,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
CO,Jefferson,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
OH,Carroll,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,1,Completed,07/18/2017 9:33,Local PPO
IN,St. Joseph,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Monroe,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
AL,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PR,Corozal,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Erath,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Moca,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AR,Johnson,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OK,Craig,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
KY,Franklin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Saline,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
SD,Butte,Humana Inc.,HumanaChoice H5216-084 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,84,0,Completed,07/25/2017 10:12,Local PPO
MN,Mower,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Edwards,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Martin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
SD,Sanborn,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
IA,Black Hawk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Screven,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Wilcox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Pasco,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Polk,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Lee,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Randolph,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Seminole,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Iowa,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IN,Jefferson,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,124,0,Completed,07/25/2017 10:12,PFFS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
OR,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
MN,Martin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ND,Morton,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
PA,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Lawrence,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Walton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Talbot,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MO,Crawford,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
OH,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Meigs,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
IA,Lyon,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MI,Ingham,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PR,Carolina,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Brown,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
GA,Oconee,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Irwin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
TN,Cannon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
PR,Utuado,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/07/2017 12:31,HMO/HMOPOS
OH,Fulton,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
MN,Wabasha,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NM,Otero,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
KY,Nelson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KY,Scott,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KS,Bourbon,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,58,0,Completed,07/25/2017 10:12,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Nobles,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Washington,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
WV,Taylor,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
SD,Day,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OK,Comanche,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PA,Adams,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
GA,Rabun,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
PR,Loiza,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Pasco,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Tucker,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
OK,Love,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Greenwood,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MO,Clark,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
PA,Wayne,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Todd,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wabasha,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
OH,Geauga,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OK,Delaware,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OK,Tulsa,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Madison,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
OH,Sandusky,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
MN,Pennington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Jones,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
MS,Attala,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
NC,Montgomery,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
MO,St. Charles,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
PA,Bradford,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
GA,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
OH,Ashtabula,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NY,Putnam,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
UT,Tooele,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,197,0,Completed,07/12/2017 15:39,Local PPO
PR,Isabela,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Rabun,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Contra Costa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Contra Costa (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,33,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Greene,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Knox,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Cocke,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Utah,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
PR,Rio Grande,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Armstrong,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
WI,Shawano,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Gasconade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
NC,New Hanover,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
SC,Hampton,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,6,0,Completed,06/26/2017 13:34,Local PPO
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MT,Yellowstone,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MO,Cass,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
SD,Brookings,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ND,Benson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
OH,Wayne,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Gadsden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Pulaski,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Jim Wells,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Franklin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Warren,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Freeborn,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Waseca,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Isanti,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kandiyohi,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Claiborne,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Claiborne,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Emmet,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
MO,Henry,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Mercer,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
VA,Greensville,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CO,Montrose,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Berrien,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
IL,Pike,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Summit,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
PA,Wayne,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,2,Completed,06/29/2017 13:12,HMO/HMOPOS
AR,Perry,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,3,Completed,07/13/2017 12:29,HMO/HMOPOS
MO,Wright,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Chester,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Luzerne,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
PA,Lebanon,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
IN,Miami,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Campbell,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Essex,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
IN,Hancock,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
AR,Franklin,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
SC,Edgefield,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MO,Phelps,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
KS,Labette,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
CA,Contra Costa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Franklin,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OR,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
AZ,Pinal,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/19/2017 17:09,HMO/HMOPOS
VA,Patrick,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Anderson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Clay,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,2,0,Completed,06/14/2017 16:42,Local PPO
MN,Blue Earth,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Logan,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
VA,Prince George,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Kitsap,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
IL,Rock Island,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
WV,Morgan,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
FL,Osceola,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,10,0,Completed,07/24/2017 12:23,Local PPO
FL,Okaloosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,8,0,Completed,07/24/2017 12:23,Local PPO
OH,Fulton,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Montour,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
LA,Tangipahoa,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
FL,Pasco,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,2,0,Completed,07/17/2017 9:31,HMO/HMOPOS
GA,Catoosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Todd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Bertie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Washington,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
MN,Lake,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Douglas,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,1,0,Completed,07/26/2017 12:58,HMO/HMOPOS
OH,Stark,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
OR,Washington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Bronx,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/07/2017 14:53,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
VA,Virginia Beach City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Suffolk City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,1,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
OH,Champaign,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,St. Joseph,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Noble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,DeKalb,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Pushmataha,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NE,Knox,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Van Buren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,3,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Wyoming,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NH,Strafford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Salem City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Autauga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,8,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Washington,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NC,Catawba,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Williams,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,2,Completed,07/17/2017 11:05,HMO/HMOPOS
CA,Riverside,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Inland Empire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,9,Completed,06/29/2017 13:12,Local PPO
WI,Sheboygan,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
KY,Crittenden,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
IN,Wells,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Yakima,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
LA,Washington,Humana Inc.,Humana Gold Plus H1951-028 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lorain,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Cameron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bullitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day In Control Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,27,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Wetzel,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Wagoner,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
ID,Gem,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
WA,Island,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ND,Pierce,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
NY,New York,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
NC,Burke,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Knox,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Auglaize,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Snyder,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Woodford,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Lake,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,92,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hill,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Cherokee,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AR,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Orange,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,10,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
IA,Boone,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
IN,Hancock,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NC,Person,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
AR,Searcy,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Clay,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Crittenden,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
AR,Conway,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
NM,Taos,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MD,Washington,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,129,0,Completed,07/25/2017 10:12,Local PPO
PA,Bucks,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Winnebago,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,McDonough,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
PA,Berks,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,7,0,Completed,07/26/2017 8:03,Local PPO
OH,Clermont,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Hancock,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Carroll,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MO,Lafayette,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
NC,Hoke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Bucks,"Clover Health Holdings, Inc.",Clover Health PA Green (PPO),Y,N,N,Y,N,,,0,511,0,256,H5141,28,0,Completed,07/25/2017 8:01,Local PPO
AL,St. Clair,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OR,Lane,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,26,2,Completed,06/15/2017 15:55,HMO/HMOPOS
HI,Honolulu,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Davidson,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Denton,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Jefferson,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
VA,Fredericksburg City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
VA,Portsmouth City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
NY,Herkimer,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Reeves,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Gloucester,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
OH,Wood,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
NY,Columbia,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,112,0,Completed,07/12/2017 15:39,Local PPO
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Ashland,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
NM,Luna,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
TX,Wilson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Bates,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MI,Saginaw,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
TX,Delta,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
FL,Sumter,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,74,0,Completed,07/25/2017 10:12,Local PPO
NC,Madison,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
VA,Lee,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
MT,Flathead,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,89,0,Completed,07/25/2017 10:12,Local PPO
MO,Christian,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Wyandotte,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Polk,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,19,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Plymouth,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Monmouth,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,82,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Jackson,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,13,0,Completed,07/05/2017 14:27,Local PPO
KY,Fleming,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
AL,Bibb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Kings,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
WI,Green Lake,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NC,Orange,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Champaign,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
OH,Stark,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
PR,Florida,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Refugio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Clarion,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Jones,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
MD,Washington,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,29,0,Completed,07/25/2017 10:12,Local PPO
KY,Harlan,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KS,Labette,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Marion,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AL,Marshall,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
MO,Callaway,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Garland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Levy,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Wright,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Harris,Memorial Hermann Health System,Memorial Hermann Advantage (PPO),Y,N,Y,Y,N,,,455,455,228,228,H2968,1,0,Completed,07/28/2017 11:53,Local PPO
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
TN,Stewart,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hardin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AL,Geneva,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
FL,Pinellas,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Barry,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Marion,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Kanawha,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
NY,Kings,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3262,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
AL,Madison,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Price,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
OR,Josephine,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,20,0,Completed,06/30/2017 19:02,HMO/HMOPOS
UT,Utah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,2,0,Completed,07/26/2017 17:12,Local PPO
WI,Waushara,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
WI,Milwaukee,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2879,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
ME,Cumberland,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Vanderburgh,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Merrimack,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Summit,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Latah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,N,,,429,429,215,215,H1304,2,0,Completed,07/26/2017 17:12,Local PPO
NY,Orleans,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Martin,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,249,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Coshocton,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IN,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Waller,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
NC,Transylvania,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Gaston,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Columbia,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
OH,Cuyahoga,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,2,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clark,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,110,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Osceola,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
TN,Jefferson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Cache,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IA,Mills,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MO,Newton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
IL,Cook,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
OH,Tuscarawas,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
WI,Walworth,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MO,Christian,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Hancock,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
VA,Halifax,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Lumpkin,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
CA,Sutter,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,DuPage,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Hennepin,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
CA,Napa,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,54,0,Completed,06/26/2017 14:13,HMO/HMOPOS
WA,Chelan,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,2,0,Completed,07/26/2017 12:58,HMO/HMOPOS
IL,Piatt,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
ID,Jerome,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
OH,Belmont,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
AR,Calhoun,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Logan,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Botetourt,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Erie,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,11,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Canovanas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,2,Completed,07/06/2017 14:24,Local PPO
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
FL,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
WV,Grant,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
VA,Fairfax City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,East Feliciana,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Bronx,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,2,0,Completed,07/25/2017 10:44,HMO/HMOPOS
OH,Defiance,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Lebanon,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Susquehanna,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Luzerne,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
PA,Schuylkill,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
AL,Lauderdale,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Cherokee,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
MI,Macomb,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0192,1,0,Completed,07/20/2017 14:10,Medicare-Medicaid Plan HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MO,St. Louis,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
PR,Aguadilla,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
OR,Yamhill,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
LA,Iberville,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Armstrong,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,Columbia,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
MN,Anoka,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,Leslie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Transylvania,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Martin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Pittsburg,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Kane,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Wyandotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Langlade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
PA,Union,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,130,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Mason,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Milam,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
KY,Kenton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Westchester,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,9,0,Completed,06/28/2017 12:35,Local PPO
AL,Tuscaloosa,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NY,Putnam,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CA,Los Angeles,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,3,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Hillsdale,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
OH,Belmont,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
MN,Anoka,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
PA,Sullivan,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Jackson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
NY,Kings,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Warren,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
CO,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Craighead,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Jackson,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
NJ,Bergen,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,21,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Douglas,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,12,0,Completed,07/06/2017 14:24,Local PPO
MT,Gallatin,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
NY,Albany,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Clayton,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
WV,Hardy,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
KS,Jefferson,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NY,New York,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,1,0,Completed,07/25/2017 10:44,HMO/HMOPOS
PA,Potter,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
KY,Clark,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
LA,Ascension,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
NH,Grafton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clermont,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
LA,Plaquemines,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Marion,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
KY,Mason,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
LA,Rapides,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus SNP-DE H1036-241 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,241,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Norton City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Silver (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,2,0,Completed,06/28/2017 15:06,Local PPO
IN,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Davis,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
NM,San Juan,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Carbon,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Anderson,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
VA,King and Queen,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Effingham,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
CA,Orange,"Universal Care, Inc",Brand New Day In Control Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,26,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Braxton,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NY,Delaware,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
WI,Kewaunee,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
NM,Sandoval,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,46,0,Completed,07/24/2017 12:23,Local PPO
MN,Dodge,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Clinton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
OH,Licking,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
OH,Muskingum,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Pope,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Arkansas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,Custer,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PR,Adjuntas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
MO,Benton,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
TX,Hidalgo,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
TX,Wharton,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Taylor,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
VA,Gloucester,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
AZ,Pima,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,44,1,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Pickaway,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Clermont,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,23,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NE,Otoe,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IA,Scott,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Winneshiek,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fentress,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. Martin,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Gloucester,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
OR,Klamath,ATRIO Health Plans,ATRIO Silver Rx (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,3,0,Completed,06/28/2017 15:06,Local PPO
AL,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Saratoga,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Greene,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
AL,Colbert,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Lewis,Aetna Inc.,Advantra (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Gasconade,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Moniteau,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
GA,Barrow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Henry,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Burke,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
PA,Luzerne,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Harrison,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KS,Sedgwick,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TX,Rusk,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OK,Custer,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
GA,Habersham,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
MN,Martin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
AL,Bullock,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
OH,Geauga,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,24,0,Completed,07/25/2017 10:12,Local PPO
FL,Broward,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NJ,Warren,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
NH,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Ponce,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Shawnee,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Dinwiddie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Madison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Smith,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Robertson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
PA,Franklin,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
IN,Hendricks,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Jackson,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Special Needs Plan (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3814,7,0,Completed,06/28/2017 15:06,HMO/HMOPOS
KY,Meade,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
AR,Monroe,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Stone,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
ME,Franklin,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Carroll,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Leon,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Wabasha,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
TN,McMinn,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
PA,Crawford,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
PA,Susquehanna,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
PA,Schuylkill,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
MI,Barry,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,4,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,13,0,Completed,07/26/2017 16:54,HMO/HMOPOS
SC,Union,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
NC,Durham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Broomfield,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
NY,Onondaga,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
CA,Orange,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,2,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Pike,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MO,Greene,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Sedgwick,Humana Inc.,Humana Gold Plus H2649-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Ray,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,St. Joseph,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Allegheny,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Van Wert,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Wayne,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Yabucoa,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NV,Washoe,Renown Health,Senior Care Plus: Value Rx Select (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,18,0,Completed,06/27/2017 19:00,HMO/HMOPOS
IN,Adams,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Transylvania,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Houston,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Woods,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Giles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Ascension,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Owyhee,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,8,0,Completed,07/26/2017 17:12,Local PPO
ME,Hancock,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
MO,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Owen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Taney,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ross,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Washington,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
IA,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Sampson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Bronx,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9047,43,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Broome,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
FL,Broward,Anthem Inc.,HealthSun MediMax (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,6,0,Completed,07/14/2017 16:29,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
OH,Warren,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Jefferson,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
NM,Torrance,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Clinton,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Cass,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
KY,Bourbon,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
FL,Bay,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
MO,Jasper,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Barton,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Polk,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Wadena,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,Riverside,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,26,0,Completed,07/21/2017 17:33,HMO/HMOPOS
KS,Barton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,1,Completed,07/24/2017 7:36,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
OH,Trumbull,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,McLean,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Fajardo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Morovis,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
IA,Jones,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
NY,Steuben,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Albany,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,St. Clair,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
WI,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,N,Y,N,,,455,455,228,228,H6237,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Houston,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
TN,Scott,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MN,Hennepin,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Morrison,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Medina,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
GA,Effingham,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Caldwell,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Colonial Heights City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
PA,Northampton,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,36,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Putnam,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MO,Douglas,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
PA,Erie,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
PA,York,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
OK,Murray,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Bexar,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8197,1,0,Completed,06/07/2017 12:14,Medicare-Medicaid Plan HMO/HMOPOS
NY,Rockland,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
OH,Licking,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Union,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
OK,Pottawatomie,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
AR,Conway,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6947,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Allen,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NC,Camden,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
MT,Fergus,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
VA,Craig,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Henrico,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,22,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NC,Sampson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Clarion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,2,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Chilton,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
OK,Pontotoc,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NE,Douglas,Humana Inc.,Humana Gold Plus SNP-DE H0028-007 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Wayne,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,St. Johns,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,68,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Tipton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Baker,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
WV,Monongalia,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Marion,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,1,Completed,07/27/2017 12:35,HMO/HMOPOS
LA,Lafayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. Bernard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Cumberland,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Columbia,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
OH,Warren,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
MO,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Yancey,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Sheridan,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Roberts,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Grant,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,1,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,1,Completed,07/26/2017 17:12,Local PPO
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
GA,Newton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Lycoming,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
NM,Otero,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
MI,Dickinson,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
FL,Manatee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
PR,Mayaguez,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Daniels,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KS,Ellis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
IL,Will,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,16,0,Completed,07/12/2017 15:39,Local PPO
KY,Campbell,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PA,Potter,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Hidalgo,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,167,0,Completed,07/12/2017 15:39,Local PPO
ME,Franklin,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
IN,Wells,Aetna Inc.,Aetna Medicare Premium Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,190,0,Completed,07/12/2017 15:39,Local PPO
SC,Greenville,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,140,0,Completed,07/12/2017 15:39,Local PPO
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
MN,Winona,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TX,Atascosa,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Bollinger,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PR,Salinas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Marshall,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Stark,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Cabarrus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Union,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Washington,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Francisco,Imperial Health Plan of California,Traditional Plus-SF (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,9,0,Completed,07/28/2017 16:14,HMO/HMOPOS
MS,Marion,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Escambia,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,271,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
GA,Muscogee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,137,2,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,56,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Oswego,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
SD,Miner,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
GA,Dooly,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
KS,Geary,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Willacy,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
IL,Will,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,86,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IL,Will,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
CA,Kings,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,52,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Crawford,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,9,0,Completed,07/24/2017 14:11,HMO/HMOPOS
IA,Delaware,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Citrus,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Riverside,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
SD,Minnehaha,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,63,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,54,0,Completed,07/18/2017 9:33,HMO/HMOPOS
ME,York,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,13,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,Tillamook,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
MI,Calhoun,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
NC,Granville,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
AL,Escambia,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Pickens,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,86,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Lyon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Chatham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Scott,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Raleigh,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Perry,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
OK,Osage,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
CA,Kings,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
CA,Orange,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,20,0,Completed,07/18/2017 9:33,Local PPO
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,1,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Madison,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Tippecanoe,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
ME,Oxford,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Onondaga,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
WI,Forest,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
WI,Juneau,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,74,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
NC,Montgomery,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
IL,McHenry,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
PA,Centre,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
OK,Tulsa,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MS,Stone,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,66,0,Completed,07/25/2017 10:12,Local PPO
KY,Metcalfe,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
OH,Hamilton,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
AL,Lee,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Harris,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
ID,Ada,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
PA,Berks,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
OH,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Patrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Warren,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Somervell,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lee,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Mahoning,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Perry,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WV,Gilmer,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
WI,Washington,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
GA,Baldwin,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Bulloch,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
WI,Iowa,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
WA,Snohomish,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
NY,Essex,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Schenectady,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,112,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Osceola,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
MO,Boone,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Clay,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
KS,Pawnee,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
FL,Hillsborough,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Florence,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Redwood,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Meade,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Winona,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MA,Hampden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Catano,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Washington,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Elmore,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Comal,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Wood,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Roanoke,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,101,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Lenawee,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
SD,Spink,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,Maury,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
PA,Lebanon,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Pinellas,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,29,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Tioga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
CA,San Diego,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,567,567,284,284,H8677,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
PA,Berks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Fremont,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Sarasota,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Mason,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
MO,Atchison,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
TX,Jasper,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Hampshire,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,13,0,Completed,06/21/2017 11:09,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
IL,Kankakee,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Morgan,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Marin,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,47,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
SC,Florence,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
UT,Salt Lake,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2486,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Maricopa,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,6,0,Completed,06/19/2017 17:18,HMO/HMOPOS
NJ,Somerset,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Henrico,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Summit,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,1,Completed,07/26/2017 16:51,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Durham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,East Feliciana,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
LA,Sabine,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
AL,Jefferson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Hale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Queens,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
WI,Sauk,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Clay,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Potter,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
TX,Bexar,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
WI,Columbia,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Maunabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Jackson,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
PA,York,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
UT,Weber,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H4605,1,0,Completed,07/26/2017 17:12,Local PPO
MN,Chisago,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Martin,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Santa Cruz,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,8,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,St. Clair,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
TX,Tyler,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
CO,Elbert,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
MI,Allegan,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,4,Completed,07/24/2017 10:22,Local PPO
TX,El Paso,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,4,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Clayton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Adams,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,DeBaca,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NY,Nassau,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Hickman,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
NC,Caldwell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
FL,St. Johns,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
NJ,Mercer,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
GA,Madison,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Oneida,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Pike,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Bayfield,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Knox,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hudson,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Somerset,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MN,Mille Lacs,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
KS,Brown,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
PA,Philadelphia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,37,0,Completed,07/24/2017 12:23,Local PPO
MN,Pennington,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Faulk,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,McCook,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Crawford,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Smith,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Lake,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Geauga,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
VA,Falls Church City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Essex,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Marion,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
MO,Clinton,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
VA,Colonial Heights City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Loudoun,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Flagler,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,16,0,Completed,07/24/2017 14:05,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
NY,Oswego,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,36,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Warren,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,13,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
CA,Solano,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
TN,Pickett,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Otero,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
GA,Bibb,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Gibson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Madison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Poinsett,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Shelby,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
TX,Wood,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,4,0,Completed,07/14/2017 12:55,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
PA,Elk,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
VA,Danville City,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,2,Completed,07/26/2017 16:51,HMO/HMOPOS
LA,Ascension,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,East Baton Rouge,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Wyoming,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
SC,Dorchester,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,84,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,McClain,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Carter,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Muskingum,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Wayne,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,12,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Clinton,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Bertie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Transylvania,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Knox,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MS,Tate,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
AZ,Coconino,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Acadia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Arlington,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Wright,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,48,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Warren,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,109,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
IA,Jones,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,East Feliciana,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TN,McNairy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Greene,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Nicollet,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sequatchie,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Mecosta,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MO,Jefferson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Burleson,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
TX,Potter,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Essex,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,Crawford,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
FL,St. Johns,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
AL,Elmore,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PA,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,San Lorenzo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WI,Fond du Lac,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Waukesha,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
OH,Hamilton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Bamberg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,Columbia,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Drew,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Sharp,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MI,Newaygo,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,15,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Chatham,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
MT,Flathead,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
IL,Sangamon,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
IA,Emmet,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
VA,Pittsylvania,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
VA,Hanover,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
PR,Juana Diaz,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Clinch,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
IL,Lake,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,59,0,Completed,07/25/2017 10:12,Local PPO
KY,Boyd,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
SD,Moody,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Armstrong,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OH,Gallia,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
GA,Warren,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IL,DuPage,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
IA,Emmet,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
AL,Marengo,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
PA,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Story,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Cleburne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,16,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KS,Graham,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
SD,Fall River,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Yuma,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,16,0,Completed,07/25/2017 11:49,HMO/HMOPOS
GA,Lumpkin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Genesee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MN,Scott,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Boise,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MO,Dade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Boulder,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,8,0,Completed,06/12/2017 11:28,1876 Cost
PR,Corozal,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Toombs,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
KY,Martin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OK,Pawnee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Adair,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Lincoln,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Vernon,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WI,Kenosha,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
IA,Kossuth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
PA,Juniata,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
NY,Yates,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
AL,Colbert,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Lebanon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Polk,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
GA,Chattahoochee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Wayne,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
MA,Hampden,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Pueblo,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Stewart,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Dickson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,2,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Weakley,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
WI,Oconto,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Madison,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
ME,Androscoggin,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NE,Douglas,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,King William,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Fayette,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
IN,Whitley,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
MO,Cedar,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Potter,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
VA,Clarke,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
AR,Newton,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
NY,Orange,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Nueces,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,105,0,Completed,07/12/2017 15:39,Local PPO
NY,New York,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
TX,Galveston,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
TX,San Jacinto,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Kings,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,72,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Hernando,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Tyler,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Scott,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Focus (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,19,0,Completed,07/25/2017 12:50,Local PPO
WI,Milwaukee,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MD,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
MO,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Morton,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Bennett,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
TX,Bexar,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
GA,Meriwether,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OR,Washington,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IN,Jasper,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
PA,Monroe,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Walker,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OK,Lincoln,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
TX,Medina,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
AR,Fulton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NY,Oneida,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,4,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Toa Baja,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
AL,Talladega,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
PA,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Addison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,San Jacinto,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Angelina,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KS,Wyandotte,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Will,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,106,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Union,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
HI,Kauai,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,7,0,Completed,07/20/2017 22:08,Local PPO
MI,Crawford,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
GA,Chattahoochee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Houston,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Gloucester,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Grainger,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Haywood,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Greene,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,62,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IN,Steuben,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Waushara,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
IN,Fountain,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
GA,Chatham,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
AR,Lonoke,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Little River,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Lunenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
SD,Fall River,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Meriwether,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Boone,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Fannin,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Orange,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,87,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,Mason,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
OH,Ross,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,5,0,Completed,07/26/2017 17:12,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PA,Northampton,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,4,Completed,06/29/2017 13:12,HMO/HMOPOS
CA,Orange,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,4,0,Completed,07/28/2017 18:46,HMO/HMOPOS
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Cass,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,3,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Fairfax City,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Arlington,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Bibb,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MO,Lawrence,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
OR,Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Dyer,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NC,Union,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NY,Queens,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,2,0,Completed,07/25/2017 10:44,HMO/HMOPOS
AL,Tuscaloosa,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
VA,Williamsburg City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,2,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Ascension,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OK,Pottawatomie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Highland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WI,Oconto,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Henry,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
OH,Mahoning,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
PA,Butler,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,17,0,Completed,07/25/2017 10:12,Local PPO
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
GA,Fulton,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
ME,Kennebec,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,13,0,Completed,07/06/2017 14:10,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
FL,Broward,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Kalamazoo,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,5,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,Clark,Humana Inc.,Humana Gold Plus SNP-DE H5619-076 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,76,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Pulaski,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Little River,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Wolfe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Mitchell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
ID,Jerome,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
MS,Jackson,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IA,Linn,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,2,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,100,0,Completed,07/27/2017 10:38,Local PPO
OR,Douglas,ATRIO Health Plans,ATRIO Bronze Rx (Umpqua) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,7,0,Completed,06/28/2017 15:06,Local PPO
IN,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Wallowa,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
GA,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Concho,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mills,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Clackamas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,29,0,Completed,07/24/2017 12:23,Local PPO
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Martin,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AL,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Washington,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,1,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Guadalupe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,6,Completed,07/17/2017 11:05,HMO/HMOPOS
VA,Amelia,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Middlesex,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,10,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Anoka,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Jefferson,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,13,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MI,Muskegon,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
WV,Lewis,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
PA,Carbon,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
GA,Dawson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Rhea,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Guadalupe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
TN,Robertson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Warren,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Henry,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
NE,Sarpy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,3,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Hubbard,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
WI,Milwaukee,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/26/2017 12:18,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,37,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,1,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Jefferson,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
ND,Wells,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
MS,Lamar,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Murray,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
IN,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,45,0,Completed,07/24/2017 10:45,HMO/HMOPOS
OH,Erie,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
FL,Flagler,Guidewell Mutual Holding Corporation,FHCP s Medvantage Savings Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,14,0,Completed,07/28/2017 10:27,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Preferred (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,135,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burleson,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NY,Orange,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KS,Harvey,Aetna Inc.,Coventry Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,17,0,Completed,07/12/2017 15:39,Local PPO
WV,Harrison,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,7,0,Completed,07/26/2017 16:54,HMO/HMOPOS
MI,Kent,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,5,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,Morgan,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,York,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,86,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Norfolk City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NH,Sullivan,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
NH,Merrimack,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Mercer,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MS,Covington,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Plaquemines,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Stanislaus,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,45,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Piscataquis,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NE,Burt,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Juniata,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Anderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KY,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,156,0,Completed,07/12/2017 15:39,Local PPO
TX,Kerr,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
SC,Spartanburg,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
TX,Jones,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
SD,Kingsbury,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
IN,Daviess,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KS,Franklin,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
NC,Randolph,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,17,0,Completed,07/25/2017 10:12,Local PPO
PA,Allegheny,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Walker,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
AL,Cherokee,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
NY,Schoharie,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
OH,Greene,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
FL,Polk,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,268,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Nottoway,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Boone,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Clinton,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Somerset,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Owen,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Saratoga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
NY,Fulton,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,20,0,Completed,07/24/2017 12:23,Local PPO
RI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Burnett,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
MN,Benton,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
AL,Cullman,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Ashtabula,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Hardin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
KY,Campbell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jackson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
NY,Orange,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Freeborn,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sevier,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Greene,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Coshocton,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
KY,Whitley,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,8,0,Completed,06/12/2017 11:28,1876 Cost
PR,Culebra,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Iron,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TN,Bradley,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Roane,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
FL,Escambia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
NY,Columbia,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Washington,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
SC,York,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,140,0,Completed,07/12/2017 15:39,Local PPO
GA,Newton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/07/2017 12:31,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
AR,Greene,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
TX,Tarrant,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
MN,Lac qui Parle,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
CO,Chaffee,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
AL,Etowah,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,49,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
WV,Hampshire,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
AL,Blount,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Warren,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Dallas,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
VA,Fairfax,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Erie,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
OH,Auglaize,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
UT,Tooele,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Cambria,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Henderson,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Blanco,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Arapahoe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,35,0,Completed,07/24/2017 12:23,Local PPO
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Santa Isabel,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
NC,Alamance,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,170,0,Completed,07/12/2017 15:39,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
KY,Grant,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Tioga,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Greene,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TX,Medina,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,Midland,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
SD,Roberts,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
AZ,Santa Cruz,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,34,0,Completed,07/25/2017 10:12,Local PPO
CO,El Paso,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,2,Completed,07/25/2017 10:12,Local PPO
OH,Portage,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,24,0,Completed,07/25/2017 10:12,Local PPO
WI,Door,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
IA,Muscatine,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Pinellas,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Santa Clara,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,7,0,Completed,07/27/2017 20:51,HMO/HMOPOS
NY,New York,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,07/25/2017 11:55,Medicare-Medicaid Plan HMO/HMOPOS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
ND,Stutsman,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Orleans,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Cameron,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Huerfano,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
AL,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
GA,Clayton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sequatchie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Georgetown,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,DeKalb,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Crawford,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,4,0,Completed,07/24/2017 14:11,HMO/HMOPOS
GA,Putnam,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ND,Pierce,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clay,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
PA,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NH,Strafford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Rio Grande,"Friday Health Plans, Inc.",Friday Health Plans Platinum SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,7,0,Completed,07/28/2017 17:35,1876 Cost
FL,Miami-Dade,"UnitedHealth Group, Inc.",Preferred Special Care Miami-Dade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Polk,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TX,Burleson,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
AR,Prairie,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,El Paso,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
NY,Niagara,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
GA,Fayette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Gem,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
NM,Mora,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
MO,Newton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fayette,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Robertson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TX,Hidalgo,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Traverse,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Waseca,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MO,Clay,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
PA,Butler,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
KY,Montgomery,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
MD,Frederick,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,129,0,Completed,07/25/2017 10:12,Local PPO
WV,Cabell,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
NC,Swain,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
IA,Johnson,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
SC,Orangeburg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Washington,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Webster,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Tazewell,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,17,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OK,Oklahoma,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Osceola,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
OK,Beckham,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Cherokee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
GA,Dade,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Conejos,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,5,0,Completed,07/28/2017 17:35,1876 Cost
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
HI,Maui,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,8,0,Completed,07/20/2017 22:08,Local PPO
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PA,Montour,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Crittenden,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
NM,Santa Fe,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,2,0,Completed,06/14/2017 16:42,Local PPO
PA,Armstrong,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MT,Liberty,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
PA,Mercer,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
UT,Tooele,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
NC,Rutherford,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Clark,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
MA,Norfolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,9,0,Completed,07/06/2017 14:10,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wilson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IN,Allen,Aetna Inc.,Aetna Medicare Premium Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,190,0,Completed,07/12/2017 15:39,Local PPO
GA,Rockdale,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Brown,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
TX,Ector,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
KS,Bourbon,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Crawford,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
VA,Petersburg City,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
GA,Treutlen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Onondaga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Kings,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
FL,Lake,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Jackson,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
DE,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,12,0,Completed,07/24/2017 12:23,Local PPO
ND,Hettinger,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
PA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
AL,Colbert,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,St. Johns,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
KS,Douglas,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Clayton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
MS,Smith,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Johnson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,7,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,65,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Webster,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
VA,Norfolk City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
OK,Canadian,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TN,DeKalb,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hardin,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,1,0,Completed,07/28/2017 11:13,Local PPO
ID,Washington,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
VA,Cumberland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Yamhill,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
VA,Hanover,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Franklin,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,White,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Crawford,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OH,Champaign,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
TX,Kendall,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
MI,Marquette,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MN,Sibley,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
CA,Los Angeles,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Missaukee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
VA,Mathews,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
CO,Arapahoe,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
MO,Christian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,138,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
ME,Kennebec,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Wood,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Champaign,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Cocke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Hanson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Grant,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
TX,El Paso,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
AL,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pope,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
PR,Isabela,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
MT,Lewis and Clark,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
MT,Lewis and Clark,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),N,N,N,N,N,,,,,,,H5826,10,0,Completed,06/29/2017 11:10,HMO/HMOPOS
NY,Richmond,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
PA,Union,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
GA,Brooks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Marshall,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Okfuskee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Los Angeles,Local Initiative Health Authority for LA County,L.A Care Cal MediConnect Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8258,1,0,Completed,07/27/2017 16:58,Medicare-Medicaid Plan HMO/HMOPOS
OR,Clackamas,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
MN,Le Sueur,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
AR,Conway,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Harlan,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Kleberg,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Montgomery,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
PA,Lebanon,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MO,Stone,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Cherokee,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IL,Scott,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
NC,Catawba,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Yabucoa,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Chenango,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
OH,Clermont,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
NJ,Burlington,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Monroe,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Broward,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
CA,San Diego,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,65,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Maries,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Edwards,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
SC,Charleston,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NH,Rockingham,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,13,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NJ,Morris,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,32,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Mercer,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MN,Murray,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Champaign,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
WI,Waupaca,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
FL,Lafayette,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
SD,Sanborn,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
AR,Polk,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TX,Panola,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
GA,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Warren,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Iowa,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Vernon,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PR,Las Piedras,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,4,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
FL,Broward,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,13,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Collin,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IN,Adams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
OR,Coos,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,8,0,Completed,06/15/2017 15:55,Local PPO
OR,Lane,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,8,0,Completed,06/15/2017 15:55,Local PPO
PA,Warren,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
SC,Florence,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Culpeper,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Hanover,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
ME,Penobscot,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Fairfield,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Plymouth,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,14,0,Completed,07/06/2017 14:10,HMO/HMOPOS
MN,Waseca,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
NY,Queens,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,6,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Macon,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Piedras,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Madison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Washington,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
OH,Defiance,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
SC,Chester,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
ID,Bonner,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply Level (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H5471,42,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),N,N,N,N,N,,,,,,,H5826,6,0,Completed,06/29/2017 11:10,HMO/HMOPOS
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NH,Hillsborough,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Saluda,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
LA,St. Martin,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
FL,Hernando,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,2,0,Completed,07/17/2017 9:31,HMO/HMOPOS
NC,Catawba,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Boyle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day In Control Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,26,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MA,Middlesex,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,3,0,Completed,06/14/2017 16:42,HMO/HMOPOS
ID,Elmore,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,44,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MS,DeSoto,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Nassau,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,237,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SD,Union,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Montgomery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Clearfield,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
WV,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
VA,King and Queen,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NY,Putnam,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,99,0,Completed,07/27/2017 10:38,Local PPO
ME,Aroostook,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Hernando,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,119,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Adams,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,16,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IN,Tippecanoe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Douglas,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
WV,Greenbrier,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IN,Allen,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
GA,Wilkes,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MO,Dade,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
KY,Allen,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
FL,Osceola,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
FL,Martin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Berrien,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Newport News City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
UT,Washington,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,196,0,Completed,07/12/2017 15:39,Local PPO
GA,Laurens,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,White,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
MN,Cottonwood,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NC,Avery,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
OK,Canadian,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
TX,Tyler,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KS,Shawnee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MI,Berrien,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
IA,Benton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Wayne,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
FL,Nassau,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
OH,Ashland,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
IA,Carroll,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
FL,Hernando,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
FL,Hillsborough,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MI,Macomb,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7844,1,0,Completed,06/07/2017 11:58,Medicare-Medicaid Plan HMO/HMOPOS
GA,Calhoun,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
MO,Mercer,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
FL,Duval,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Cameron,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Blount,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WA,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Pickett,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
PA,Union,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Pipestone,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Carson City,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,6,0,Completed,06/27/2017 19:00,Local PPO
ND,Cavalier,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
AL,Mobile,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Grant,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Tarrant,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OH,Delaware,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Nicollet,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Isanti,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
AR,Cleburne,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TN,Benton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Clay,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Pickaway,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Uintah,Aetna Inc.,Altius Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OK,Logan,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Ozark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Putnam,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Blount,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
MO,Osage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Fairfax,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
SC,Calhoun,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,Drew,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Charlottesville City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Polk,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,3,Completed,07/06/2017 14:24,Local PPO
OR,Marion,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Nassau,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Centre,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Montour,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Northampton,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
SC,Dorchester,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Highland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NC,Alexander,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Rockcastle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Dewey,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,San Juan,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Henry,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
SC,Saluda,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
TN,Pickett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Ulster,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,99,0,Completed,07/27/2017 10:38,Local PPO
NC,Gaston,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Copiah,Humana Inc.,Humana Gold Plus H1036-274 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,274,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Rankin,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Clinton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wabasha,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lincoln,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Oconee,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,St. Clair,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
MS,Warren,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Hubbard,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
IN,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
CA,Amador,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,140,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Grant,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
VA,Montgomery,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
MO,Newton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Jefferson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Hanover,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
IN,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NC,Pitt,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Naguabo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Putnam,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
PA,Tioga,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
KY,Fayette,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,156,0,Completed,07/12/2017 15:39,Local PPO
TX,Hardin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
CA,Orange,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,56,0,Completed,07/12/2017 15:39,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Martin,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
ME,Cumberland,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
WI,Kewaunee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Lee,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Preble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Crawford,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
KS,Wyandotte,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,27,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Webster,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
MO,Dent,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Rensselaer,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
WI,Brown,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Waukesha,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,1,Completed,07/24/2017 7:36,HMO/HMOPOS
ND,Billings,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Miner,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,McPherson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Barrow,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
GA,Laurens,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
GA,Clayton,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Talbot,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Montgomery,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Lucas,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,176,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Pottawatomie,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
SC,Richland,Humana Inc.,Humana Gold Plus H5619-081 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Floyd,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Covington City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Henrico,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KY,Robertson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Alexander,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Bridges Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,29,0,Completed,07/17/2017 20:44,HMO/HMOPOS
OR,Multnomah,PacificSource Health Plans,PacificSource Medicare MyCare Rx 31 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,31,1,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Allegany,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NY,Oswego,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
FL,Manatee,Humana Inc.,Humana Gold Plus H1036-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,74,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Cumberland,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
MO,Audrain,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
TX,Callahan,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Pipestone,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
PR,Orocovis,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Cedar,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KY,Kenton,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
OH,Marion,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
VA,Henry,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,83,0,Completed,07/12/2017 15:39,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Bleckley,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
PA,York,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
WI,Menominee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
OR,Linn,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,9,0,Completed,07/31/2017 19:26,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
WI,Walworth,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Custer,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Cedar,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OK,Creek,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
VA,Radford City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
KY,Hardin,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Allegheny,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,Greene,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
ME,York,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Harford,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
VA,Halifax,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NC,Davie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Wagoner,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NM,Bernalillo,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5746,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
ME,Aroostook,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
WI,Waukesha,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
OH,Trumbull,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,7,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,2,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Barbour,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Rogers,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
AZ,Mohave,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Alachua,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,68,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
WI,Shawano,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
AL,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Johnson,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Hart,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NJ,Atlantic,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
FL,Collier,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
MS,George,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,66,0,Completed,07/25/2017 10:12,Local PPO
MO,Audrain,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IL,Monroe,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
GA,Taylor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Cabo Rojo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Victoria,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Fairfield,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
TX,Travis,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,103,0,Completed,07/12/2017 15:39,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Washtenaw,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,149,0,Completed,07/12/2017 15:39,Local PPO
PA,Schuylkill,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
VA,Loudoun,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
VA,Spotsylvania,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Pulaski,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
IN,Clinton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
IN,Steuben,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Mower,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OK,Pottawatomie,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Grant,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Warren,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Midland,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Fort Bend,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
WV,Nicholas,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
IA,Cerro Gordo,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
FL,Brevard,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WV,Braxton,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Clark,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
WI,Marquette,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,39,0,Completed,07/24/2017 12:23,Local PPO
MN,Sherburne,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,DeKalb,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Galveston,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Yolo,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Meigs,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Bedford,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Cedar,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
AL,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Marion,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Clinton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,2,Completed,07/17/2017 11:05,HMO/HMOPOS
CT,New London,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High DC (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2172,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WV,Brooke,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
CO,Otero,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IL,Kane,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Bexar,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,3,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Macon,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Scioto,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OR,Clackamas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MN,Isanti,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MD,Wicomico,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
GA,Greene,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Fairfax,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Wilson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,42,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,1,Completed,07/17/2017 11:05,HMO/HMOPOS
OH,Hamilton,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,King and Queen,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Brevard,"Health First, Inc.",Health First Value Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,6,0,Completed,07/24/2017 14:05,HMO/HMOPOS
WI,Racine,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Barrow,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Van Buren,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
AR,Johnson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Harrison,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
FL,Miami-Dade,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MI,Emmet,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
OH,Brown,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
NM,Socorro,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,York,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Hickman,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Weakley,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
GA,Butts,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Chatham,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Juniata,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
SC,Chester,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
VA,Emporia City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Park,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MA,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Houston,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Talbot,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
FL,Lee,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Allegany,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Madison,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Champaign,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Loudon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,DeKalb,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Riverside,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,71,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IA,Washington,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Stanislaus,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,6,0,Completed,07/27/2017 20:51,HMO/HMOPOS
MO,Clinton,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
ID,Ada,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,31,0,Completed,07/24/2017 12:23,Local PPO
SD,Miner,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Wright,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
AL,Winston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Josephine,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Hennepin,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Marshall,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Livingston,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Kanawha,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,Pike,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
AR,Jackson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
TN,Stewart,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Marion,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,McMinn,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
PA,Tioga,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
CA,Orange,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,7,0,Completed,06/26/2017 14:13,HMO/HMOPOS
TX,Brooks,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,2,0,Completed,06/22/2017 17:15,HMO/HMOPOS
WI,Columbia,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
IL,Cook,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Blackford,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
SC,Orangeburg,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
OH,Guernsey,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Butts,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,41,0,Completed,06/26/2017 13:34,Local PPO
TX,Fort Bend,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Crawford,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,2,0,Completed,06/12/2017 11:28,1876 Cost
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
OK,Oklahoma,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Ulster,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Tillamook,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,184,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Moultrie,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Lewis,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,35,0,Completed,07/12/2017 15:39,Local PPO
KS,Jackson,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
NH,Strafford,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Wise,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
WV,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
VA,Portsmouth City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,1,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Caswell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Hampshire,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Kershaw,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
NY,Sullivan,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
CA,San Francisco,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,2,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
AL,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
PA,Clinton,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Nueces,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Starke,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OK,Mayes,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
VA,Hampton City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MI,Luce,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
IN,Huntington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NC,Wilson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Salinas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Loving,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Sumter,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Albany,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,112,0,Completed,07/12/2017 15:39,Local PPO
NY,Monroe,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
NY,Putnam,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,110,0,Completed,07/12/2017 15:39,Local PPO
NC,Harnett,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,169,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Wayne,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
KY,Clinton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
MI,Kalamazoo,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
WV,Wirt,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
AL,Cullman,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
IL,Calhoun,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Hampshire,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Marion,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
PA,Allegheny,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Chittenden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NY,Tioga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Excela Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,49,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
HI,Hawaii,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,Y,N,Y,N,,,455,455,228,228,H3832,11,0,Completed,07/20/2017 22:08,Local PPO
CA,San Diego,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,Garza,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NY,Queens,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Mahoning,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
OK,Muskogee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NE,Douglas,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,38,0,Completed,07/12/2017 15:39,Local PPO
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
TX,Bexar,"Clover Health Holdings, Inc.",Clover Health TX Green (PPO),Y,N,N,Y,N,,,0,455,0,228,H5141,25,0,Completed,07/25/2017 8:01,Local PPO
HI,Hawaii,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Hawaii Island (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
LA,Vermilion,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Whitley,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lucas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Lawrence,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Washington,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Spartanburg,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
AL,Choctaw,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NY,Hamilton,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
NY,Oswego,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
NY,Schoharie,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
ME,Waldo,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NC,Iredell,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
MN,Houston,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Harding,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TN,Sumner,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Brown,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Murray,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
TN,Grundy,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Walton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,15,0,Completed,06/26/2017 13:34,HMO/HMOPOS
OK,Seminole,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
NY,Putnam,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
MO,Cape Girardeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Oneida,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
MI,Midland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
IN,Montgomery,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
WV,Hardy,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Fulton,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Beaver,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Waller,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
PA,Dauphin,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Bedford,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Ross,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PA,Wyoming,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,2,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NC,Davidson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Smith,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
PA,Lehigh,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
NY,Fulton,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
PR,Caguas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Ceiba,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
MI,Hillsdale,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Mecosta,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Gaston,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
OK,McClain,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Lee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,Douglas,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
MI,Hillsdale,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
AR,Yell,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NE,Douglas,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Anson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
MO,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Saratoga,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
PA,McKean,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
ME,Kennebec,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,143,0,Completed,07/12/2017 15:39,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
KY,Clark,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
NM,Colfax,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
NM,Curry,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MO,Laclede,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,Saline,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
KY,Shelby,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
WV,Hardy,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WI,Waukesha,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
NC,Buncombe,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
MS,Neshoba,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Adams,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
GA,Chatham,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OR,Multnomah,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
NC,Person,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
TN,Grundy,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
MO,Benton,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Colorado,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Marion,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TN,Scott,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
IA,Iowa,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
PA,Lackawanna,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,84,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Redwood,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Cherokee,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Clark,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Nacogdoches,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Calumet,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Fremont,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
WA,Thurston,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
PR,Arroyo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
IL,Tazewell,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
NM,McKinley,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Fannin,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Lake of the Woods,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Pope,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Philadelphia,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,5,0,Completed,07/25/2017 10:12,Local PPO
MI,Wayne,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Sagadahoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
PA,Forest,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PR,Quebradillas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
UT,Salt Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,2,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Cameron,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,5,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Suffolk City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fayette,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Anderson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
MN,Stearns,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
SC,Jasper,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Montgomery,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
GA,Fayette,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Harris,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,El Paso,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MT,Lake,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Lafourche,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Ascension,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Clarion,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
VA,Smyth,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Madison,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Wilkes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Norfolk,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
PA,Armstrong,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Dauphin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3822,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Erie,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Monroe,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
IA,Buchanan,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,3,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Walton,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,245,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,New Kent,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Jackson,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IL,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OK,Canadian,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Harvey,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Henry,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
OH,Fairfield,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
TX,Camp,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
IA,Hardin,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
SC,Aiken,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Newberry,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Cooper,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Lawrence,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Buchanan,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KY,Magoffin,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
MA,Hampden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Anasco,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Toa Alta,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
AZ,Pinal,Humana Inc.,Humana Gold Plus H2649-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MI,Osceola,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Dickson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
FL,Osceola,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,New Kent,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
ME,Knox,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,7,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NV,Nye,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
SC,Richland,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,N,Y,Y,N,,,25,455,0,228,H7165,2,0,Completed,07/31/2017 13:54,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
SC,Charleston,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,75,0,Completed,07/25/2017 10:12,Local PPO
FL,Seminole,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
WI,Buffalo,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,St. Louis,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
NJ,Passaic,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AL,Shelby,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Cherokee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,3,Completed,07/24/2017 7:36,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
WV,Logan,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,Pima,Humana Inc.,Humana Gold Plus H2649-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,31,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Fremont,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Dallas,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,7,0,Completed,06/21/2017 11:09,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Franklin,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,5,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Huntingdon,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Gasconade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Jefferson,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Porter,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Rio Arriba,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,1,0,Completed,07/14/2017 12:55,HMO/HMOPOS
OK,Wagoner,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Adair,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PR,Mayaguez,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Polk,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Scott,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
OH,Sandusky,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,12,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Hempstead,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Morgan,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Clarke,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,Chowan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Boone,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Tarrant,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8786,1,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
LA,Caddo,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Floyd,Humana Inc.,Humana Gold Plus SNP-DE H5619-076 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,76,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Madison,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Conway,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Kalamazoo,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
TX,Willacy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Grant,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Pamlico,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Kingfisher,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IA,Jefferson,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Woodbury,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Lucie,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,229,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
KS,Leavenworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Clay,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Nassau,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,132,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Grant,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Menard,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
AL,Madison,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Allen,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
VA,New Kent,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Nelson,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Gladwin,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
NY,Erie,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
PA,Lebanon,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Webster,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Smith,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Dual Coverage (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,24,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MA,Middlesex,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Benton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
VA,Roanoke City,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
NM,Los Alamos,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
TX,Kendall,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OK,Hughes,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Gallatin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WA,Cowlitz,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
KS,Crawford,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
GA,Coweta,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
VT,Chittenden,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Vieques,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
CT,New Haven,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
NY,Bronx,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,121,0,Completed,07/12/2017 15:39,Local PPO
GA,Columbia,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Schenectady,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Brown,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Kimble,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AR,Scott,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Westmoreland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Citrus,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
SD,Jones,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Fayette,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bledsoe,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Monroe,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Macon,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Nassau,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Washington,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Ellis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
NY,New York,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Lycoming,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
ME,Waldo,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Grafton,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
KY,Bracken,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Wolfe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,McDowell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Nicholas,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
SC,Greenville,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
OK,Garvin,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Craig,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
SC,Chester,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
MS,Rankin,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Plaquemines,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Bonner,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,N,,,429,429,215,215,H1304,2,0,Completed,07/26/2017 17:12,Local PPO
NY,Allegany,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
NC,Lincoln,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
NC,Randolph,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
OH,Seneca,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
TX,San Jacinto,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MS,Pearl River,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,66,0,Completed,07/25/2017 10:12,Local PPO
AR,Faulkner,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
WA,Walla Walla,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
OH,Fulton,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
OH,Lawrence,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
KY,Henry,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
FL,Hillsborough,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Nassau,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Northumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MN,Lake of the Woods,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Webster,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Crisp,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
IL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
SD,Tripp,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pennington,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pennington,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Wood,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Pittsylvania,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
WV,Fayette,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,23,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,2,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Nowata,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Spokane,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Columbia (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,19,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Liberty,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
IA,Henry,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Pottawattamie,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Iberville,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Orange,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
IN,Howard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Hancock,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
FL,Hillsborough,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IL,Kane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Allegany,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
WI,Polk,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Rains,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NC,Durham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
NE,Lancaster,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Raleigh,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
IA,Buena Vista,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Van Buren,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
OH,Harrison,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
GA,Forsyth,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
NJ,Middlesex,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
GA,Jasper,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Dooly,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
FL,Marion,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,14,0,Completed,07/12/2017 15:39,Local PPO
PA,Blair,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Sarasota,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Suffolk,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
MI,Menominee,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MO,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
SD,Jerauld,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Lincoln,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
MI,Mackinac,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
SD,Dewey,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
NJ,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Marion,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Erie,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Benton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
AR,Yell,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,6,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Craig,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Bingham,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,21,0,Completed,06/15/2017 15:55,HMO/HMOPOS
KY,Bullitt,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
IA,Winnebago,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
NY,Warren,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
VA,Fredericksburg City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
PA,Columbia,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Suffolk,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Luquillo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AL,Walker,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,171,0,Completed,07/12/2017 15:39,Local PPO
FL,Clay,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Cumberland,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
KY,Pike,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
FL,Dixie,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
IN,Kosciusko,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
KS,Atchison,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Lyon,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Emanuel,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,58,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IA,Appanoose,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,San Lorenzo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
KS,Jewell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Crenshaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
MN,Douglas,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hennepin,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
GA,Henry,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Antrim,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IA,Ida,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
NM,Bernalillo,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,Leelanau,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
TX,Montgomery,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,1,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Shawano,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
PA,Butler,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
WI,Winnebago,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Liberty,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Davis,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,62,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Isle of Wight,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
PR,Toa Baja,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,5,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
LA,St. Helena,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Elk,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
NH,Carroll,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Lee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Franklin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Monroe,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Pushmataha,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Wagoner,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
GA,Coweta,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
TN,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Canyon,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,8,0,Completed,07/26/2017 17:12,Local PPO
ID,Gem,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,8,0,Completed,07/26/2017 17:12,Local PPO
NC,Forsyth,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Union,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NM,Sandoval,Humana Inc.,Humana Gold Plus H2649-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Rhea,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Greene,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Chester,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,33,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
TN,Dickson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Oconee,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
IL,White,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
NY,Nassau,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Hoke,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TN,White,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Grainger,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
PA,Chester,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Fairfax,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OR,Douglas,ATRIO Health Plans,ATRIO Special Needs Plan (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3814,7,0,Completed,06/28/2017 15:06,HMO/HMOPOS
VA,Albemarle,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
AZ,Pinal,"Veritage, LLC",Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,1,0,Completed,06/19/2017 17:18,HMO/HMOPOS
ME,Franklin,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ME,Kennebec,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,7,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Christian,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
OR,Lake,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
FL,Dade,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,174,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Franklin,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
VA,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Tangipahoa,Humana Inc.,Humana Gold Plus H1951-024 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,24,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Crawford,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Juniata,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
WA,Clark,Humana Inc.,Humana Gold Plus H5619-056 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Fulton,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Terrebonne,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Nicholas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
SD,Todd,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
NH,Coos,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
OR,Clackamas,FamilyCare Incorporated,FamilyCare Community (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H3818,2,0,Completed,06/14/2017 13:43,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Bullitt,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Juncos,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Lafayette,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Jefferson,Humana Inc.,Humana Gold Plus H2649-055 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
OR,Josephine,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,15,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WI,Fond du Lac,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
OK,Craig,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Macomb,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
MI,St. Clair,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
OH,Montgomery,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
PA,Snyder,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
NM,Roosevelt,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Blair,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,2,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Buncombe,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,10,0,Completed,07/31/2017 15:04,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Douglas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Monroe,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Dyer,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
AL,Franklin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Queens,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,1,Completed,07/24/2017 7:36,HMO/HMOPOS
FL,Volusia,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MD,Baltimore City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
WI,Barron,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sherburne,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Dodge,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Warren,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Peoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
IA,Cedar,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
WI,Brown,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Jessamine,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Ritchie,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Josephine,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,3,0,Completed,06/30/2017 19:02,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Blair,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
OK,Delaware,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Delta,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
TX,Cameron,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Randolph,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,Johnson,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Richmond,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MI,Allegan,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,1,Completed,07/24/2017 10:22,Local PPO
MI,Hillsdale,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
TN,Hamilton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hawkins,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Madison,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,7,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Isle of Wight,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bledsoe,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Clay,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,54,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Washington,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Hampden,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
OH,Seneca,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
NC,Rowan,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
IN,Hancock,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
VA,York,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
MN,Cottonwood,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Madison,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WI,Oconto,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
GA,Turner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Norfolk City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
GA,Jones,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Crook,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,38,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MO,Perry,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Yauco,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
WV,Putnam,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,13,0,Completed,07/05/2017 14:27,Local PPO
MO,Stoddard,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Taylor,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MN,Dodge,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Heard,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
CO,Yuma,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
FL,Pasco,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Collier,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Fairfield,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
TX,Harrison,Humana Inc.,Humana Gold Plus H2649-055 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Grundy,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Saratoga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
KY,Carter,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Chowan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Bladen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Wyoming,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Dorchester,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,3,0,Completed,07/31/2017 13:54,Local PPO
AR,Crawford,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Genesee,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
CA,Riverside,InterValley Health Plan,Inter Valley Health Plan Desert Preferred Choice (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,12,0,Completed,06/26/2017 11:39,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Fairfield,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
NY,Tioga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
VA,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Spalding,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Ingham,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NM,Colfax,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PA,Lackawanna,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
OK,Kingfisher,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OH,Huron,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,St. Clair,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
WV,Grant,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
PR,Quebradillas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Arthur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Dimmit,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Montgomery,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
WV,Raleigh,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Warren,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
TN,Cumberland,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
NY,Westchester,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
WI,Manitowoc,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Kandiyohi,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IN,Howard,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
OH,Richland,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
VA,Fredericksburg City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
SC,Clarendon,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Jones,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Greene,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
PR,Culebra,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MN,Cass,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Racine,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Carter,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Miami,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,De Witt,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WV,Tucker,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MO,Pemiscot,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
PA,Wyoming,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
KS,Crawford,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
IL,Jo Daviess,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,9,0,Completed,06/12/2017 11:28,1876 Cost
NY,Broome,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Tompkins,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Irwin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NV,Washoe,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,2,0,Completed,06/22/2017 17:15,HMO/HMOPOS
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/07/2017 12:31,HMO/HMOPOS
OH,Pickaway,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Metcalfe,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
SC,Greenville,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
OR,Deschutes,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
MO,Benton,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
PA,Susquehanna,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Frio,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TN,Campbell,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
GA,Haralson,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
GA,Marion,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
PA,Somerset,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Lee,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
TX,Marion,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
OH,Clermont,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Benton,Providence Health & Services,Providence Medicare Enrich + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,45,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Marinette,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SC,Anderson,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NM,Dona Ana,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,42,0,Completed,07/24/2017 12:23,Local PPO
SD,Jones,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
LA,Livingston,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,DeKalb,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Linn,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
MN,Kittson,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
GA,Gwinnett,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
OH,Trumbull,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,1,0,Completed,06/12/2017 11:28,1876 Cost
PR,Maricao,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
TX,Caldwell,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,103,0,Completed,07/12/2017 15:39,Local PPO
GA,Pike,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,Washington,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Stark,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Allen,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
FL,Miami-Dade,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,65,0,Completed,07/25/2017 10:12,Local PPO
KY,Bourbon,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
NM,Rio Arriba,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
NC,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SC,Allendale,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,2,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,Rockdale,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
IL,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Sargent,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
ND,Pierce,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Stephens,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
DC,District of Columbia,"Medstar Health, Inc.",MedStar Medicare Choice Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,511,511,256,256,H9915,6,0,Completed,07/11/2017 8:53,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Des Moines,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
MS,Pike,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Pima,Anthem Inc.,CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,3,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chippewa,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Waseca,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Aiken,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PA,Lebanon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,4,0,Completed,06/12/2017 11:28,1876 Cost
NY,Rensselaer,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Gwinnett,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Reagan,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Washington,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
AL,DeKalb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Brevard,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,McLean,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Oceana,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
MN,Koochiching,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MO,Howell,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,James City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Houston,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
AR,Johnson,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Van Buren,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,50,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Charles City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Danville City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
VA,Radford City,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Portage,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cumberland,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Scott,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Rowan,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Berks,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
KS,Johnson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,39,0,Completed,07/24/2017 12:23,Local PPO
SD,Hand,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
FL,Liberty,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,11,0,Completed,06/26/2017 13:34,HMO/HMOPOS
TX,Midland,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
VA,Henrico,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
OH,Cuyahoga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Marion,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Etowah,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
MS,Covington,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Tipton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Scioto,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Huntingdon,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Lycoming,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Brevard,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
TX,Dallas,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,1,0,Completed,07/16/2017 17:10,Local PPO
NY,Fulton,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
IA,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Catawba,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,16,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,9,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
WV,Fayette,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,13,0,Completed,07/05/2017 14:27,Local PPO
MO,Clark,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MN,Big Stone,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
WV,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
VA,Nottoway,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Hamilton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Gilmer,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MS,DeSoto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
NE,Lancaster,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Suffolk City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Walker,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TN,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
VA,Bedford,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
PA,Columbia,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Henderson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
LA,Iberville,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
MA,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Dade,Anthem Inc.,HealthSun SunPlus Advantage Plan (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,1,0,Completed,07/14/2017 16:29,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Franklin,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,Franklin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Summers,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Cottonwood,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clay,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sevier,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Clarke,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
PR,San German,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
FL,Pasco,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Mecklenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
OH,Delaware,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Wheeler,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Dodge,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
ME,Kennebec,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Ramsey,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MI,Kent,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
KY,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Washington,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MS,Marion,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
SD,Minnehaha,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Rapides,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Guernsey,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Bartholomew,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kenosha,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
FL,Flagler,Guidewell Mutual Holding Corporation,FHCP s  Medvantage Rx Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,6,0,Completed,07/28/2017 10:27,HMO/HMOPOS
PA,Chester,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,42,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Harrison,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
MN,Redwood,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Wood,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
MN,Lac qui Parle,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Dimmit,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Atascosa,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
IA,Clayton,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Philadelphia,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MS,Madison,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MN,Nobles,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
FL,Pinellas,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WV,Monongalia,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
OH,Miami,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Montgomery,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Middlesex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Van Buren,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,McMinn,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
WI,Waukesha,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MT,Madison,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
GA,Crawford,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Poinsett,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Falls Church City,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San German,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Collin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,1,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Wayne,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
SD,Lincoln,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,4,0,Completed,07/12/2017 15:39,Local PPO
WV,Ohio,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Newton,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
MI,Oakland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,149,0,Completed,07/12/2017 15:39,Local PPO
GA,Baker,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
TX,Lee,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/07/2017 12:31,HMO/HMOPOS
FL,Charlotte,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
ID,Boise,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
NC,Davidson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
WV,Ohio,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
VA,Salem City,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
KY,Union,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
NM,Santa Fe,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
PA,Lycoming,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
KY,Livingston,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Phelps,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
TX,Kendall,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Armstrong,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
OH,Carroll,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
OH,Lake,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,24,0,Completed,07/25/2017 10:12,Local PPO
PA,Westmoreland,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NE,Lancaster,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3170,2,0,Completed,07/27/2017 14:27,HMO/HMOPOS
AR,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Coweta,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Crawford,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Stoddard,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Woodson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
MO,Howell,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Iowa,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Marshall,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Thurston,The Carle Foundation,Health Alliance NW Pioneer HMO (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,9,0,Completed,07/26/2017 12:58,HMO/HMOPOS
MT,Missoula,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
SC,Florence,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
OR,Josephine,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,13,0,Completed,07/06/2017 14:24,Local PPO
OR,Curry,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
VA,Hopewell City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Ottawa,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,Lawrence,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Zavala,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
SD,Hamlin,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
WI,Columbia,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
VA,Henrico,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
IN,Perry,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
AZ,Pima,"WellCare Health Plans, Inc.",Care1st+ (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5430,1,0,Completed,07/27/2017 15:24,HMO/HMOPOS
SC,Pickens,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
NC,Gaston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Crook,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
AL,Houston,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TX,Tarrant,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Schley,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Wilkinson,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
PA,McKean,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
AL,Jefferson,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Bucks,"Health Partners Plans, Inc.",Health Partners Medicare Basic (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,1,0,Completed,07/10/2017 11:38,HMO/HMOPOS
NJ,Middlesex,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,12,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AL,Geneva,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Cleburne,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
MN,Wilkin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Rabun,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Baldwin,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
PR,Florida,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Fairfield,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Greene,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Delaware,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
MD,Howard,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
TX,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Harrison,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Waller,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
VA,Richmond City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Saratoga,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
KY,Floyd,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Knott,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
TX,Eastland,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KY,Edmonson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
ND,Stutsman,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
MN,Rice,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
OH,Clark,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
AL,Chambers,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
WV,Gilmer,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OH,Trumbull,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
CO,Boulder,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
MD,Talbot,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
IN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
DE,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
NE,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Goliad,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Elk,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Coweta,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Rockdale,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TX,La Salle,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Broward,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Juniata,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Greene,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,St. Charles,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Taney,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Richmond,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Seminole,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Martin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sherburne,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Pierce,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
TX,Upshur,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Brown,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Henrico,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
WV,Lincoln,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KY,Anderson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Lucas,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Tioga,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
MN,Hennepin,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
DE,Kent,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Highland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MT,Missoula,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
OH,Sandusky,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
FL,Palm Beach,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
TX,Williamson,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Marion,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TN,Claiborne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,33,0,Completed,07/24/2017 12:23,Local PPO
IN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
ND,Benson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
SD,Haakon,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
FL,Okaloosa,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Lake,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
TX,Atascosa,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Marion,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Roane,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Randolph,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
FL,Volusia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
NY,Orange,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
TX,Reeves,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Greensville,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Pecos,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Poquoson City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
PA,Cambria,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Marion,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WA,Walla Walla,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
OH,Clinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Carroll,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
FL,Glades,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,249,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Martin,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,152,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Northampton,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,East Baton Rouge,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Mason,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Limestone,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Suffolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Albany,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
ID,Ada,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,32,0,Completed,07/24/2017 12:23,Local PPO
MN,Mower,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
LA,Bienville,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Whiteside,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
NY,Madison,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Lauderdale,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Catron,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Tioga,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Giles,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Haywood,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Lake,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
AR,Van Buren,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,57,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Stewart,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WA,Adams,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
MO,Saline,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
OK,Pittsburg,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
OK,Tulsa,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Franklin,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Scott,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Aransas,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Yuma,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,8,0,Completed,07/25/2017 11:49,HMO/HMOPOS
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,11,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NC,Madison,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
AR,Scott,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
FL,Pasco,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
TN,DeKalb,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
NJ,Hunterdon,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Polk,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
MO,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MO,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MO,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Collier,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
KY,Harlan,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
ME,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,Bucks,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Grant,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Gwinnett,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
MO,Livingston,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
MO,Dade,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Dallas,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
TN,Maury,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Ulster,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,2,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TX,Llano,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Goochland,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
IL,Lake,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
MN,Faribault,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
SC,Williamsburg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,54,0,Completed,06/26/2017 13:34,Local PPO
UT,Utah,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CO,Weld,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Sevier,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
MS,Covington,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,St. Louis City,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,174,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Portsmouth City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Queens,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,1,0,Completed,07/25/2017 10:44,HMO/HMOPOS
SC,Anderson,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,86,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Warren,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
KY,Knox,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Fulton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
SC,Saluda,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
GA,Columbia,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
TN,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Allegany,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Cattaraugus,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
FL,Escambia,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,245,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WV,Boone,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
SD,Moody,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
OK,Pittsburg,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,Cole,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NM,Dona Ana,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MI,Oceana,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
WV,Kanawha,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
MN,Mower,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
AR,Cleburne,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IL,DeKalb,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
VA,Norton City,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
IA,Van Buren,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
NY,Schenectady,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Benito,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
AR,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Sebastian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Peach,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,McDowell,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Gove,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Stafford,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Florence,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Johnson,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Fulton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
MI,Emmet,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
TX,Lubbock,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Henry,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
CA,Orange,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,1,0,Completed,07/28/2017 18:46,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,San Diego,SCAN Health Plan,Scripps Heart First offered by SCAN Health Plan (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,55,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Lyon,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Storey,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,8,0,Completed,06/27/2017 19:00,Local PPO
WI,Ozaukee,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
IL,Winnebago,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
GA,Crawford,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
FL,Osceola,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,43,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
MT,Sweet Grass,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Cuyahoga,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Cass,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stearns,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Greenlee,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,13,0,Completed,07/25/2017 11:49,HMO/HMOPOS
GA,DeKalb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,6,0,Completed,06/26/2017 13:34,HMO/HMOPOS
KY,Madison,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,Madison,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
MT,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Portage,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
NY,Queens,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,40,0,Completed,07/12/2017 15:39,Local PPO
NY,Madison,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
TX,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
WI,Ozaukee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
CT,Litchfield,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Montgomery,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H7115,1,0,Completed,07/28/2017 11:53,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NJ,Camden,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
KY,McCracken,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
MN,Martin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WV,Wood,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
VA,Goochland,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
AR,Yell,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
WA,Kitsap,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
PA,Chester,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,14,0,Completed,07/12/2017 15:39,Local PPO
FL,Volusia,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Rusk,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Broward,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,17,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
OH,Franklin,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KY,Hart,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Elmore,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
TX,Galveston,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,64,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Clarion,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Lincoln,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Armstrong,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KS,Douglas,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,Greenbrier,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
VA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Louisa,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Thurston,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
KY,McCreary,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Mahoning,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
VA,Charlotte,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
PA,Luzerne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Luzerne,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Cameron,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Lincoln,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Boone,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,5,0,Completed,07/26/2017 16:56,HMO/HMOPOS
NM,Santa Fe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6526,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Cortland,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
CA,Ventura,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
CA,Kern,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,92,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Chemung,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
FL,Alachua,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,270,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Emporia City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Brown,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
OH,Shelby,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
IN,Whitley,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,3,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Hanover,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
IN,Hamilton,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
IA,Marshall,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
CO,Archuleta,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
CO,Weld,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
IA,Wapello,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
FL,Hillsborough,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,38,0,Completed,07/24/2017 12:23,Local PPO
NY,Montgomery,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Tioga,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Autauga,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Grant,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Coffee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
FL,Sarasota,Humana Inc.,Humana Gold Plus SNP-DE H1036-262 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,262,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Smyth,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Graves,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Trumbull,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
NC,Wake,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
OH,Fayette,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
TX,Guadalupe,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
WV,Marshall,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
GA,Laurens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Lajas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Franklin,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
TN,Williamson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
VA,Stafford,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Bibb,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
IL,DuPage,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,06/14/2017 16:42,Medicare-Medicaid Plan HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
NY,Onondaga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
WI,Price,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
IL,Bond,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Peach,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Phillips,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
OK,Johnston,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
SD,Douglas,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
SD,Douglas,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,East Baton Rouge,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Newton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Nacogdoches,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Autauga,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Jackson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Hillsborough,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Warren,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
TX,Bowie,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Marion,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,1,Completed,07/17/2017 11:05,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Lewis,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Durham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Brunswick,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Susquehanna,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
IN,Huntington,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NH,Cheshire,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
SC,Jasper,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
NE,Saunders,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Knox,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
OK,Stephens,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
MN,Murray,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
MO,Laclede,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Mobile,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waushara,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Montgomery,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
OH,Jefferson,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
IA,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Tompkins,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NY,Ulster,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Summit,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
FL,Hillsborough,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
CT,Hartford,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
PA,Carbon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
NV,Carson City,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,59,0,Completed,07/25/2017 10:12,Local PPO
PA,Bradford,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MN,Renville,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Mingo,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Hill,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
IA,Black Hawk,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
IA,Washington,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
WV,Pleasants,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
VA,Bristol City,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
CT,Hartford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,72,0,Completed,07/27/2017 13:34,HMO/HMOPOS
GA,Clarke,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NE,Hayes,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
MO,Scott,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KY,Morgan,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PA,Beaver,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,17,0,Completed,07/25/2017 10:12,Local PPO
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
PR,Penuelas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,Grant,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lucas,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Franklin,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
PA,Elk,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Lackawanna,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
OH,Fulton,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,10,0,Completed,07/26/2017 16:54,HMO/HMOPOS
MD,Charles,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
VA,King George,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AL,Clay,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Cherokee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Muskingum,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Champaign,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
IN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,63,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Pickaway,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,San Diego,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage San Diego (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,37,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Claiborne,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
VA,Fairfax City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Bristol City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Monroe,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clermont,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Wapello,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IA,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
KY,Bourbon,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,Middlesex,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Wadena,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Ziebach,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MD,Anne Arundel,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
WI,Waushara,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Fremont,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MI,Chippewa,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
TX,Tarrant,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Kendall,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Hamilton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,50,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rensselaer,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Morrison,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WA,Pierce,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,2,0,Completed,07/10/2017 17:32,HMO/HMOPOS
IN,Rush,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OK,Craig,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WI,Calumet,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
DC,District of Columbia,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,95,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Red Lake,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
FL,Gadsden,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Taylor,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
VA,Bland,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
IL,Kane,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
PA,York,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,6,Completed,06/29/2017 13:12,HMO/HMOPOS
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Campbell,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Washington,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Brazoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Cobb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Floyd,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Jackson,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
WA,King,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,3,0,Completed,07/10/2017 17:32,HMO/HMOPOS
GA,Habersham,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
GA,White,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Mason,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MI,Crawford,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MN,Houston,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MI,Ogemaw,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
TX,Hale,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Chattahoochee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Nicollet,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
VA,Northampton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Douglas,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
IN,Vanderburgh,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NV,Storey,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,6,0,Completed,06/27/2017 19:00,Local PPO
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,10,0,Completed,07/26/2017 12:58,HMO/HMOPOS
OH,Fairfield,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Fannin,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MT,Madison,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
GA,Clayton,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PR,Trujillo Alto,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
VA,King and Queen,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Broomfield,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
WI,Racine,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Bristol,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
SD,Minnehaha,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
KS,Cherokee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
WV,Fayette,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
AR,Boone,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
VA,Chesterfield,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Licking,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Wayne,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
VA,Roanoke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Caldwell,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Tuscaloosa,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Niagara,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
OH,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Catawba,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
VA,Lexington City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Gasconade,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ashland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
FL,Volusia,Guidewell Mutual Holding Corporation,FHCP s Medvantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,7,0,Completed,07/28/2017 10:27,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Columbia,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Concho,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SC,Aiken,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Grant,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hanson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Madison,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Pendleton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Nicholas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
SC,Aiken,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
CA,Riverside,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,100,2,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
OH,Greene,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Taylor,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Cameron,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
CO,Arapahoe,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
TN,Haywood,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Harmony Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,20,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,37,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Baxter,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
NM,Bernalillo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,46,0,Completed,07/24/2017 12:23,Local PPO
ND,Ramsey,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Turner,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Dewey,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
AR,Miller,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Northumberland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Canadian,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Nassau,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
OK,Le Flore,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
KS,Montgomery,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
OH,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Adams,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Carter,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Macon,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Martin,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TX,Nueces,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Stephens,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Bond,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WI,Richland,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
IL,La Salle,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
CO,Denver,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
VA,Roanoke,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
FL,Brevard,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
NY,Madison,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Stanton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
WY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Westchester,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
TN,Cumberland,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Martin,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
PR,Aibonito,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AL,Barbour,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Quitman,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
MA,Essex,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,159,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Clinch,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
TX,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Winnebago,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
KY,Whitley,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Comanche,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TN,Hamilton,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
TX,Wharton,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
PA,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Wirt,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,New York,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
TX,Ellis,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Lucie,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Northampton,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MN,Houston,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,DuPage,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
PA,Westmoreland,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,17,0,Completed,07/25/2017 10:12,Local PPO
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
AR,Randolph,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Bexar,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
VA,Lancaster,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Marion,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,Orange,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
AR,Sharp,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Portsmouth City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Nassau,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,18,0,Completed,07/26/2017 18:49,HMO/HMOPOS
SC,Fairfield,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
GA,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Pamlico,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Williams,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Mifflin,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Berks,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,13,0,Completed,07/26/2017 16:54,HMO/HMOPOS
SC,Charleston,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
MI,Barry,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
LA,Jackson,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Taliaferro,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Amherst,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
WV,Doddridge,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Garfield,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Carlton,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
MS,Rankin,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
CA,Riverside,INLAND EMPIRE HEALTH PLAN,IEHP DualChoice (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H5355,1,0,Completed,06/19/2017 19:41,Medicare-Medicaid Plan HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Hardee,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,253,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Butler,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Jennings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Lowndes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Cobb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Fayette,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Austin,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Kenton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Jessamine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,91,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PA,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Ciales,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Livingston,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
GA,Rockdale,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
PA,Wyoming,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OK,Canadian,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
LA,Lafayette,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
MO,Lawrence,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Oregon,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NM,Torrance,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MD,Carroll,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,129,0,Completed,07/25/2017 10:12,Local PPO
WV,Pendleton,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OK,Adair,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
NC,Alexander,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Davidson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
PA,Luzerne,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
WI,Racine,Independent Care Health Plan Inc.,Aurora Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,9,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MT,Fergus,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
PR,Morovis,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Lee,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Charles City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ME,Lincoln,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Clackamas,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
WA,Clark,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Woodford,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OH,Erie,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
VA,Poquoson City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
VA,Norfolk City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Trimble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Harmony Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,32,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Lancaster,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
MS,Pearl River,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,8,0,Completed,07/26/2017 17:12,Local PPO
NY,Putnam,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,100,0,Completed,07/27/2017 10:38,Local PPO
MN,Mahnomen,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,6,Completed,06/29/2017 13:12,HMO/HMOPOS
IL,Cook,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,86,0,Completed,07/12/2017 15:39,Local PPO
GA,Clayton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Worth,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MA,Suffolk,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
FL,Gadsden,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
KY,Henry,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
OH,Williams,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
MI,Eaton,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
MN,Big Stone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KY,Powell,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
AZ,Yavapai,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,35,0,Completed,07/25/2017 10:12,Local PPO
WV,Putnam,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WV,Upshur,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
FL,Sumter,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
IA,Wayne,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Linn,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,2,0,Completed,07/31/2017 19:26,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
OH,Montgomery,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
AL,Baldwin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Nacogdoches,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CA,Orange,Orange County Health Authority,OneCare Connect (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H8016,1,0,Completed,07/25/2017 13:36,Medicare-Medicaid Plan HMO/HMOPOS
WV,Mason,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,3,0,Completed,06/14/2017 16:42,Local PPO
IN,Noble,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,1,0,Completed,07/28/2017 11:24,HMO/HMOPOS
WI,Jefferson,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Josephine,ATRIO Health Plans,ATRIO Special Needs Plan (Rogue) (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3814,29,0,Completed,06/28/2017 15:06,HMO/HMOPOS
GA,Muscogee,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Montgomery,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
PA,Montour,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Lewis,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Overton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
OH,Allen,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Union,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MO,Carroll,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Monroe,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wadena,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
KY,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Franklin,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
WA,Island,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
MN,Stearns,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NC,Rowan,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,160,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Norfolk City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,York,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Ross,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
AL,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Suffolk,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
MN,Dodge,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
AL,Dallas,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,St. Lucie,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Roanoke,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Milwaukee,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,9,0,Completed,07/28/2017 12:26,Local PPO
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Palm Beach,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
CO,Broomfield,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
PR,Morovis,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Del Norte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NC,Guilford,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
TX,Bexar,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
VA,Martinsville City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,83,0,Completed,07/12/2017 15:39,Local PPO
CT,Windham,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
GA,Fannin,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/07/2017 12:31,HMO/HMOPOS
NY,Rensselaer,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
KY,Bourbon,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Oldham,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WI,Racine,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
PA,Monroe,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Cedar,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Howell,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
WV,Morgan,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
PA,Lehigh,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
AZ,Maricopa,"WellCare Health Plans, Inc.",Care1st+ (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5430,1,0,Completed,07/27/2017 15:24,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,4,0,Completed,07/24/2017 14:11,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,2,0,Completed,07/18/2017 12:54,HMO/HMOPOS
NH,Strafford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,3,0,Completed,07/25/2017 8:54,Local PPO
GA,Elbert,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Mercer,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Greeley,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Washington,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SD,Lincoln,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
SD,Gregory,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Walton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Coke,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
OH,Morrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
MD,Frederick,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
MN,Grant,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
FL,Clay,Guidewell Mutual Holding Corporation,BlueMedicare Preferred HMO (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,7,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,Baker,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Dale,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Washington,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
WI,Washburn,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
IL,Rock Island,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MI,Keweenaw,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PR,Coamo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Hooker,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Richmond,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Trumbull,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
NY,Richmond,Jewish Guild for the Blind,GuildNet Gold Plus FIDA Plan POS (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H0811,1,0,Completed,07/26/2017 13:17,Medicare-Medicaid Plan HMO/HMOPOS
VA,Portsmouth City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bradley,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Giles,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
MT,Teton,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Dinwiddie,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lancaster,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Richmond,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,6,0,Completed,07/25/2017 14:48,HMO/HMOPOS
TN,Hancock,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cass,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nicollet,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
IA,Adair,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
TX,Medina,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
VA,Emporia City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
GA,Terrell,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Geauga,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
PA,Clearfield,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
OH,Delaware,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
OH,Licking,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
GA,Chattahoochee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
TX,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Marshall,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Jessamine,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Spencer,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Clinton,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Palo Pinto,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
OK,Haskell,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Polk,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
TX,Van Zandt,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
VA,Tazewell,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
GA,Toombs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Ford,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Mercer,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Classic Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,1,0,Completed,07/24/2017 14:05,HMO/HMOPOS
MO,Buchanan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Knox,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Oceana,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Livingston,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WI,Clark,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MO,Crawford,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PA,Susquehanna,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
GA,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,4,0,Completed,06/12/2017 11:28,1876 Cost
NC,Iredell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
MT,Prairie,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Lehigh,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
AL,Jefferson,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,171,0,Completed,07/12/2017 15:39,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
WI,Kewaunee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
TX,El Paso,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KS,Dickinson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Franklin,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
SC,Richland,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
TN,Union,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
PA,York,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
FL,Duval,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Suffolk,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IA,Cherokee,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Mower,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
VA,Franklin,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MO,St. Louis,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,El Paso,Humana Inc.,Humana Gold Plus H2649-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MO,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Storey,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,5,0,Completed,06/27/2017 19:00,Local PPO
IL,Stark,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Cobb,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
GA,Burke,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Chesterfield,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
NY,Onondaga,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
MO,St. Louis,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Seminole,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Baldwin,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Iron,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,07/20/2017 14:41,HMO/HMOPOS
GA,Baker,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
MI,Schoolcraft,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
SD,Bennett,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
MI,Alger,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
IL,DuPage,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0281,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
GA,Fulton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Elkhart,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
CT,Fairfield,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,10,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Red Lake,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Muscogee,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MN,Washington,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
OH,Belmont,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,7,Completed,06/29/2017 13:12,Local PPO
ID,Gem,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Lawrence,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Union,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Henderson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TX,Moore,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
WI,Marquette,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
MO,Douglas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
IL,La Salle,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
AR,Searcy,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Jefferson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
SD,Brookings,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
OH,Greene,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
MN,Waseca,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
OH,Knox,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
IA,Keokuk,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PA,Fulton,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Lake,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,19,0,Completed,07/06/2017 14:45,HMO/HMOPOS
PA,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KS,Ellsworth,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MO,Marion,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
TX,Fort Bend,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Costilla,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,5,0,Completed,07/28/2017 17:35,1876 Cost
NM,Torrance,Humana Inc.,Humana Gold Plus H2649-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,2,Completed,07/17/2017 11:05,HMO/HMOPOS
CA,San Mateo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,445,0,228,H8029,1,0,Completed,07/18/2017 12:59,Medicare-Medicaid Plan HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sumner,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Rhea,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
OH,Clinton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Gilmer,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
AR,Pike,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Smyth,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Wise,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Nottoway,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
TN,Clay,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WV,Doddridge,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Muskogee,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Warren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
SC,Georgetown,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Newberry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Spartanburg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Richmond,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Plymouth,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
PA,Lehigh,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
OH,Seneca,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ottawa,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Beaufort,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Beaver,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Lawrence,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
KY,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
GA,Clayton,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
GA,Muscogee,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
KY,Nicholas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
IA,Clinton,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Jefferson,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-077A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Ray,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,121,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Rains,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Licking,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Bayfield,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,8,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Benton,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
OR,Linn,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
MN,Olmsted,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
TX,Dallas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,3,Completed,07/06/2017 14:24,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,Ventura,Humana Inc.,Humana Gold Plus H5619-023 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Edgefield,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Craig,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Grayson,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Yakima,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
AL,Covington,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
CA,Placer,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,84,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NC,Anson,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IN,Gibson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Stone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hamilton,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WI,Dane,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SD,Fall River,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
IA,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
PA,Carbon,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WA,Snohomish,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Suffolk,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Gratiot,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
OK,McIntosh,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MS,Walthall,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
VA,Bedford,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
PR,Sabana Grande,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,1,Completed,07/26/2017 16:51,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,York,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Cole,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
SD,Bon Homme,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Bradford,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
KS,Edwards,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KS,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Anderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Tucker,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
GA,Troup,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
AR,Washington,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
OH,Stark,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,1,Completed,07/18/2017 9:33,Local PPO
PA,Union,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
OH,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
TN,Hardin,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
PA,Berks,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
GA,Rockdale,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Arapahoe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Montgomery,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
PR,Canovanas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
KS,Anderson,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
VA,Richmond City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Livingston,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
MI,Barry,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,5,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Crawford,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Bourbon,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,37,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Carbon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wilkes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
KY,Carroll,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,Lenawee,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Crawford,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,McKean,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
WA,Kitsap,Humana Inc.,Humana Gold Plus H5619-099 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,99,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Clearfield,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Jefferson,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Indiana,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,146,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Highlands,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
NY,Columbia,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Essex,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
ND,McHenry,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sully,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Fulton,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
TX,Galveston,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MN,Murray,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,Morgan,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
WV,Mercer,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
MS,Carroll,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
PR,Vega Alta,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Haralson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KS,Rawlins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Richmond,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Newton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
FL,Duval,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Waukesha,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
FL,Orange,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Oglethorpe,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Cimarron,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
OR,Columbia,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,16,0,Completed,06/26/2017 13:34,HMO/HMOPOS
TX,Jefferson,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
TX,Walker,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
FL,Sumter,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
NC,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
KY,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Forsyth,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,McIntosh,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
IN,Warren,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
IN,Switzerland,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
WA,Kittitas,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
PA,Potter,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
VA,Northampton,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
AL,Randolph,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
TX,Ellis,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Navarro,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OK,Pawnee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
OH,Holmes,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
VA,Washington,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
GA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
WI,La Crosse,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
GA,Forsyth,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Johnson,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
MA,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Saguache,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,6,0,Completed,07/28/2017 17:35,1876 Cost
FL,Walton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,McDonald,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Hamilton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
IL,Cook,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MO,Webster,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
AR,Garland,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Dewey,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Clackamas,PacificSource Health Plans,PacificSource Medicare MyCare Rx 31 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,31,1,Completed,06/15/2017 15:55,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
NY,Ontario,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Bollinger,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,DeWitt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Hanover,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
OH,Lake,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
TX,Bosque,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
TX,Van Zandt,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
WV,Fayette,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
WI,Dodge,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Maverick,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Polk,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
WV,Putnam,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
MN,Kandiyohi,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
FL,Lake,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Suffolk,Humana Inc.,Humana Gold Plus H3533-010 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,10,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Bernardino,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,567,567,284,284,H8677,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
MO,Jasper,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
SD,Miner,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Atkinson,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
AL,DeKalb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
TX,San Jacinto,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Willacy,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Rusk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Summers,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MA,Hampshire,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
WI,Grant,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
KY,Clay,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,41,0,Completed,06/26/2017 13:34,Local PPO
GA,Bartow,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Rockdale,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Guaynabo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ME,Androscoggin,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,13,0,Completed,07/06/2017 14:10,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Northumberland,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
AR,Van Buren,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,33,0,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Lowndes,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
MN,Pennington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
IA,Poweshiek,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Iberville,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
VA,Hampton City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Ross,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
PA,Tioga,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
TX,Cooke,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Dallas,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
AR,Cleburne,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
KS,Sumner,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WI,Marathon,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
GA,Chatham,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,McIntosh,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
MT,Stillwater,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,89,0,Completed,07/25/2017 10:12,Local PPO
PR,Barranquitas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Brunswick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Rensselaer,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,112,0,Completed,07/12/2017 15:39,Local PPO
GA,Lincoln,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Chemung,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,97,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Northampton,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,9,0,Completed,07/10/2017 11:38,HMO/HMOPOS
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Greene,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Suffolk,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,2,Completed,07/20/2017 15:47,HMO/HMOPOS
IN,Lagrange,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
ND,Eddy,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
KS,Trego,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Choctaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
PA,Clarion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Walton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,18,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Assumption,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Mahoning,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WV,Raleigh,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Cherokee,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Macon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CT,Hartford,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Brown,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Otter Tail,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Anderson,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Mason,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,6,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,Clinton,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
IA,Louisa,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
IL,Cook,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Bradley,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Cocke,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Clermont,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Fayette,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Columbiana,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Winnebago,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Brown,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Juneau,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
MT,Chouteau,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
LA,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,99,0,Completed,07/27/2017 10:38,Local PPO
NY,Cortland,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
OH,Delaware,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IN,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,151,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Columbia,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
IA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Preble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Manassas City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Wyandotte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
SD,Deuel,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Bowman,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
LA,Lafourche,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
AL,Shelby,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Erie,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Guthrie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,19,2,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,46,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Polk,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Clinton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TN,Putnam,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Giles,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Overton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
AR,Izard,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Sevier,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
MD,Baltimore City,"Medstar Health, Inc.",MedStar Medicare Choice Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,9,0,Completed,07/11/2017 8:53,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clinton,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
VA,Manassas Park City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Greenup,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Trumbull,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Kingfisher,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Meriwether,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
TN,Hardeman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MS,Hinds,Humana Inc.,Humana Gold Plus H1036-274 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,274,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Pulaski,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
KY,Franklin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,46,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Newaygo,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,4,Completed,07/24/2017 10:22,Local PPO
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
VA,Alexandria City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Carroll,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
TN,Gibson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WA,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Harris,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Bastrop,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
VA,Martinsville City,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Haywood,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
AR,Lonoke,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,6,Completed,07/13/2017 12:29,PFFS
AR,Clark,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
GA,Rockdale,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Miner,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Evangeline,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
TX,El Paso,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Dane,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Wood,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
MD,Washington,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Onondaga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WA,Pierce,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,127,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,5,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Marshall,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Freeborn,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
SC,Berkeley,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
OH,Delaware,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
SC,Hampton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
GA,Spalding,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,Orange,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Indiana,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,McKean,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Haskell,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OH,Monroe,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
ME,Somerset,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hill,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
OH,Cuyahoga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Kings,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Red Lake,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
AR,Woodruff,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Newport News City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
WI,Waushara,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Clackamas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,Rensselaer,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Cass,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NE,Gage,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
OK,Tulsa,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
AL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vermillion,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Waller,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
VA,Henrico,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Laurens,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Jackson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MD,Montgomery,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
GA,Dawson,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MD,Prince George s,"Medstar Health, Inc.",MedStar Medicare Choice Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,9,0,Completed,07/11/2017 8:53,HMO/HMOPOS
TN,Benton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lake,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TX,Travis,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bee,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Bedford,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
GA,Cobb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NY,Saratoga,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
IL,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
KY,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,7,Completed,07/17/2017 11:05,HMO/HMOPOS
NY,Schenectady,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NV,Carson City,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,115,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NV,Washoe,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,115,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Carroll,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Crawford,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Erie,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,3,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Medina,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Middlesex,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Henrico,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Macon,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
ME,Penobscot,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Iowa,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NJ,Passaic,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
MI,Ingham,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Clarion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Logan,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Will,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orange,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Saratoga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
OH,Holmes,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
MN,Ramsey,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MO,Osage,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
MO,St. Louis City,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
SD,Lincoln,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Washington,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamblen,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Clayton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Branch,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Missaukee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Branch,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,6,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MO,Miller,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Wilson,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Richmond City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
AL,Etowah,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PR,Culebra,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Cape May,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/ Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,4,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
IN,Cass,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
FL,Liberty,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
TX,Trinity,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KY,Clark,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
NM,San Miguel,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MO,Barry,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,Polk,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Collin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
NV,Clark,Humana Inc.,HumanaChoice H5216-037 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,37,0,Completed,07/25/2017 10:12,Local PPO
OH,Vinton,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
IA,Buchanan,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
FL,Indian River,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Onondaga,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Orange,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
GA,Houston,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Newton,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,124,0,Completed,07/25/2017 10:12,PFFS
KS,Allen,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
PR,Coamo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Medina,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
SD,Spink,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Hancock,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Rabun,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Douglas,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Essex,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Atascosa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
FL,Wakulla,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
AL,Madison,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
PR,Aguadilla,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Lanier,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Belmont,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
OH,Hancock,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
GA,Pickens,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
CT,Tolland,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Butler,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
KY,Gallatin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
IN,Posey,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
SD,Lawrence,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Braxton,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Maverick,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
KS,Douglas,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
IN,Posey,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hudson,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,84,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Sumter,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
WI,Green,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Elmore,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Walker,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Bibb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NY,Rockland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,18,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,40,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Powder River,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Live Oak,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Portage,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
CT,Fairfield,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Moore,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,169,0,Completed,07/12/2017 15:39,Local PPO
PR,Yauco,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Bryan,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
NC,Alexander,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
NC,Caldwell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
TX,Randall,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IN,Wabash,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
WV,Hancock,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
GA,Douglas,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,71,0,Completed,07/25/2017 10:12,Local PPO
NY,Rensselaer,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Tyler,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
KS,Rush,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Lamar,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Autauga,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
PA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Brazoria,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
WA,Chelan,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Stephenson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
WV,Putnam,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Jim Wells,Humana Inc.,Humana Gold Plus H2649-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Anoka,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
TN,Scott,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Carroll,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Curry,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Potter,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Plymouth,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
NY,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Botetourt,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
VA,Isle of Wight,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
VA,Williamsburg City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
VA,York,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
GA,Bartow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Penuelas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Dutchess,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,110,0,Completed,07/12/2017 15:39,Local PPO
PA,Berks,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
IN,Grant,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Muskingum,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
KS,Butler,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
KS,Cowley,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
WI,Brown,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
CA,San Diego,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
OK,Woodward,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Houston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Manitowoc,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Milwaukee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Shawano,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Duval,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NH,Strafford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
PR,Patillas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Meeker,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
TX,Wood,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,3,0,Completed,07/14/2017 12:55,HMO/HMOPOS
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,5,0,Completed,06/26/2017 13:34,Local PPO
PR,Coamo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Culebra,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
NY,Kings,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,1,0,Completed,07/25/2017 10:44,HMO/HMOPOS
KY,Larue,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MD,Charles,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
VA,Lexington City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Spartanburg,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
MO,St. Charles,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Nassau,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
WI,Adams,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Wadena,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Cambria,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
PA,York,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
PR,Catano,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Lake,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
AR,Faulkner,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Queen Anne s,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
SC,Barnwell,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
LA,Vermilion,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Cleveland,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NE,Wayne,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Milwaukee,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,10,0,Completed,07/28/2017 12:26,Local PPO
WI,Dodge,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IN,Steuben,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Mason,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Leon,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
WI,Walworth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Story,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AZ,Maricopa,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,92,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Bristol,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,122,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
SD,Brule,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Wilkinson,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MD,Harford,"Medstar Health, Inc.",MedStar Medicare Choice Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,9,0,Completed,07/11/2017 8:53,HMO/HMOPOS
FL,Brevard,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NM,Santa Fe,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,8,0,Completed,06/07/2017 12:19,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Henry,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Buncombe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
WA,Whatcom,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Stewart,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Moore,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Montgomery,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,5,0,Completed,06/26/2017 13:34,Local PPO
AR,Bradley,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Hempstead,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,King and Queen,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Elbert,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Essex,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Columbia,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Blair,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
PA,Schuylkill,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Butler,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
IN,St. Joseph,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Waynesboro City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,St. Helena,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
WI,Columbia,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
OH,Lorain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Seminole,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NE,Howard,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Kittson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Benton,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Mohave,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rensselaer,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
PA,Clinton,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Dauphin,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
VA,King William,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Waynesboro City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Macoupin,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
OK,Nowata,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OH,Fulton,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Yabucoa,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MI,Gladwin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Harris,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H7115,1,0,Completed,07/28/2017 11:53,HMO/HMOPOS
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/07/2017 12:31,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
PA,Bucks,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Brookings,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
CO,Morgan,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
FL,Lake,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Orange,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Forest,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,3,0,Completed,07/24/2017 14:11,HMO/HMOPOS
IA,Ida,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Chippewa,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan Heart & Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,10,0,Completed,07/27/2017 20:51,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H9104,6,0,Completed,06/26/2017 14:13,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MO,St. Louis City,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MD,Somerset,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
NC,Orange,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6320,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Macon,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Fayette,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
AR,Pike,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
OH,Licking,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Knox,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Wyoming,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
ND,Barnes,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Benton,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MO,Taney,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Vance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Wood,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MS,Pike,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Marion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Jackson,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MI,Presque Isle,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
KS,Sedgwick,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Pulaski,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,Kent,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PR,Guanica,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NH,Belknap,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CO,Jefferson,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
AL,Shelby,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,171,0,Completed,07/12/2017 15:39,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AR,Washington,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MI,Macomb,Humana Inc.,Humana Value Plus H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,133,0,Completed,07/25/2017 10:12,Local PPO
SD,Roberts,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
WV,Mercer,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
PA,Lycoming,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MN,Watonwan,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Rice,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
AZ,Pinal,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,34,0,Completed,07/25/2017 10:12,Local PPO
GA,Camden,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Washington,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IL,Lake,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
AL,Lowndes,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MN,Waseca,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Jackson,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
IN,Fountain,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Wadena,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Clay,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
TX,Washington,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
MN,Winona,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Hidalgo,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AZ,Maricopa,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,34,0,Completed,07/25/2017 10:12,Local PPO
FL,Clay,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
IA,Adair,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Gordon,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Raleigh,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
NC,Anson,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
MI,Berrien,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Norfolk City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
AL,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Guaynabo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Chase,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Powhatan,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
GA,Coweta,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,Tolland,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Canyon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
MN,Becker,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
NV,Churchill,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,7,0,Completed,06/27/2017 19:00,Local PPO
IL,Ford,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
GA,Walton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
AR,Carroll,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,El Paso,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
MT,Silver Bow,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Tuscarawas,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MO,St. Charles,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
VA,Pulaski,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
TX,Bexar,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
MO,Osage,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
GA,Bartow,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
OK,Hughes,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Carroll,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IA,Dickinson,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Dooly,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
TX,Leon,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Austin,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
VA,Radford City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mitchell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Autauga,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Franklin,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WV,Mineral,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
MN,Aitkin,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MD,Howard,"Medstar Health, Inc.",MedStar Medicare Choice Care Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,10,0,Completed,07/11/2017 8:53,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Care1st Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,567,0,284,H0148,1,0,Completed,07/28/2017 13:53,Medicare-Medicaid Plan HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Wetzel,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Caguas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Villalba,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TN,Hancock,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Warren,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Maury,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,La Porte,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Ulster,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Washington,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
VA,James City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,7,0,Completed,06/21/2017 11:09,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lyon,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
NC,Caswell,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
TX,Randall,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
PA,Cameron,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
OK,Pottawatomie,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Marquette,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MI,Clinton,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
MI,Lapeer,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
OH,Wayne,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,9,Completed,06/29/2017 13:12,Local PPO
PA,Jefferson,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
ID,Bonner,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Alexandria City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Greene,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,34,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Hillsborough,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,57,0,Completed,07/18/2017 13:53,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Churchill,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,5,0,Completed,06/27/2017 19:00,Local PPO
NV,Carson City,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,5,0,Completed,06/27/2017 19:00,Local PPO
OH,Logan,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
SC,Chester,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Izard,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,Wyoming,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Sandusky,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Delaware,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,8,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Preferred Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
IL,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7445,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Chaffee,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
KS,Wyandotte,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,1,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Westmoreland,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WI,Marinette,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
WI,Vernon,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Stevens,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
VA,Fairfax,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orange,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Fayette,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
SC,Lee,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Newport News City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,2,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Greenville,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
VA,Chesapeake City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Muskogee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,East Feliciana,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Nassau,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Volusia,Guidewell Mutual Holding Corporation,FHCP s Medvantage Rx Plus Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,2,0,Completed,07/28/2017 10:27,HMO/HMOPOS
GA,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Hardin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Milam,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,81,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Sullivan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,110,0,Completed,07/12/2017 15:39,Local PPO
GA,Bryan,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
TX,Dallas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
OH,Carroll,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
UT,Weber,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,131,0,Completed,07/25/2017 10:12,Local PPO
PA,Allegheny,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
PA,Berks,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
PA,Erie,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
WV,Pleasants,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
IL,Madison,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Benton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
NC,Northampton,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Cambria,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,Carbon,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Indiana,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
ME,Knox,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Northampton,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Suffolk City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
KY,Woodford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Martin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Cheatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Caswell,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Harrisonburg City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
OH,Medina,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Harrison,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Sedgwick,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Scott,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chisago,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
TN,Loudon,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Franklin,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
TX,Liberty,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
VA,Prince William,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
TN,Knox,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Greene,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Benton,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
WI,Dunn,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
GA,Greene,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
SD,Union,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WI,Manitowoc,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
AR,Jefferson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Midland,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Middlesex,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MI,Mecosta,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
OH,Allen,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Vigo,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Newton,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Larimer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Cleburne,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
NJ,Burlington,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Jones,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
TX,Tarrant,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
FL,Lee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Lafayette,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Iredell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Iberville,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Terrebonne,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Tioga,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Montour,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
IN,Vanderburgh,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Wetzel,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
SC,Chester,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KS,Atchison,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Menifee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Allegheny,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MO,Barry,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Macoupin,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
TX,Dallas,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,1,0,Completed,07/25/2017 17:34,Local PPO
WV,Mercer,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Ashe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Ascension,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Catahoula,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Fulton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Guadalupe,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Winona,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
IN,Fulton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
VA,Tazewell,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
OK,Haskell,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Shiawassee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
OH,Richland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Andrew,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,36,0,Completed,07/12/2017 15:39,Local PPO
NJ,Mercer,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
CO,Pueblo,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,30,0,Completed,07/24/2017 12:23,Local PPO
PR,Gurabo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Culberson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Middlesex,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
GA,Habersham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
TX,Burnet,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
OH,Putnam,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
FL,Hendry,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
KY,Magoffin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Webster,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Deaf Smith,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
GA,Glascock,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
NY,Albany,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
CA,Orange,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,59,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Montgomery,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,5,0,Completed,07/10/2017 11:38,HMO/HMOPOS
TX,Bandera,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OK,Kingfisher,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NY,Bronx,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
CA,Stanislaus,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,32,0,Completed,07/27/2017 13:34,HMO/HMOPOS
FL,Orange,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Hernando,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
GA,Newton,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Orange,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WA,Thurston,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WV,Calhoun,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ID,Lincoln,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
GA,Columbia,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
PR,Arecibo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Utuado,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Vega Baja,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
LA,St. Landry,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Lincoln,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Monroe,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,9,0,Completed,07/26/2017 16:54,HMO/HMOPOS
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,3,0,Completed,07/26/2017 16:54,HMO/HMOPOS
ID,Canyon,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Kingfisher,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,McDuffie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Oldham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bourbon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Chilton,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Geneva,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Fresno,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
NY,Allegany,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
CA,San Diego,Community Health Group,CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5172,2,0,Completed,07/27/2017 17:42,Medicare-Medicaid Plan HMO/HMOPOS
KS,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
AR,Conway,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OK,Logan,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IN,Ohio,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
WV,Calhoun,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
TX,Taylor,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Emporia City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
VA,Essex,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
OK,Delaware,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
KS,Rawlins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
IN,Whitley,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,99,0,Completed,07/12/2017 15:39,Local PPO
NY,Suffolk,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,117,0,Completed,07/12/2017 15:39,Local PPO
ME,Knox,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,143,0,Completed,07/12/2017 15:39,Local PPO
IL,DuPage,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,86,0,Completed,07/12/2017 15:39,Local PPO
PR,Ponce,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Clayton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
OR,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Lincoln,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Douglas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Ross,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
TX,Orange,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Williamson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,39,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
PR,Guayanilla,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Dallas,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,174,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Moultrie,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
WA,Pierce,"Molina Healthcare, Inc.,",Molina Medicare Choice (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
LA,East Baton Rouge,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Clearfield,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
PA,Lawrence,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
SC,Jasper,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KS,Kingman,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
MN,Clay,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
MN,Beltrami,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
CA,Riverside,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,44,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NH,Merrimack,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Henry,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,166,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7678,1,0,Completed,06/07/2017 11:54,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Howard,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
FL,Highlands,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
KY,Adair,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
MO,Bollinger,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Warren,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Fremont,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
IA,Palo Alto,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PR,Vieques,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Middlesex,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,159,0,Completed,07/12/2017 15:39,Local PPO
NC,Lee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,169,0,Completed,07/12/2017 15:39,Local PPO
TX,Denton,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Lackawanna,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Delaware,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Martin,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Mason,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Limestone,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
OR,Linn,Providence Health & Services,Providence Medicare Enrich + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,45,0,Completed,07/07/2017 13:42,HMO/HMOPOS
VT,Bennington,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Montgomery,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
CA,Madera,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,56,0,Completed,07/27/2017 13:34,HMO/HMOPOS
KS,Butler,Aetna Inc.,Coventry Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Cass,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Marion,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Atlantic,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
KS,Saline,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NE,Gosper,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
AL,Tallapoosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
CA,Los Angeles,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NM,Bernalillo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,47,0,Completed,07/24/2017 12:23,Local PPO
MN,Carver,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
CA,Santa Clara,Anthem Inc.,Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,567,0,284,H6229,6,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,17,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Mahaska,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Macon,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Mobile,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
FL,Miami-Dade,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
MA,Hampden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Marshall,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Montgomery,Humana Inc.,Humana Gold Plus H2649-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Cass,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
VA,Charlottesville City,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Webb,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,5,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,Bedford,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Sumner,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
MN,Washington,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
AR,Perry,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
TX,Nueces,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,4,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Dickson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PA,Armstrong,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,Northampton,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
ID,Payette,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Hanover,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Prince George s,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
OH,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Durham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Pamlico,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day In Control Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,27,0,Completed,07/17/2017 20:44,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,Peoria,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,2,0,Completed,07/26/2017 16:56,HMO/HMOPOS
KY,Bracken,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
KY,Fayette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
MS,Harrison,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Benton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,213,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Tioga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
WI,Door,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Cass,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bell,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
NJ,Bergen,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
OH,Medina,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Erie,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
PA,Snyder,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
PA,Butler,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
MI,Wayne,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
GA,Wilkes,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Coosa,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
SC,Colleton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
IA,Black Hawk,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,101,1,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Dutchess,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,100,0,Completed,07/27/2017 10:38,Local PPO
AL,Mobile,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Morrow,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
OR,Umatilla,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Concho,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rains,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Dewey,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WI,Outagamie,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard DC (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2172,3,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Harrison,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IN,Knox,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OH,Columbiana,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
TX,Swisher,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
NY,Essex,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Sabana Grande,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Clark,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
GA,Morgan,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Stephens,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Washoe,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
WI,Oconto,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Grundy,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Campbell,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Clackamas,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
OH,Athens,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
VA,Lee,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
IL,Moultrie,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
AZ,Pima,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,6,0,Completed,07/24/2017 12:23,Local PPO
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Fajardo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Rooks,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
CO,Boulder,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Baldwin,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
FL,Pasco,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
KY,Monroe,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
IN,Allen,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
IN,Shelby,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
MS,Tate,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
WV,Lewis,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Comanche,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
VA,Arlington,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
OH,Harrison,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
PA,Montgomery,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,14,0,Completed,07/12/2017 15:39,Local PPO
MO,Lincoln,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,12,0,Completed,07/24/2017 14:11,HMO/HMOPOS
AR,Phillips,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
NM,Santa Fe,Humana Inc.,Humana Gold Plus H2649-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NM,Dona Ana,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PA,Wyoming,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
ID,Valley,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
AR,Newton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Perry,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Adams,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
LA,LaSalle,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
PA,Wayne,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
KS,Johnson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
IA,Buchanan,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
MS,Monroe,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
ND,Richland,Humana Inc.,HumanaChoice H5216-087 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,87,0,Completed,07/25/2017 10:12,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Thurston,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,3,0,Completed,07/10/2017 17:32,HMO/HMOPOS
IA,Washington,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
TX,Zavala,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
AR,Independence,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
SD,Hanson,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
NY,Warren,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
OH,Clark,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
TX,Wise,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
TX,Walker,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Secure Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,9,0,Completed,07/24/2017 14:05,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
TX,El Paso,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,19,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Garza,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,McNairy,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
PR,Patillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Jackson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Morgan,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
CA,San Bernardino,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,33,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Will,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
ID,Jefferson,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
MT,Missoula,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
PA,Lawrence,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AR,Conway,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Washington,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,55,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hopewell City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
IN,Morgan,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
NE,Douglas,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
IA,Winneshiek,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Renville,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
IA,Union,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
MO,Douglas,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Delaware,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,82,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,St. Lucie,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Washington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
AL,Winston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
VT,Bennington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Walker,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
WI,Brown,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,6,0,Completed,06/27/2017 19:00,Local PPO
OK,Rogers,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PR,Quebradillas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
NY,Kings,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
LA,Richland,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Carbon,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
VA,Pulaski,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Carroll,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
LA,Natchitoches,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Plaquemines,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Chester,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OK,Cleveland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Madison,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Greene,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Cayuga,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
LA,Lafourche,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Fannin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Upshur,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Lancaster,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
FL,Lake,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,74,0,Completed,07/25/2017 10:12,Local PPO
CO,La Plata,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
CA,Santa Clara,Anthem Inc.,Anthem Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,50,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Warren,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Monterey,Montage Health,Aspire Health Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8764,2,0,Completed,07/26/2017 12:33,HMO/HMOPOS
NY,Suffolk,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
KS,Wyandotte,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Arapahoe,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Benton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Vilas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Cache,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,5,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Montgomery,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
PA,Clearfield,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NJ,Monmouth,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
IL,DuPage,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
VA,Mathews,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Fairfax,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Johns,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
TX,Smith,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,4,0,Completed,07/14/2017 12:55,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,51,0,Completed,06/26/2017 13:34,Local PPO
SC,Horry,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Franklin,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Putnam,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sevier,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Yavapai,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,8,0,Completed,07/25/2017 11:49,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Guayanilla,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,1,Completed,07/26/2017 16:51,HMO/HMOPOS
OR,Gilliam,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
LA,St. John the Baptist,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,2,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Bullitt,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Amelia,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Noble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Clarke,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
KY,Pendleton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
NY,Monroe,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
CA,Alameda,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,4,0,Completed,06/06/2017 3:07,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
NE,Otoe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Porter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Parke,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Daviess,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Menard,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Jones,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,King,Providence Health & Services,Providence Medicare Harbor + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,49,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
FL,Sarasota,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,105,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Comal,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,3,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Dickson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
AR,Poinsett,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Washington,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
PA,Lawrence,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Allen,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
WV,Lincoln,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
MN,Washington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Franklin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Coos,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
VA,Portsmouth City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,1,Completed,07/26/2017 16:51,HMO/HMOPOS
MO,Ralls,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,35,0,Completed,07/12/2017 15:39,Local PPO
PA,Fayette,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,Lehigh,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
AL,Baldwin,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Island,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
KY,Pendleton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,12,0,Completed,07/24/2017 16:56,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,5,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Cotton,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NE,Gage,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Okeechobee,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,249,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Indiana,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Perry,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Palm Beach,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Hamilton,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Madison,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Cortland,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Kimble,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
OH,Preble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Chickasaw,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
TX,Guadalupe,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Lake,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
FL,Bay,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Clark,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,Pierce,Humana Inc.,Humana Gold Plus H5619-100 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,100,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Buchanan,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Saluda,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
OH,Ottawa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Bladen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Mahoning,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,4,Completed,07/27/2017 12:35,HMO/HMOPOS
NY,Queens,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
AR,Lawrence,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Martinsville City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Wayne,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Cherokee,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,Bryan,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
WV,Brooke,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
MI,Monroe,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
IN,Gibson,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Sagadahoc,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,8,0,Completed,07/26/2017 17:12,Local PPO
CA,Los Angeles,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Logan,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,7,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Osage,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NM,Santa Fe,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5746,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Bryan,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MS,Hancock,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
IN,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Knox,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,San Mateo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,158,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Somerset,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TN,McMinn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Guthrie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Pipestone,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WI,Menominee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
SD,Miner,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,58,0,Completed,07/25/2017 10:12,Local PPO
PA,Allegheny,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,2,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Cumberland,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Sevier,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,2,0,Completed,07/26/2017 9:21,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
MN,Fillmore,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,4,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Greensville,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Wayne,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Walworth,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
TX,Bexar,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Fremont,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Norfolk City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
OR,Josephine,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,12,0,Completed,07/06/2017 14:24,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Denton,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
ME,York,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Raleigh,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
PA,Mifflin,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,14,0,Completed,07/26/2017 16:54,HMO/HMOPOS
CA,Santa Barbara,Humana Inc.,Humana Gold Plus H5619-023 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Anderson,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Henderson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Worth,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,Mitchell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Pitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Socorro,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,5,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Covington,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
LA,St. Bernard,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Oxford,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
TX,Walker,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Calumet,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Mahnomen,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
CO,Denver,Denver Health and Hospital Authority,Denver Health Medicare Choice (HMO SNP),Y,N,Y,N,N,,,,,,,H5608,1,0,Completed,07/31/2017 15:53,HMO/HMOPOS
AR,Benton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PA,Huntingdon,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Galax City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
NM,Lincoln,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
VA,Chesapeake City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,Leelanau,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PR,Guayama,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Fannin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,King William,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
NY,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MI,Oakland,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
KY,Warren,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
VA,Botetourt,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
KY,Madison,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
TX,Grayson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
GA,Cobb,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
WV,Lewis,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OH,Columbiana,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
FL,Brevard,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
GA,Pickens,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Love,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Jewell,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marinette,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
NY,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Adams,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MN,Mower,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Polk,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Green Lake,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
OK,Mayes,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,5,0,Completed,06/26/2017 13:34,Local PPO
PR,Catano,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OR,Clackamas,PacificSource Health Plans,PacificSource Medicare MyCare Rx 28 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,28,1,Completed,06/15/2017 15:55,HMO/HMOPOS
NY,Columbia,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
NE,Cass,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Oxford,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Ulster,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,100,0,Completed,07/27/2017 10:38,Local PPO
MN,Houston,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
AL,Chilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Kane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Red Lake,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NM,San Miguel,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
IN,Jackson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
WV,Wetzel,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
NE,Saunders,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
OK,Dewey,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Monroe,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
NC,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
IN,Whitley,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Aguada,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PA,Somerset,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,8,0,Completed,07/25/2017 10:12,Local PPO
IL,Greene,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Delaware,"Health Partners Plans, Inc.",Health Partners Medicare Basic (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,1,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
SD,Corson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Potter,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Lumpkin,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MD,Baltimore City,"Medstar Health, Inc.",MedStar Medicare Choice Care Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,10,0,Completed,07/11/2017 8:53,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Nicholas,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
AL,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Carroll,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Martin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Wayne,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
AR,Faulkner,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Logan,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
TX,Erath,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Schenectady,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
NY,New York,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,40,0,Completed,07/12/2017 15:39,Local PPO
OH,Clark,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,90,0,Completed,07/12/2017 15:39,Local PPO
GA,Emanuel,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WI,Barron,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
AZ,Maricopa,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
PA,Bucks,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,8,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,St. Lucie,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,19,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Bergen,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,9,0,Completed,07/18/2017 12:54,HMO/HMOPOS
NJ,Bergen,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Schuyler,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
WI,Monroe,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MA,Plymouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Rio Grande,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,5,0,Completed,07/28/2017 17:35,1876 Cost
OH,Huron,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
GA,Cherokee,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Sullivan,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,New Haven,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
WI,Polk,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Anderson,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Morgan,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MI,Houghton,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
RI,Providence,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,06/05/2017 13:34,Medicare-Medicaid Plan HMO/HMOPOS
OH,Brown,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,17,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
WI,Oconto,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
IN,Delaware,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OR,Malheur,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
MN,Jackson,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
MS,Amite,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
CO,Otero,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MT,Carbon,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,89,0,Completed,07/25/2017 10:12,Local PPO
SC,Lexington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Cullman,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
NC,Caswell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Aibonito,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Nance,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Columbiana,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Jefferson,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
KS,Marshall,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
IN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Douglas,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
TX,Hidalgo,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,King,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1894,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,Lafourche,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,East Carroll,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,Mercer,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
DE,Kent,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AZ,Santa Cruz,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,30,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Calcasieu,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Jessamine,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
HI,Kauai,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Kootenai,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,N,,,429,429,215,215,H1304,2,0,Completed,07/26/2017 17:12,Local PPO
NY,Columbia,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NY,Niagara,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
RI,Bristol,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,06/05/2017 13:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Poquoson City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
OR,Grant,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
FL,Volusia,Guidewell Mutual Holding Corporation,FHCP s  Medvantage Rx Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,6,0,Completed,07/28/2017 10:27,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Austin,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Licking,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Buncombe,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Iron,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
AL,St. Clair,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Tuscarawas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
MO,Christian,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Pickett,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
CA,Orange,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Lebanon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Greene,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
WI,Marinette,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,3,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Kleberg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Wells,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IA,Audubon,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
TX,Caldwell,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
CA,San Bernardino,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Rockland,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Tipton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Price,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Warren,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
IA,Cherokee,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MN,Benton,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
OH,Brown,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Madison,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,King and Queen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Miami-Dade,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,60,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Meeker,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Thurston,The Carle Foundation,Health Alliance NW Pioneer Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,8,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,1,0,Completed,07/26/2017 12:58,HMO/HMOPOS
PA,Lawrence,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
KY,Letcher,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
AR,Saline,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Washington,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Avery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Des Moines,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Mahnomen,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
GA,DeKalb,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MI,Menominee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
FL,Hardee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
OH,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
MD,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,1,0,Completed,06/12/2017 11:28,1876 Cost
NY,Niagara,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
TX,Kleberg,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,105,0,Completed,07/12/2017 15:39,Local PPO
PA,Lackawanna,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TN,Hickman,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Dodge,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NJ,Gloucester,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
NC,Caswell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KS,Johnson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PA,Erie,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Montgomery,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TN,Marshall,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
SC,Dorchester,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,75,0,Completed,07/25/2017 10:12,Local PPO
GA,Crisp,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Oswego,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
PA,Philadelphia,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,2,0,Completed,07/10/2017 11:38,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
AL,Crenshaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MN,Fillmore,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Louisa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
AR,Marion,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Bay,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
MI,Hillsdale,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
TN,Carter,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Lewis,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Smith,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Henderson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Union,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
NM,Quay,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Christian,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Humboldt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Richmond City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Pickens,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Schley,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Van Wert,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
PA,Westmoreland,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Delaware,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
OH,Ross,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
GA,Paulding,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
WV,Monroe,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
MS,Tishomingo,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
GA,Paulding,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
MO,Ste. Genevieve,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Butler,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Harvey,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Dade,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MI,Hillsdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2247,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Clarion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Fort Bend,Humana Inc.,Humana Gold Plus H2649-064 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,64,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Hardin,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
PR,Lares,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Shelby,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
SC,Edgefield,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Dakota,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
LA,Acadia,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Harnett,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
ND,Walsh,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
WI,Pierce,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Cumberland,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Oklahoma,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
FL,Charlotte,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
ME,Androscoggin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
VA,Chesapeake City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Humacao,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
IN,Johnson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,151,0,Completed,07/12/2017 15:39,Local PPO
CO,Denver,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
GA,Peach,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NJ,Somerset,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Nobles,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Fulton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Nelson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Pendleton,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Wayne,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
OK,Osage,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
TX,Dimmit,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IN,Putnam,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
VA,Surry,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
OH,Noble,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
CO,Montrose,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,2,Completed,07/25/2017 10:12,Local PPO
FL,Palm Beach,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
SD,Bon Homme,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AL,Bullock,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
VA,King William,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Norton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Gloucester,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Sheboygan,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Camuy,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TN,Carter,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IA,Mills,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Halifax,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
AR,Miller,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Hendricks,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Cherokee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Vance,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Mineral,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,San Miguel,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Greene,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Perry,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NE,Custer,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
LA,St. Bernard,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus SNP-DE H1036-209 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,209,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Dodge,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Bucks,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,42,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Allen,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
VA,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
SC,Oconee,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
UT,Davis,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
KY,Whitley,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WV,Lincoln,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WI,Dane,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
FL,Alachua,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
PR,Isabela,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Humboldt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Republic,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Hill,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
AL,Macon,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
NJ,Salem,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
GA,Fannin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Peach,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Alameda,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Lincoln,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,6,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Lee,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NY,Kings,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
MN,Ramsey,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
MO,Clay,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Boone,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
WI,Lafayette,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,1,0,Completed,06/12/2017 11:28,1876 Cost
NJ,Atlantic,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Deschutes,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Crook,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Suffolk,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Surry,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Tensas,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Pope,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Cowlitz,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
AZ,Maricopa,Centene Corporation,Allwell Cardio Medicare (HMO SNP),Y,Y,N,Y,Y,100,0,0,455,0,228,H0351,42,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Jasper,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
FL,Hernando,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,1,0,Completed,07/17/2017 9:31,HMO/HMOPOS
GA,Toombs,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Knox,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Scott,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Elite (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,10,0,Completed,06/14/2017 16:42,HMO/HMOPOS
IA,Muscatine,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus H1036-157 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,157,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Broward,Humana Inc.,Humana Gold Plus H1036-065C (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Louisa,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IN,Vermillion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Huntingdon,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WI,La Crosse,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
WI,Racine,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Douglas,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,2,0,Completed,07/26/2017 12:58,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
SC,Charleston,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
TX,Travis,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Grant,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,2,0,Completed,06/12/2017 11:28,1876 Cost
CO,Arapahoe,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Union,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Grundy,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Effingham,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Henry,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
NC,Bertie,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MD,Howard,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
SC,Sumter,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Appomattox,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Greenville,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,Y,N,Y,N,,,0,455,0,228,H8170,2,0,Completed,07/06/2017 10:58,HMO/HMOPOS
OH,Highland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Standard Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,15,0,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,1,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,McIntosh,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Mayes,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MS,Marion,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hickman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Escambia,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,143,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Waukesha,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,10,0,Completed,07/28/2017 12:26,Local PPO
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Cabarrus,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Grant,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
OH,Mahoning,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
WA,Grant,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
TX,El Paso,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Renville,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,2,0,Completed,06/14/2017 16:42,Local PPO
MN,Becker,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Redwood,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Brooke,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
OH,Williams,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Lehigh,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,York,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
AR,Perry,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DC,District of Columbia,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
SC,Florence,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
OH,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NE,Adams,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Montgomery,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
LA,Iberville,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NE,Colfax,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Redwood,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Carroll,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
VA,Madison,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Mingo,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
MT,Lake,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
CA,Orange,Orange County Health Authority,OneCare (HMO SNP),Y,N,Y,N,N,,,,,,,H5433,1,0,Completed,07/25/2017 13:36,HMO/HMOPOS
PA,Venango,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Union,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
VA,Bristol City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Hertford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
ID,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,21,0,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,East Baton Rouge,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Greene,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
VA,Petersburg City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
GA,Wayne,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Hillsborough,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Lake,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AR,Conway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,San Lorenzo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Penuelas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Volusia,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Haskell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Adams,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
GA,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
ND,McIntosh,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
LA,Washington,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,3,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Fayette,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Clark,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Pima,Anthem Inc.,CareMore Heart Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Greene,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,18,0,Completed,06/21/2017 11:09,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,7,0,Completed,06/21/2017 11:09,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Beltrami,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mower,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lincoln,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lyon,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pennington,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
AR,Garland,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,2,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Pottawatomie,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Kane,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,5,0,Completed,07/26/2017 16:56,HMO/HMOPOS
MN,Crow Wing,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Polk,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
LA,West Baton Rouge,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Copiah,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Northumberland,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Lagrange,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Mason,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Catawba,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wake,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Washington,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
TX,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,41,0,Completed,07/24/2017 12:23,Local PPO
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
LA,Pointe Coupee,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Twiggs,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
AL,Coosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Clarke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Dutchess,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NC,Rowan,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
WA,Pierce,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,3,0,Completed,07/10/2017 17:32,HMO/HMOPOS
GA,Fulton,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Mingo,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
IA,Sac,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
MN,Fillmore,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
PA,Sullivan,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
PR,Canovanas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Del Norte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Stephens,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
TX,Burnet,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Forsyth,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
OH,Ross,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
SD,Clay,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Rock,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MD,Baltimore City,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
LA,St. Martin,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Snohomish,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1894,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,Coos,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
IL,DuPage,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/25/2017 10:12,Medicare-Medicaid Plan HMO/HMOPOS
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
TX,Travis,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,St. Joseph,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MO,Dallas,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
WV,Cabell,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,De Witt,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IL,Edgar,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PR,Hormigueros,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Kings,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
TX,Harris,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
IL,St. Clair,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MS,Tunica,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
AR,Lee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Butler,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Pottawattamie,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
NY,Albany,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Elmore,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Eau Claire,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PR,Penuelas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Seminole,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,4,0,Completed,07/24/2017 20:49,HMO/HMOPOS
AL,Covington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
FL,Polk,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Waller,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Outagamie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Polk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,6,Completed,07/17/2017 11:05,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
MI,Antrim,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
NY,Schoharie,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Westchester,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Wayne,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
AL,Marshall,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Gallatin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Grant,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
PA,Cambria,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Prince William,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Perry,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
CA,Kern,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,25,0,Completed,07/17/2017 20:44,HMO/HMOPOS
AR,Cleburne,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,4,Completed,07/13/2017 12:29,PFFS
ND,Eddy,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Forsyth,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AR,Polk,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Pulaski,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Poinsett,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Comal,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,New Hanover,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
SC,Fairfield,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
MN,Wabasha,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Overton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Crow Wing,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MI,St. Clair,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Hancock,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IA,Harrison,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Suffolk City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,2,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IA,Keokuk,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NJ,Cumberland,"Clover Health Holdings, Inc.",Clover Health NJ Purple (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,32,0,Completed,07/25/2017 8:01,Local PPO
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bell,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Washington,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NC,Iredell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
MO,McDonald,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Logan,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TN,Overton,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
IA,Osceola,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
KS,Riley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Daviess,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Hampton City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
OH,Hancock,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Broward,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Bronx,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Dade,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Cass,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,16,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Lake,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,94,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Santa Barbara,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,N,,,0,138,,,H0504,39,0,Completed,07/21/2017 17:33,HMO/HMOPOS
AL,Greene,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
IN,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
IN,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
PA,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,35,0,Completed,07/24/2017 12:23,Local PPO
MN,Mower,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
OH,Medina,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
MS,Adams,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lawrence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Rewards Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,14,0,Completed,07/24/2017 14:05,HMO/HMOPOS
WV,Webster,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
IA,Carroll,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Madison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
VA,Dickenson,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
PA,Columbia,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
WI,Clark,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Platte,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Benton,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,408,408,204,204,H3811,1,0,Completed,07/31/2017 19:26,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
AL,Lamar,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WV,Clay,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Santa Isabel,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CO,Jefferson,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Napa,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,St. Joseph,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
TN,Wilson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
PA,Susquehanna,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
NY,Bronx,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Douglas,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Douglas,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
PR,Canovanas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Queens,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
LA,Franklin,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Morehouse,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Medina,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,Henry,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,11,0,Completed,07/26/2017 16:54,HMO/HMOPOS
NY,Allegany,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
OH,Darke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Ionia,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Cass,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,17,0,Completed,06/21/2017 11:09,HMO/HMOPOS
TX,Newton,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
HI,Maui,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,Y,N,Y,N,,,455,455,228,228,H3832,11,0,Completed,07/20/2017 22:08,Local PPO
MI,Otsego,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
MI,Gladwin,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
OH,Delaware,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Sherburne,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Houston,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
CA,Orange,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,37,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Blair,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
NM,Santa Fe,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,2,0,Completed,07/14/2017 12:55,HMO/HMOPOS
IN,Vermillion,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
OH,Cuyahoga,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Florence,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,Boulder,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Chesapeake City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Pueblo,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Teller,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,18,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,14,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,Logan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day In Control Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,26,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Cambria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Chaves,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
NM,DeBaca,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
NM,Guadalupe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
TX,Camp,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
IA,Madison,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
PR,Vega Baja,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Victoria,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Mathews,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
NY,Rockland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,121,0,Completed,07/12/2017 15:39,Local PPO
MI,Muskegon,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
GA,Dougherty,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Barrow,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
KY,Butler,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Potter,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
KY,Butler,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Webster,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Osage,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Pottawatomie,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TN,Meigs,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,138,0,Completed,07/25/2017 10:12,Local PPO
WV,Logan,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OK,Sequoyah,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Fillmore,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
LA,Jefferson Davis,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,135,0,Completed,07/25/2017 10:12,Local PPO
OH,Stark,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
NY,Broome,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
AL,Lowndes,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,St. Louis,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Barry,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Morton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
NY,Nassau,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hardeman,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
AR,Clay,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
VA,Culpeper,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Wetzel,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
OK,Muskogee,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MN,Dodge,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
AL,Bullock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Washington,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Oglethorpe,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
GA,Franklin,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
TX,Bandera,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
OK,McClain,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MS,Madison,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
GA,Fayette,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Dyer,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hawkins,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Northampton,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Jackson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,45,0,Completed,06/26/2017 14:13,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,3,0,Completed,06/14/2017 16:42,Local PPO
IN,Johnson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Nobles,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Beaver,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
AR,Clark,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WI,Kenosha,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KS,Leavenworth,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
NC,Sampson,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
LA,Morehouse,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Beaver,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
NH,Carroll,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Greenwood,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,41,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Cook,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Fayette,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Adams,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
ID,Canyon,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
CO,Arapahoe,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Dickson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
CO,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
NY,Oswego,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Yates,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
TX,Terrell,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MO,Schuyler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,York,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
CO,Denver,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
TX,Hardin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Oconee,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Screven,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,30,0,Completed,07/26/2017 10:13,HMO/HMOPOS
MD,Garrett,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,29,0,Completed,07/25/2017 10:12,Local PPO
SD,Lawrence,Humana Inc.,HumanaChoice H5216-084 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,84,0,Completed,07/25/2017 10:12,Local PPO
TX,Guadalupe,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
NV,Nye,Humana Inc.,HumanaChoice H5216-037 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,37,0,Completed,07/25/2017 10:12,Local PPO
KS,Wyandotte,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
GA,Glynn,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
CO,Alamosa,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
PA,Dauphin,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
NJ,Passaic,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Phillips,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Lajas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MO,Ripley,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Pickens,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Jefferson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
TX,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WA,King,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Nottoway,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Nevada,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Pulaski,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Larimer,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,20,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Franklin,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Tulsa,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Greene,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
FL,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,11,0,Completed,07/24/2017 12:23,Local PPO
VA,Falls Church City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
TX,Austin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Bartow,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CO,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,1,0,Completed,06/12/2017 11:28,1876 Cost
PR,Comerio,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Quitman,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
VA,Alexandria City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Albany,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
NM,Chaves,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,137,0,Completed,07/25/2017 10:12,Local PPO
KY,Scott,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Monongalia,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Montgomery,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Greene,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Wapello,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,Trousdale,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
MT,Cascade,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SC,Calhoun,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Polk,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NJ,Ocean,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,New York,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3262,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
WI,Marquette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
MS,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,St. Joseph,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Hamilton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Manistee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Delaware,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,15,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Steuben,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
VT,Rutland,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Scotland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Columbia,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Wilkinson,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
PA,Delaware,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,122,0,Completed,07/25/2017 10:12,Local PPO
MI,Barry,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
VA,Page,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
SC,Georgetown,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Osceola,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Sumter,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Hardy,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Marshall,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
VT,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Windham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Muskegon,Humana Inc.,Humana Gold Plus H8908-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Flex (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3251,21,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,8,2,Completed,07/27/2017 13:39,HMO/HMOPOS
ME,Cumberland,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,Lane,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
LA,Iberia,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. Martin,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,McDowell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Roosevelt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Denver,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
MO,St. Louis,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H2171,1,0,Completed,06/22/2017 12:46,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
FL,Lee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Collin,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,1,0,Completed,07/25/2017 17:34,Local PPO
OK,Washington,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
LA,Rapides,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Iberville,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Newport News City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Sussex,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Norfolk City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,1,Completed,07/07/2017 9:15,HMO/HMOPOS
MI,Macomb,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
SC,Beaufort,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
GA,Gwinnett,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Beaufort,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Vinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Pulaski,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,6,Completed,07/13/2017 12:29,PFFS
NM,Cibola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Fulton,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
ME,Penobscot,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Pasco,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,119,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Sarasota,Humana Inc.,Humana Gold Plus H1036-267 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,267,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Albemarle,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Guernsey,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Owen,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,York,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Kings,New York City Health and Hospitals Corporation,MetroPlus FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9115,1,0,Completed,06/07/2017 14:53,Medicare-Medicaid Plan HMO/HMOPOS
OH,Huron,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Geauga,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
AR,Marion,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
TX,Matagorda,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
GA,Henry,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SC,Abbeville,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
MS,Lamar,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Marion,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
FL,Lake,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Jefferson,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
MD,Anne Arundel,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
NY,Kings,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
TX,Angelina,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Dual Coverage (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,24,0,Completed,07/17/2017 20:44,HMO/HMOPOS
VA,Bedford,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
MI,St. Clair,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Choctaw,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
SC,Chester,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
MS,Jackson,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Lewis,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NY,Allegany,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Polk,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,230,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Dickenson,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Pennington,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Merced,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,140,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,130,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
OH,Champaign,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,72,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Todd,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
TN,Sumner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Middlesex,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
NY,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,64,0,Completed,06/26/2017 14:13,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Madison,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MT,Granite,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MT,Judith Basin,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
GA,Fulton,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
GA,Bibb,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,West Baton Rouge,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Hendricks,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Suffolk,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
LA,Rapides,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Bourbon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Hopkins,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Allen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Muskingum,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Noble,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
TN,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. Helena,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,99,0,Completed,07/27/2017 10:38,Local PPO
FL,Duval,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Lee,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Gibson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Madison,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
SD,Lawrence,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
VA,Hopewell City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Clear Creek,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
ME,Waldo,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Cuyahoga,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Cass,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Walton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,8,0,Completed,07/24/2017 12:23,Local PPO
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
ND,Dickey,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Coweta,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
LA,West Feliciana,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lorain,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
VA,Scott,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Lake,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Marion,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
LA,Pointe Coupee,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
KS,Osage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Kenton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Harmony Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,32,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,37,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
AL,Blount,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
GA,Richmond,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
HI,Hawaii,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
MS,Hancock,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,171,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Washington,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,9,0,Completed,07/28/2017 12:26,Local PPO
IN,Pike,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Austin,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Seneca,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
WI,Waupaca,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MO,Lafayette,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
WV,Fayette,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WI,Crawford,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
DE,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
FL,Miami-Dade,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Elbert,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
IA,Clinton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
WV,Jefferson,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
WV,Marion,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Murray,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wadena,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Todd,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
KY,Franklin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Brooke,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
SD,Day,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
KS,Wyandotte,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MO,Oregon,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
NE,Dodge,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
IA,Cherokee,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Keokuk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
ND,Cass,Humana Inc.,HumanaChoice H5216-087 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,87,0,Completed,07/25/2017 10:12,Local PPO
VA,Chesterfield,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
IA,Jefferson,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Wilcox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
GA,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Las Marias,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Brazoria,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
TX,Parker,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Osceola,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Pike,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4868,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
WV,Fayette,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
CA,Los Angeles,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,61,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,8,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SD,Faulk,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Crowley,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Butler,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
PR,Isabela,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Laclede,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Nueces,Humana Inc.,Humana Gold Plus H2649-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,San Patricio,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Guadalupe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
WI,Polk,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
FL,Jefferson,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
GA,Walton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,7,0,Completed,06/26/2017 13:34,HMO/HMOPOS
TX,Webb,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PA,Lancaster,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Montcalm,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PR,Guanica,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Eastland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Onondaga,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
NV,Storey,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
PA,Susquehanna,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
MI,Allegan,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
MO,Henry,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Montgomery,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
WV,Marion,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
AR,Randolph,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MS,Holmes,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
GA,Jackson,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IL,Clark,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
CO,Otero,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
CO,Pueblo,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
CT,New Haven,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Lee,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Douglas,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Boone,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Nassau,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MO,Cass,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
ID,Canyon,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,32,0,Completed,07/24/2017 12:23,Local PPO
ND,Bowman,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sully,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
FL,Duval,Guidewell Mutual Holding Corporation,BlueMedicare Preferred HMO (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,7,0,Completed,07/18/2017 13:53,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bradley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Steele,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
IN,Marshall,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MO,Pike,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Broward,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
FL,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
PR,Comerio,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
UT,Box Elder,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,131,0,Completed,07/12/2017 15:39,Local PPO
LA,Bossier,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
UT,Davis,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,131,0,Completed,07/25/2017 10:12,Local PPO
KY,Adair,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Magoffin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Lancaster,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
PA,Lebanon,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
TX,Cooke,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Uvalde,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IN,Gibson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
TX,Morris,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
IA,Grundy,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
IL,Cook,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,06/14/2017 16:42,Medicare-Medicaid Plan HMO/HMOPOS
NY,Chemung,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Ozaukee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
IL,Washington,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Bucks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Hancock,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
MI,Berrien,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2247,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CO,Fremont,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
HI,Kauai,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,8,0,Completed,07/20/2017 22:08,Local PPO
CA,Ventura,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,1,0,Completed,06/26/2017 14:13,HMO/HMOPOS
TX,Starr,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,2,0,Completed,06/22/2017 17:15,HMO/HMOPOS
IN,Decatur,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Porter,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,6,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,5,0,Completed,07/26/2017 12:58,HMO/HMOPOS
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Pottawatomie,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
IL,Clark,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
GA,Gordon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Aguas Buenas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Keya Paha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MI,Ottawa,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
GA,Evans,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Greene,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
NC,Mecklenburg,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
NM,Bernalillo,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
NE,Douglas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MO,Cole,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
OH,Highland,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
SD,Lincoln,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Fort Bend,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Kendall,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AZ,La Paz,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,35,0,Completed,07/25/2017 10:12,Local PPO
FL,Palm Beach,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Warren,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,14,0,Completed,07/12/2017 15:39,Local PPO
MO,Jackson,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Morton,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Wallace,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MO,Ralls,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Lauderdale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Dunn,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
WV,Barbour,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1969,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
IN,Elkhart,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Peach,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
PA,Lycoming,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
PA,Venango,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
MN,Waseca,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
PA,Venango,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
AR,Hempstead,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Carver,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
LA,Livingston,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Holmes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
MN,Mower,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nobles,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Botetourt,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Georgetown,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Grant,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
AL,Baldwin,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
GA,Fayette,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,1,Completed,07/26/2017 17:12,Local PPO
TX,Comal,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Nueces,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Wyandotte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
WI,Milwaukee,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Pope,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Kleberg,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Hancock,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
TX,Refugio,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
MO,St. Charles,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Hot Spring,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Searcy,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,56,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Perry,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Covington,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
IN,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,Florida,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Stephens,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Peach,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
WV,Greenbrier,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Laclede,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,13,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Brevard,"Health First, Inc.",Health First Secure Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,9,0,Completed,07/24/2017 14:05,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,3,Completed,06/29/2017 13:12,HMO/HMOPOS
AL,Jefferson,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8280,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
VA,Brunswick,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Campbell,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
MN,Olmsted,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Dade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
PA,Tioga,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
SC,Laurens,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
UT,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Moca,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Craighead,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Amelia,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
MA,Plymouth,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NJ,Union,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OK,Cleveland,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
MN,Lake,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Oliver,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Deuel,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,DeKalb,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Bacon,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MT,Teton,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Chesterfield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Cayey,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Juncos,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AZ,Coconino,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
KY,Spencer,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Cambria,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
AR,Johnson,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Greensville,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Manassas City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Washington,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Spokane,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5010,2,0,Completed,07/26/2017 17:12,Local PPO
OH,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Baldwin,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
NC,Rockingham,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,5,0,Completed,06/21/2017 11:26,Local PPO
WI,Winnebago,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Clinton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Waller,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
OH,Lorain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,McNairy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,81,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9047,43,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
ND,Bowman,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WA,King,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,6,0,Completed,07/26/2017 17:12,HMO/HMOPOS
KY,Lyon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Shelby,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
MT,Yellowstone,PacificSource Health Plans,PacificSource Medicare MyCare Rx 29 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,29,0,Completed,06/15/2017 15:55,HMO/HMOPOS
ID,Boise,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
LA,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Tompkins,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
WI,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
IN,Hendricks,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
OK,Garvin,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
LA,St. Helena,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Essex,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NC,Caldwell,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Perry,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IL,DuPage,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Spencer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,48,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
PA,Berks,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,4,Completed,06/29/2017 13:12,HMO/HMOPOS
AL,Jefferson,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8280,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
NY,Bronx,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
IA,Des Moines,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,75,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Gaston,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Lowndes,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Holmes,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
CA,Orange,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,1,Completed,10/17/2017 0:50,HMO/HMOPOS
UT,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
NM,Catron,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
WA,Snohomish,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Oklahoma,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Amelia,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Bledsoe,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Seneca,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Greene,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,Clearwater,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
VA,Craig,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
TX,Harris,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Cooper,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,Roane,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
AR,Newton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
CO,Logan,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
SC,Williamsburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Marion,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Fulton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NJ,Camden,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,85,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
NY,Greene,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
TX,Jasper,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Bent,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
WV,Tyler,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Muscatine,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
DE,Kent,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,104,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
TN,Union,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Craighead,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,34,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
FL,Escambia,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
TX,Deaf Smith,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
IN,Brown,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
GA,Walton,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MT,Yellowstone,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Multnomah,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
TX,Dallas,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,455,0,228,H6870,1,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
OH,Clinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Francisco,Imperial Health Plan of California,Traditional-SF (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,7,0,Completed,07/28/2017 16:14,HMO/HMOPOS
TN,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Maricopa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AR,Perry,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Louisa,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Nelson,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
PR,Ceiba,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
ME,Penobscot,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Belmont,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Washington,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Craig,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
WV,Summers,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
PR,Arroyo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Suffolk,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,159,0,Completed,07/12/2017 15:39,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MD,Frederick,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,29,0,Completed,07/25/2017 10:12,Local PPO
MI,Kalamazoo,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
KY,Jackson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Wayne,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,St. Francois,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MO,Audrain,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
KY,Spencer,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
NE,Sarpy,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
IA,Union,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Stephens,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
MS,Yazoo,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
AL,Cherokee,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Orange,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Morrison,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Carter,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Dale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Wilcox,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
PA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
PR,Cidra,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Bandera,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Comal,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Josephine,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,1,0,Completed,06/30/2017 19:02,HMO/HMOPOS
OH,Trumbull,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Grant,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Travis,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IN,Posey,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,22,0,Completed,07/24/2017 12:23,Local PPO
MN,Chisago,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
PR,Comerio,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Brown,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,Licking,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Miami,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,110,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Union,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Williamson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Clay,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
ME,Lincoln,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lawrence,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
OK,Tulsa,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,New York,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,6,0,Completed,07/25/2017 14:48,HMO/HMOPOS
NY,Kings,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KS,Miami,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
CA,Orange,"Universal Care, Inc",Brand New Day Harmony Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,32,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Dodge,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Hidalgo,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Wyandotte,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IA,Emmet,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MO,Platte,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
AR,Washington,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
GA,Butts,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NJ,Monmouth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
PR,Guayama,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Crisp,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Steele,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MO,Laclede,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Alamance,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
ND,Hettinger,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Scott,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Freeborn,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
KS,Anderson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IA,Union,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,1,0,Completed,06/12/2017 11:28,1876 Cost
PR,Luquillo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Crane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Washington,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
MI,Wayne,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,149,0,Completed,07/12/2017 15:39,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AR,Scott,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OK,Pawnee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
KY,Clinton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
LA,Calcasieu,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
CO,Huerfano,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
AL,Crenshaw,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Dunn,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Pierce,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
KS,Sedgwick,Aetna Inc.,Coventry Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Cole,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Hickory,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Logan,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Louisa,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Manatee,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Smith,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
TX,Willacy,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Bent,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
CO,Yuma,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
WA,Douglas,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
PR,Cayey,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Miami,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Brunswick,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Faribault,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
MO,Laclede,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Lee,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Cumberland,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Fayette,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Transylvania,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Creek,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PA,Northumberland,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Centre,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
IN,De Kalb,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Franklin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IL,Rock Island,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,2,0,Completed,07/26/2017 16:56,HMO/HMOPOS
OH,Lucas,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
FL,Sarasota,Humana Inc.,Humana Gold Plus SNP-DE H1036-261 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,261,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Hinds,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,151,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Bartholomew,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,St. Joseph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Manitowoc,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Anderson,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Concho,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 8 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,57,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Franklin,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
WV,Taylor,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
OH,Auglaize,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
TX,Bee,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IN,Jefferson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
OK,Grady,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,58,0,Completed,07/25/2017 10:12,Local PPO
MN,Dodge,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WA,King,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
CO,Clear Creek,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
GA,Treutlen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Aguadilla,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Dixon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Kerr,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Perry,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PA,Westmoreland,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Fayette,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
PR,Fajardo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Sullivan,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Adams,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,1,0,Completed,07/26/2017 16:54,HMO/HMOPOS
KY,Nelson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Jones,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Sequatchie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus SNP-DE H1036-209 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,209,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Alachua,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,143,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Sandusky,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Carroll,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Piscataquis,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
IA,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
VA,Manassas Park City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,Maricopa,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,130,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Heard,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Perry,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Sabine,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
FL,Seminole,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,39,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
PR,San Juan,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Stearns,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
SC,Newberry,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
GA,Gwinnett,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Jackson,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
NY,Fulton,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
TX,Polk,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Highlands,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,16,0,Completed,07/24/2017 14:05,HMO/HMOPOS
CA,Santa Clara,SANTA CLARA COUNTY HEALTH AUTHORITY,Santa Clara Family Health Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H7890,1,0,Completed,07/27/2017 14:41,Medicare-Medicaid Plan HMO/HMOPOS
WI,Richland,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Roseau,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Bedford,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Menard,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,Orange,Humana Inc.,Humana Gold Plus H5619-021 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Baxter,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Monongalia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
GA,Walker,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KS,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ottawa,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Caldwell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,McCreary,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Mobile,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Oklahoma,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Keokuk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Wyandot,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
VA,Mathews,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,14,0,Completed,07/18/2017 9:33,Local PPO
IL,St. Clair,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,2,Completed,07/26/2017 16:51,HMO/HMOPOS
LA,Pointe Coupee,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Adams,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
PA,Bradford,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Lackawanna,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Centre,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
OH,Wood,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,10,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,Hampton City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Kitsap,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,8,0,Completed,07/26/2017 17:12,Local PPO
KS,Labette,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Muskingum,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Greenup,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Conecuh,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
IA,Polk,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,1,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Falls Church City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Stanislaus,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
OR,Douglas,ATRIO Health Plans,ATRIO Gold Rx (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,4,0,Completed,06/28/2017 15:06,Local PPO
CA,Nevada,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
WI,Calumet,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Travis,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Smyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Kings,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,56,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IA,Hamilton,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Atlantic,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
OH,Belmont,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
OH,Noble,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
GA,Cook,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
GA,Lamar,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NY,New York,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Dade,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Schuyler,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Allegheny,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NJ,Essex,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,Richland,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
SC,Dorchester,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MA,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
MO,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
MD,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
SD,Deuel,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Beadle,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Forest,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Richmond City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Douglas,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Nueces,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,53,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Ulster,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Blair,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Adams,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,35,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Kittson,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
IA,Harrison,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
VA,Loudoun,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
CA,Yolo,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
UT,Tooele,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
UT,Cache,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
CA,San Bernardino,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,6,0,Completed,07/28/2017 18:46,HMO/HMOPOS
NY,Nassau,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,174,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
WV,Tucker,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
PA,York,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
ID,Ada,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Wythe,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Van Wert,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Gallatin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Henderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,6,Completed,07/27/2017 12:35,HMO/HMOPOS
KY,Estill,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
MN,Becker,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
MS,Hinds,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OR,Polk,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H5995,1,0,Completed,06/28/2017 15:06,HMO/HMOPOS
IA,Boone,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,99,0,Completed,07/27/2017 10:38,Local PPO
NY,Schenectady,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
VA,Sussex,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AR,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Coke,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Guthrie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Wheeler,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,38,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OR,Hood River,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
IL,St. Clair,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TX,Ellis,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IN,Scott,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Red Lake,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Swift,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Plymouth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Montgomery,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IN,Bartholomew,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
PA,Mercer,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
FL,Osceola,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Warren,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Broward,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,18,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Decatur,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,88,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Fresno,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,44,0,Completed,07/24/2017 20:49,HMO/HMOPOS
GA,Oconee,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Crawford,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Marengo,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,2,Completed,07/17/2017 11:05,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,4,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,Sutter,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Seneca,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Rich,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,5,0,Completed,07/26/2017 9:21,HMO/HMOPOS
WA,Thurston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
AR,Marion,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
MT,Golden Valley,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Franklin City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Summit,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MN,Polk,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
AR,Carroll,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Yadkin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Craig,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OH,Montgomery,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
WA,Pierce,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,1,0,Completed,07/10/2017 17:32,HMO/HMOPOS
WI,Outagamie,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PA,Bradford,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
PA,Potter,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
CO,Larimer,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PA,Dauphin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Guayanilla,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Essex,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
GA,Harris,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
CT,Fairfield,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
GA,Turner,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
KY,Fayette,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WV,Ohio,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
FL,Volusia,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
WI,Sauk,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
WI,Wood,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
SD,Faulk,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Clark,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
PR,Camuy,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TN,Sullivan,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
TX,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,55,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
OR,Multnomah,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MN,Big Stone,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Marion,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Greenup,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
IN,Adams,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
IL,Madison,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
OH,Scioto,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
MI,Oakland,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,11,0,Completed,07/25/2017 10:12,Local PPO
OK,Mayes,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Putnam,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IN,Posey,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,Grundy,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WI,Barron,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
IN,Wells,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,Barceloneta,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Dakota,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Gonzales,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Turner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Guadalupe,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Darke,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Stevens,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MI,Midland,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Oconee,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
SC,Hampton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
MN,Meeker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
WI,Adams,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Vernon,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
MN,Fillmore,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
SD,Corson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Benton,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Lagrange,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Bedford,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Rowan,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
IL,Winnebago,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
CO,Gilpin,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NY,Rensselaer,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Westchester,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NJ,Cape May,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
GA,Crawford,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Rensselaer,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Greene,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
PA,Beaver,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
UT,Salt Lake,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,131,0,Completed,07/25/2017 10:12,Local PPO
OH,Highland,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Marion,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
WI,Kenosha,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
SC,Union,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
TX,Denton,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Moniteau,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PA,Franklin,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
GA,Newton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
AR,Hot Spring,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
FL,Seminole,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,Platte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. James,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
TX,Harris,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Hidalgo,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Oconto,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Jo Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Olmsted,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Hays,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Mason,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Antrim,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Pope,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
IA,Pocahontas,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
OH,Montgomery,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Dallas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Cherokee,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
KY,Kenton,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,Douglas,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,4,Completed,06/29/2017 13:12,Local PPO
UT,Box Elder,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Todd,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,1,Completed,07/26/2017 16:51,HMO/HMOPOS
SC,Calhoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Orange,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,92,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Nassau,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Oswego,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
AR,Washington,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Black Hawk,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Charlotte,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Rush,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Atchison,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AZ,Maricopa,Humana Inc.,Humana Gold Plus H2649-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
OK,Wagoner,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
SC,Barnwell,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
OR,Marion,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
MT,Lincoln,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
VA,Dickenson,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Staunton City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Catawba,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Barbour,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
GA,Talbot,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
IA,Clay,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Merced,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
MS,Jackson,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,171,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Morgan,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Steuben,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Cass,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sanborn,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MD,Calvert,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
AL,Geneva,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Adams,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NM,Grant,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Monroe,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
IL,Cook,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
IN,Floyd,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Henry,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Brantley,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
GA,DeKalb,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Lee,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
PA,Huntingdon,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
ID,Nez Perce,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
VA,Virginia Beach City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,New York,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Umatilla,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
IA,Jones,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
WA,Spokane,Humana Inc.,Humana Gold Plus H5619-060 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,43,1,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Brown,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Harmony Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,20,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Effingham,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NH,Hillsborough,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Pickens,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
VA,Sussex,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Winnebago,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Boone,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,St. Louis,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Oneida,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Brown,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Todd,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Faribault,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mahnomen,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
FL,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
GA,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Mayaguez,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Duval,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
NY,Nassau,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,111,0,Completed,07/12/2017 15:39,Local PPO
UT,Morgan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,197,0,Completed,07/12/2017 15:39,Local PPO
NJ,Salem,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,13,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
KY,Powell,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OR,Crook,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
OK,Oklahoma,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Greenup,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KS,Douglas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IL,Lake,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,06/14/2017 16:42,Medicare-Medicaid Plan HMO/HMOPOS
WI,Adams,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
KY,Morgan,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Green,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Rio Grande,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,6,0,Completed,07/28/2017 17:35,1876 Cost
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Wood,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,Oldham,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Chaves,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
MA,Essex,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,122,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
MI,Newaygo,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,1,Completed,07/24/2017 10:22,Local PPO
MI,Livingston,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
MI,Oscoda,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
TX,Harris,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,1,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Overton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Marquette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Box Elder,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,5,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
CA,San Bernardino,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,1,0,Completed,07/28/2017 18:46,HMO/HMOPOS
TX,El Paso,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,4,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,Orange,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Newport News City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Tyler,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Will,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0281,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MS,Harrison,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Polk,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
IA,Hamilton,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,La Paz,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,79,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
TX,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Allegheny,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Crawford,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Cole,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Francois,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
WV,Wyoming,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
WV,Clay,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WI,Milwaukee,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
GA,Jefferson,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
OH,Ashtabula,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
SC,Charleston,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
AL,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
NJ,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
PR,Coamo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Orange,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
WI,Milwaukee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Chenango,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
ME,Cumberland,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mills,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Prime + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,37,0,Completed,07/07/2017 13:42,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,8,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Polk,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,2,0,Completed,07/18/2017 12:54,HMO/HMOPOS
NJ,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,12,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Clayton,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,4,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Walker,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,8,0,Completed,07/25/2017 8:54,HMO/HMOPOS
AR,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MI,Wayne,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7844,1,0,Completed,06/07/2017 11:58,Medicare-Medicaid Plan HMO/HMOPOS
MO,Wayne,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
FL,Hernando,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Webb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Peoria,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
AZ,Pinal,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,130,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NC,Person,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,87,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
TN,Franklin,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Crow Wing,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
IN,Marion,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,1,0,Completed,07/06/2017 14:24,Local PPO
PR,Rio Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fayette,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
IN,Noble,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Jefferson,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Van Buren,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Dallas,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NJ,Essex,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OK,Canadian,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Shelby,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
NY,Queens,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Adams,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Berks,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
SC,Charleston,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,84,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Buchanan,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Page,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Queens,"QHP Financial Group, Inc.",Advantage Silver - NY City (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,20,0,Completed,07/26/2017 18:49,HMO/HMOPOS
OH,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Vance,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MN,Cass,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
TN,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,West Feliciana,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Campbell,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Greene,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
TX,Harris,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
WI,Milwaukee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
IA,Union,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
WV,Grant,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
MS,Calhoun,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
NY,Ulster,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Goochland,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
WV,Webster,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
OH,Hancock,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
PA,Montour,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Ozark,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Linn,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Hancock,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
WV,Marion,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
NY,Oswego,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
AL,Colbert,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Crenshaw,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
NJ,Cumberland,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KY,Elliott,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
MO,St. Francois,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Weld,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Upshur,Humana Inc.,Humana Gold Plus H2649-055 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Wright,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
PA,Chester,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,1,0,Completed,07/28/2017 11:24,HMO/HMOPOS
OH,Putnam,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
PR,Guaynabo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
TX,Tarrant,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,3,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Columbiana,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Coos,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
LA,Terrebonne,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Caldwell,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lebanon,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
AR,Newton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,San Patricio,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,New London,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,10,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Dickson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Gallatin,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MI,Eaton,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
AR,Fulton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Zavala,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
IL,Sangamon,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
CO,Mesa,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
OH,Hancock,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Durham,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
TN,Hickman,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Humphreys,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Crittenden,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,34,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Meeker,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
NY,Dutchess,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Fond du Lac,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
ID,Twin Falls,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
MI,Macomb,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Fluvanna,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Rappahannock,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PR,Coamo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
AL,Colbert,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Kitsap,Humana Inc.,Humana Gold Plus H5619-104 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,104,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Hidalgo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Portage,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bracken,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Bridges Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,28,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Dauphin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Volusia,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,39,0,Completed,07/24/2017 12:23,Local PPO
DC,District of Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
ND,Logan,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
NH,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
WI,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Coweta,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Lincoln,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
MI,Cass,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
VA,Brunswick,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
OK,Marshall,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
MA,Suffolk,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
NY,Broome,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,1,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Virginia Beach City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Carter,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
OH,Stark,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MN,Nobles,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
KY,Crittenden,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
SC,Greenville,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Fulton,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
UT,Washington,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
WI,Shawano,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NM,Santa Fe,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3251,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
FL,Clay,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Hudson,"Clover Health Holdings, Inc.",Clover Health NJ CarePoint Green (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,1,0,Completed,07/25/2017 8:01,Local PPO
OH,Butler,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
VA,Amherst,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Greensville,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,55,0,Completed,07/24/2017 10:45,HMO/HMOPOS
WI,Rock,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
PA,Indiana,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Otsego,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Lee,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
ND,McHenry,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
PA,Indiana,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,4,Completed,07/27/2017 12:35,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
ID,Owyhee,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,9,0,Completed,07/26/2017 17:12,Local PPO
NY,Tompkins,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Yates,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NE,Saunders,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Shenandoah,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
TX,Denton,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,2,0,Completed,06/14/2017 16:42,Local PPO
NY,Orange,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Coke,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Madison,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Madison,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
WI,Lincoln,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
WI,Waukesha,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MI,Schoolcraft,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
IL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
SD,Gregory,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
GA,Schley,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Colbert,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Hamilton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Barrow,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Anderson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
OR,Douglas,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OR,Clackamas,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,1,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Henry,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Blount,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Van Wert,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Gasconade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,1,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Broomfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Wilson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Dickson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Warren,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
MN,Cass,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Jones,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
SC,Beaufort,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Butts,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Bradley,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Stone,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Elbert,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
VA,Prince William,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,Whitman,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
NC,Hyde,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,12,0,Completed,07/26/2017 16:54,HMO/HMOPOS
MD,Montgomery,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
DC,District of Columbia,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Venango,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Greene,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
AL,Morgan,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
GA,Spalding,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MN,Nobles,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Gem,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,10,0,Completed,07/26/2017 17:12,Local PPO
OK,Canadian,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
KY,Hardin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
TN,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Johnson,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Howard,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Irion,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
IA,Appanoose,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Washington,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
WV,Hancock,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
IN,Boone,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
MO,Cass,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Wharton,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
SC,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Citrus,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
TX,Rockwall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
TX,Medina,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
NY,Steuben,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Franklin,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
FL,Seminole,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Richmond,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Cayuga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
CA,Santa Clara,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,24,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Lancaster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Webster,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Bergen,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Utuado,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Sumter,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,94,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
MN,Chisago,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Ralls,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Hodgeman,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
IN,Blackford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,White,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Harrison,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Otsego,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Manassas Park City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Mercer,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Pike,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,1,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,Vanderburgh,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Scott,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Stark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Union,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
SC,Berkeley,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,3,0,Completed,07/31/2017 13:54,Local PPO
NY,Wayne,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
FL,Nassau,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesapeake City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Cumberland,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Washington,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Hamilton,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,17,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clermont,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
PA,Beaver,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Mills,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Wood,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Burke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OR,Linn,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
NC,Davie,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
VA,Floyd,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
OK,Lincoln,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
TX,Marion,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
WV,Braxton,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
IA,Lee,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Maverick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Cooke,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
OH,Clermont,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,87,0,Completed,07/12/2017 15:39,Local PPO
NJ,Atlantic,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
GA,Bibb,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
NY,Cortland,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
AR,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sumner,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Nueces,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Hart,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Marion,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
TX,Potter,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
AR,Greene,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,Pueblo,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Santa Rosa,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,30,0,Completed,07/24/2017 12:23,Local PPO
PR,Villalba,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Geauga,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Dodge,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
PA,Erie,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
OK,Kay,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
TX,Midland,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Hickory,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
OH,Montgomery,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
IA,Wright,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Madison,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Louis City,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Gasconade,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,89,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Ritchie,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NE,Adams,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Manati,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Johnson,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MI,Benzie,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
TX,Hudspeth,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,5,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Harrison,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Appanoose,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
NM,Sierra,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MI,Van Buren,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
KS,Crawford,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
IA,Sac,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PR,Penuelas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Quitman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
IN,Warrick,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,152,0,Completed,07/12/2017 15:39,Local PPO
MO,Polk,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,13,0,Completed,07/05/2017 14:27,Local PPO
CA,San Bernardino,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,17,0,Completed,07/21/2017 17:33,HMO/HMOPOS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Waushara,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,St. Croix,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
TX,Harris,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
AL,Limestone,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Will,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Henry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Dakota,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
TX,San Patricio,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,6,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,La Salle,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
OH,Logan,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
WI,Marathon,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
TX,Lee,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Washington,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
PA,Lycoming,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
VA,Richmond City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
OH,Carroll,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Delaware,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
SD,Spink,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Clay,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clay,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
FL,Hardee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Fredericksburg City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Wadena,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
GA,Barrow,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Hancock,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
WV,Upshur,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
VA,Lancaster,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
TN,Sumner,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Weakley,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Berkshire,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
OR,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Erie,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
TX,Fort Bend,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H7115,1,0,Completed,07/28/2017 11:53,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
NC,Warren,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
WV,Ritchie,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
MO,Jasper,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TX,Carson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
WV,Boone,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OH,Lawrence,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
IA,Adair,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Stearns,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
KS,Shawnee,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
IA,Allamakee,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
FL,Brevard,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
AL,Elmore,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AL,Barbour,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
ND,Bowman,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brookings,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
PA,Bucks,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,1,0,Completed,07/24/2017 10:45,Local PPO
TX,Harris,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Campbell,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Shelby,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Travis,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,22,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OR,Yamhill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Virginia Beach City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TX,Cooke,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,3,0,Completed,06/14/2017 16:42,Local PPO
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
OH,Allen,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/28/2017 9:25,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MO,Lincoln,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
MO,Pike,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
AR,Jefferson,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Wetzel,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
VA,New Kent,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Acadia,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Ouachita,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,3,Completed,06/29/2017 13:12,Local PPO
PA,Bucks,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
OR,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Tipton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Roane,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
NY,Kings,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
OH,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Highland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Estill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
ME,Cumberland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6786,2,0,Completed,07/18/2017 9:33,Local PPO
KY,McLean,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
TN,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Highlands,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,231,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Taney,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hancock,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,McKean,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Genesee,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
ME,Franklin,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lafayette,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Menominee,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MI,Ontonagon,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
DC,District of Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
IN,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Nicollet,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
GA,Greene,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Madison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Citrus,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,2,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Hamilton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TN,Humphreys,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Starke,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Centre,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Delaware,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Herkimer,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Waller,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Washington,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
IA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Tama,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Hood River,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,38,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Sherburne,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
LA,Tangipahoa,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Waukesha,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
WI,Winnebago,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
VA,Harrisonburg City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
PA,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
KS,Graham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Montague,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
NY,Orange,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,110,0,Completed,07/12/2017 15:39,Local PPO
TX,Hays,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,103,0,Completed,07/12/2017 15:39,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hancock,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
PA,Carbon,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Hardin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
SD,Turner,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
KY,Pike,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Pulaski,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Wood,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
VA,Clarke,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
GA,Bryan,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Webster,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IN,Jefferson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
AL,Macon,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
IA,Winnebago,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Houston,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Warren,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
FL,Dade,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
MO,Clay,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fayette,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
NY,Nassau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Posey,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Clermont,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Barnwell,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,McCormick,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
SC,Spartanburg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Polk,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Hernando,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,El Paso,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,18,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
OR,Gilliam,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Morrow,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
OH,Ottawa,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
ME,Knox,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
AL,Lee,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
ID,Gooding,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Hubbard,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
NE,Dodge,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Guilford,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,4,0,Completed,06/21/2017 11:26,Local PPO
ME,Aroostook,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
KY,Owen,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Raleigh,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,2,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Bibb,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Marengo,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TX,Harrison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NE,Nuckolls,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Harris,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NY,Richmond,Jewish Guild for the Blind,GuildNet Gold (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6864,1,0,Completed,07/26/2017 13:17,HMO/HMOPOS
TN,Trousdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Rush,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Washington,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OK,Pushmataha,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Logan,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Lafayette,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Stone,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Lyon,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
WA,Thurston,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
VA,Grayson,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
IA,Plymouth,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
FL,Broward,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
IN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,4,0,Completed,06/12/2017 11:28,1876 Cost
PR,Trujillo Alto,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KY,Franklin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,156,0,Completed,07/12/2017 15:39,Local PPO
OH,Hamilton,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
OH,Muskingum,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Twiggs,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
TX,Sterling,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Marshall,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Page,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MS,Jackson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
OH,Summit,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
MO,Mississippi,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
FL,Osceola,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,9,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Chesterfield,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,St. Louis,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Clark,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
PA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AL,Tallapoosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Clinton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stearns,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,DeKalb,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Clay,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WV,Jackson,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
ME,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
PA,Westmoreland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Fajardo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Saline,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Brooks,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Macon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OK,Hughes,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
NM,Sandoval,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
MN,Houston,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Pottawattamie,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
WV,Mingo,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
IA,Clinton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IL,Menard,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
IL,Richland,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
SC,York,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Adams,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PR,Corozal,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MN,Red Lake,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Clarke,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Elk,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Cloud,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NC,Durham,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6320,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
WV,Doddridge,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Lajas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Titus,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Sullivan,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
TX,Lamb,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,4,Completed,06/29/2017 13:12,Local PPO
PA,Lebanon,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,3,Completed,06/29/2017 13:12,HMO/HMOPOS
MA,Worcester,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Polk,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Charlotte,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Coffey,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Fond du Lac,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,39,0,Completed,07/24/2017 12:23,Local PPO
ND,Oliver,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
PA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Tyler,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WA,Chelan,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst AssuredCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,35,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
PA,Lackawanna,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
IN,Gibson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Lake of the Woods,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Morrison,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Sibley,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Pottawatomie,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
PR,Catano,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Lexington,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
FL,Orange,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,2,Completed,07/24/2017 9:40,Local PPO
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Parker,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
AL,Bibb,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Virginia Beach City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Guernsey,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Preble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,1,Completed,07/25/2017 8:54,HMO/HMOPOS
GA,McDuffie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
WI,Marathon,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Kenton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Calhoun,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Wayne,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aguada,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,San German,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Charles,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Jackson,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,1,0,Completed,06/30/2017 19:02,HMO/HMOPOS
VA,Alexandria City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Douglas,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Blount,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Van Buren,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Mason,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
CA,Orange,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
MI,Alcona,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
TX,Bexar,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,3,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Morgan,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,7,Completed,06/29/2017 13:12,Local PPO
UT,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Tazewell,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
IL,Brown,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
AR,Hot Spring,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,King George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Montgomery,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
GA,Henry,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AR,Saline,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Loudon,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Linn,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
TX,Smith,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Washington Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,46,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
IL,Boone,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
OH,Union,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AL,Talladega,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
CA,Napa,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,32,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
TN,Dickson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
PA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
LA,Madison,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TN,Weakley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Fulton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Nacogdoches,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Morgan,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Bee,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
SC,Bamberg,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
IL,Lawrence,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MS,Lauderdale,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
MI,Oceana,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
MI,Montmorency,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
FL,Glades,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Hancock,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
SC,Richland,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Brunswick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
OH,Lake,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Allegheny,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
MI,Kalamazoo,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,4,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AL,Etowah,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Grafton,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Hampden,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
WV,Monroe,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
IL,Cook,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,5,0,Completed,07/26/2017 16:56,HMO/HMOPOS
IL,McHenry,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TN,Crockett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Boise,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,9,0,Completed,07/26/2017 17:12,Local PPO
NY,Tompkins,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Citrus,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,251,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Union,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Shawano,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Warrick,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Wilkes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Spalding,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
WA,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Luquillo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Nemaha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Mifflin,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
LA,Lafourche,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Monmouth,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,29,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
WI,Portage,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Bee,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
OH,Paulding,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
LA,East Feliciana,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Warren,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
IA,Sioux,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Lafayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Glades,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,229,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,143,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,45,0,Completed,07/24/2017 10:45,HMO/HMOPOS
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
CA,Yolo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,146,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Falls,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
NC,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
NM,Sierra,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
SD,Gregory,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mower,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
AL,Limestone,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,HealthSun SunPlus Advantage Plan (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,1,0,Completed,07/14/2017 16:29,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Trumbull,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hancock,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
OH,Clermont,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Waupaca,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
VA,Alexandria City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
MI,Houghton,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MI,Ottawa,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MI,St. Joseph,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CO,Weld,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
IN,Kosciusko,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WV,Raleigh,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AR,Greene,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
KS,Bourbon,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
TX,Williamson,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,25,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Campbell,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Weber,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
PR,Hatillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Jo Daviess,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,5,0,Completed,06/12/2017 11:28,1876 Cost
PR,Bayamon,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WI,Milwaukee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
NC,Chatham,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,169,0,Completed,07/12/2017 15:39,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Jasper,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
GA,Meriwether,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
MO,St. Louis,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
MN,Becker,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Emmet,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
FL,Dade,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,68,0,Completed,07/25/2017 10:12,Local PPO
SC,Horry,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Indiana,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NE,Dodge,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3170,1,0,Completed,07/27/2017 14:27,HMO/HMOPOS
AR,Hot Spring,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Oglethorpe,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NE,Sherman,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
TX,El Paso,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
CO,Larimer,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Chelan,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,3,0,Completed,07/26/2017 12:58,HMO/HMOPOS
OH,Ottawa,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Heard,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,5,0,Completed,07/26/2017 17:12,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
VA,New Kent,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Norfolk City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Grundy,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
MN,Morrison,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Boone,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
WA,Chelan,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,1,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WI,Brown,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
UT,Weber,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2486,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Hudson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,21,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Cumberland,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
TN,Moore,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Pickett,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NC,Franklin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,St. Helena,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Delaware,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Pinal,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,43,4,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Butler,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
KY,Pulaski,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WA,Thurston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Onondaga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Carver,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
CA,Madera,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,567,0,284,H3237,2,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
KY,Edmonson,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
NC,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
VT,Addison,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
LA,Allen,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,135,0,Completed,07/25/2017 10:12,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
OH,Mahoning,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
IA,Hancock,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Wilkinson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Duval,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
FL,Volusia,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,San Francisco,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,57,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PR,Vega Baja,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
AL,Conecuh,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
MD,Talbot,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
SD,Lake,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Bowman,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
PA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Denton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MI,Baraga,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
TX,Atascosa,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Guadalupe,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Monroe,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
DE,Sussex,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,104,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mower,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Brown,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
IA,Madison,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MI,Barry,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,35,0,Completed,07/24/2017 12:23,Local PPO
PR,Vieques,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Roanoke,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,102,0,Completed,07/12/2017 15:39,Local PPO
OH,Columbiana,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
AZ,Maricopa,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,100,0,Completed,07/12/2017 15:39,Local PPO
TX,Ellis,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/07/2017 12:31,HMO/HMOPOS
OH,Henry,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Seneca,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
TX,Travis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Freeborn,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
SD,Bon Homme,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
NE,Washington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KY,Hardin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Warren,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Mercer,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
TN,Fayette,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
TX,Austin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
OH,Franklin,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
OH,Licking,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
FL,Miami-Dade,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Jefferson,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
AL,Colbert,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Bucks,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,5,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Pike,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,2,Completed,07/24/2017 7:36,HMO/HMOPOS
CO,Las Animas,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
IA,Jones,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
TX,El Paso,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,25,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Fayette,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Union,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
WA,Cowlitz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Los Angeles,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,1,0,Completed,07/28/2017 18:46,HMO/HMOPOS
AL,Shelby,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8280,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
MO,Stone,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Ashley,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Dallas,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Radford City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Suffolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IA,Marion,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Sullivan,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Lebanon,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Lehigh,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,1,Completed,07/20/2017 14:11,Local PPO
PA,Carbon,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
IN,Marshall,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Franklin,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Tippecanoe,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Carroll,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
GA,Emanuel,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Summit,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Yancey,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
PA,Union,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
FL,Hardee,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
VA,Roanoke,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
TX,Taylor,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Oregon,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,St. Charles,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
SD,Bon Homme,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Houston,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
IA,Allamakee,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
OH,Wayne,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
PA,Perry,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Juniata,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WY,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Waynesboro City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KY,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Warren,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Taylor,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
ID,Canyon,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
KY,Boyd,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Butler,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Cherokee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
NM,Dona Ana,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
FL,Bradford,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
TX,Martin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KY,Spencer,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
OH,Clermont,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
OH,Warren,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
WI,Winnebago,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
MO,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Armstrong,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Mason,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Menard,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IL,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vanderburgh,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,22,0,Completed,07/24/2017 12:23,Local PPO
MN,Morrison,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
AL,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Pima,Anthem Inc.,CareMore Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,6,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NY,Franklin,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
PA,Juniata,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Richmond,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Kern (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,35,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
MI,Shiawassee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Carlton,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Major,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Westchester,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Roseau,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Gibson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Rockingham,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,4,0,Completed,06/21/2017 11:26,Local PPO
VA,Lunenburg,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IN,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Washington,UPMC Health System,UPMC for Life Options (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H3907,32,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
WI,Jackson,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Travis,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Holmes,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
IN,Monroe,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
NC,Catawba,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
SD,Butte,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Jefferson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Fannin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AR,Carroll,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Nicollet,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
AR,Yell,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IA,Muscatine,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
KS,Labette,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
GA,Clarke,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
CO,Adams,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
PR,Patillas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MA,Norfolk,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,159,0,Completed,07/12/2017 15:39,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AL,Baldwin,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,St. Louis,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
TN,Perry,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Paulding,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,42,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MI,Gratiot,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
AR,Sharp,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Calhoun,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PA,Luzerne,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Randolph,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Benton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
PA,Dauphin,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
PR,Orocovis,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Live Oak,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
WY,Weston,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MI,Clare,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
MA,Worcester,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,160,0,Completed,07/12/2017 15:39,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Becker,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WV,Roane,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
WI,Fond du Lac,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Sullivan,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
UT,Weber,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
PA,Schuylkill,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
IN,Huntington,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
VA,Poquoson City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
TX,Coleman,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IL,Kane,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Snyder,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Venango,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
FL,Marion,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Pasco,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Fayette,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Logan,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
PR,Arecibo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
OH,Greene,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan smartHMO (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,13,0,Completed,07/27/2017 20:51,HMO/HMOPOS
GA,Terrell,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
MA,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
MN,Pennington,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Turner,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Franklin,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Preferred Special Care Miami-Dade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
TX,Bowie,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Grundy,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
VA,Henrico,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Washington Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,46,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
WA,Snohomish,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,2,0,Completed,07/10/2017 17:32,HMO/HMOPOS
WV,Lewis,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,Montgomery,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
TX,Walker,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
TX,Polk,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
CA,San Francisco,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Hickman,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
PR,Caguas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Adams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Knox,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
NY,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Richmond,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Leelanau,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
AR,Logan,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MO,Pulaski,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Nottoway,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
PA,Allegheny,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
TX,Jack,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,San Patricio,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,105,0,Completed,07/12/2017 15:39,Local PPO
PA,Venango,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Austin,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Crawford,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Sandusky,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
PA,Bradford,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,58,0,Completed,07/25/2017 10:12,Local PPO
VA,Stafford,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
FL,Martin,Humana Inc.,HumanaChoice H5216-060 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,60,0,Completed,07/25/2017 10:12,Local PPO
CO,Huerfano,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
FL,Hillsborough,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MO,Putnam,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Bronx,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3262,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,2,Completed,07/25/2017 8:54,HMO/HMOPOS
TX,Henderson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Huerfano,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
FL,St. Lucie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",Preferred Choice Dade (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Delaware,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
TN,Warren,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
SD,Jones,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stutsman,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Deuel,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MD,Carroll,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
TX,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
IA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
MO,Platte,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Douglas,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Renville,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Faribault,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Grainger,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Chattooga,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Greene,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
MO,Pulaski,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
AR,Saline,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Roanoke City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
FL,Marion,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MI,Barry,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,1,Completed,07/24/2017 10:22,Local PPO
TN,Lake,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Fayette,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Morgan,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Juniata,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Newton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
IN,Putnam,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Sheboygan,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,62,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Midwest MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9712,1,0,Completed,07/26/2017 14:26,Medicare-Medicaid Plan HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
KS,Miami,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Weld,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
IA,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Decatur,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Creek,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Hancock,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
OH,Huron,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
ME,Waldo,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
IL,Piatt,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Maries,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Bland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MI,Washtenaw,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,8,0,Completed,07/26/2017 16:54,HMO/HMOPOS
KY,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Newberry,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Charlotte,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Emporia City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Island,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Monongalia,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Tulsa,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
SC,Colleton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
IA,Delaware,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Rapides,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
OH,Warren,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
IN,Rush,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Dade,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Clinton,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
NC,Cumberland,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
GA,Gwinnett,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Buckingham,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
IA,Webster,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
WV,Wetzel,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
NC,Lincoln,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Luzerne,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
OH,Butler,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,16,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,Clark,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
MD,Prince George s,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
MD,Baltimore,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Lafourche,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Boyle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Bedford,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Crawford,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Ouachita,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
AR,Van Buren,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
OK,Major,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Lincoln,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
CA,Los Angeles,Imperial Health Plan of California,Traditional-LA (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,6,0,Completed,07/28/2017 16:14,HMO/HMOPOS
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Lapeer,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
AR,Baxter,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MN,Waseca,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
NM,Santa Fe,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PA,Tioga,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Presque Isle,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
TN,Roane,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Sullivan,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Orleans,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3227,1,0,Completed,07/27/2017 16:53,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst Mount Sinai Select (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,36,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Mecklenburg,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sevier,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Lac qui Parle,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NY,Westchester,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cumberland,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Polk,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
AR,Calhoun,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Hillsborough,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Lafayette,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,4,0,Completed,06/12/2017 11:28,1876 Cost
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Delaware,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Luzerne,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Montgomery,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Oklahoma,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Creek,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OK,Washington,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
WA,Thurston,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,8,0,Completed,07/26/2017 17:12,Local PPO
TX,Tyler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Vinton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Okmulgee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
ND,McHenry,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
MD,Carroll,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
NY,Tioga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
MS,Pearl River,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,171,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Mower,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Niagara,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
ND,Grant,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,McCook,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brule,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Campbell,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TX,Galveston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Mercer,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
IL,Monroe,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Whitley,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
CO,El Paso,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CO,Boulder,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,170,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Davie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Adams,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
GA,Jackson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Forsyth,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
WI,Trempealeau,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MN,Wabasha,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
TN,Pickett,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Mower,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
TN,McNairy,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Putnam,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MN,Wilkin,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Fayette,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Lee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
AR,Grant,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Weld,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,20,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MT,Gallatin,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
OH,Geauga,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,1,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Columbia,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Henry,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Hickman,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Vermilion,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
WV,Brooke,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
WV,Wayne,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
VA,Hampton City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
HI,Maui,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
VA,Smyth,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Noble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Fulton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
AL,Bibb,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
AL,Monroe,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
ND,Benson,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
AZ,Pinal,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Montgomery,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
MS,Rankin,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,151,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
WI,Brown,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
CA,San Bernardino,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,1,0,Completed,06/26/2017 11:39,HMO/HMOPOS
IL,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Elkhart,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,New York,New York City Health and Hospitals Corporation,MetroPlus FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9115,1,0,Completed,06/07/2017 14:53,Medicare-Medicaid Plan HMO/HMOPOS
NY,Essex,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Greene,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Seneca,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Concho,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NY,Genesee,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Giles,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Todd,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Cochise,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,13,0,Completed,07/25/2017 11:49,HMO/HMOPOS
GA,Douglas,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Gladwin,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Wayne,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,Edwards,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
TX,El Paso,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8197,1,0,Completed,06/07/2017 12:14,Medicare-Medicaid Plan HMO/HMOPOS
NY,Nassau,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,4,0,Completed,06/14/2017 16:42,Local PPO
PA,Perry,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
IN,Starke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Luzerne,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
GA,Henry,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
SC,Laurens,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
VA,Charlotte,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
NY,Kings,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/07/2017 14:53,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Bexar,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8786,1,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Newport News City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Cameron,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
PA,Berks,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,McKean,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
ME,Penobscot,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Berkeley,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,84,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Franklin,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Nelson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Woodford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Brooke,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,24,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Barbour,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Shelby,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
NY,Tompkins,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MO,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Tipton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
MN,Washington,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
IN,Lagrange,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
TX,Rockwall,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MO,McDonald,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KS,Wyandotte,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
IA,Lee,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
FL,Charlotte,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
AL,Mobile,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
SD,Hamlin,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
OH,Seneca,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
WV,Roane,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Henderson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
CO,Douglas,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
FL,Sarasota,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
NY,Saratoga,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
DE,Sussex,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,95,0,Completed,07/12/2017 15:39,Local PPO
OH,Delaware,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
GA,Banks,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MO,Taney,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
IA,Ringgold,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Oconee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
KY,Russell,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
KY,Nelson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Lafayette,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Bullock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Putnam,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Chambers,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Lake of the Woods,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,7,0,Completed,06/26/2017 13:34,HMO/HMOPOS
VA,Washington,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
NC,Cherokee,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
PA,Wayne,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
AZ,Pima,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,103,0,Completed,07/25/2017 10:12,PFFS
AL,Baldwin,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
PA,Susquehanna,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
CA,Amador,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Kane,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
TX,Galveston,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,1,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Darke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Buncombe,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,Davie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Lee,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Henry,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
VA,Dinwiddie,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Orange,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KS,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Larue,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Greene,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Butler,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Boone,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MS,Panola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Pearl River,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
AL,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lucas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,153,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Forest,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Franklin,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
OH,Mahoning,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
SD,Grant,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
SD,Hutchinson,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
TX,Atascosa,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Hardin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Nueces,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AR,Crawford,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Greene,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
KS,Dickinson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,2,0,Completed,06/12/2017 11:28,1876 Cost
PR,Salinas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Summit,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,San Juan,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Centre,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TX,Marion,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
VA,Falls Church City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Saratoga,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OH,Clermont,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
IL,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Brewster,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Lebanon,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Twiggs,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
NJ,Bergen,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
GA,Dooly,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
GA,Towns,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Washington,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
OH,Stark,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
AR,Madison,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Bath,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Fort Bend,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Liberty,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Newton,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
PA,Butler,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,58,0,Completed,07/25/2017 10:12,Local PPO
WV,Cabell,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
DE,New Castle,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,127,0,Completed,07/25/2017 10:12,Local PPO
IA,Hardin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MO,Jasper,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MN,Pennington,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
AL,Montgomery,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Ashland,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Stone,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Delaware,"Gateway Health Plan, LP",Gateway Health Medicare Assured Value (HMO-POS),Y,Y,Y,Y,N,,,511,511,21,256,H5932,11,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
MN,Scott,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Cayuga,"WellCare Health Plans, Inc.",Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4868,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
WV,Doddridge,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Suffolk,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
SD,Campbell,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
PR,Adjuntas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,St. Charles,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Pike,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
HI,Kalawao,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,7,0,Completed,07/20/2017 22:08,Local PPO
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,23,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
WV,Mercer,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,Danville City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,83,0,Completed,07/12/2017 15:39,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Fayette,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
FL,Dade,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Collier,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,35,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Cayuga,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Coke,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Concho,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Austin,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Irion,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
IA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Wapello,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Ste. Genevieve,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Martin,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Lares,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
GA,Bibb,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Fulton,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
AL,Bibb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
MT,Lake,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
ME,Cumberland,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,13,0,Completed,07/06/2017 14:10,HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
VA,Wythe,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Lawrence,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Miami,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Powell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Butler,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Montgomery,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
ME,Lincoln,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Niagara,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NC,Gaston,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Brown,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,44,0,Completed,07/24/2017 10:45,HMO/HMOPOS
IN,Randolph,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Putnam,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,164,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Placer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,138,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Jefferson,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Lawrence,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Hardin,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
MN,Benton,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Northampton,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
WI,Jefferson,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
MO,Washington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
PA,Crawford,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
VA,Alexandria City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
UT,Weber,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CO,Pueblo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Mississippi,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PA,Montgomery,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
WI,Marquette,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Rappahannock,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Henry,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Pocahontas,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Mercer,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
FL,Dade,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
IA,Clinton,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Fentress,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ID,Latah,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,1,0,Completed,07/26/2017 17:12,Local PPO
OH,Union,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Coshocton,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Irion,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
MN,Becker,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
IA,Buena Vista,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Morris,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,20,0,Completed,07/24/2017 12:23,Local PPO
SD,Edmunds,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
NY,Erie,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Milam,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
KY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,67,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Transylvania,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
IN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
SD,Douglas,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
MD,Frederick,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
FL,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Loudon,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kittson,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Graham,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,13,0,Completed,07/25/2017 11:49,HMO/HMOPOS
FL,Calhoun,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
IL,Iroquois,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Stone,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
TX,Dallas,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
AR,Ouachita,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Rockbridge,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Park,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Lunenburg,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Oneida,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
WV,Monongalia,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Susquehanna,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SD,Moody,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jones,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
OH,Montgomery,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Prairie,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
WI,Sheboygan,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Randolph,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
ND,Oliver,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
MS,George,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Cooke,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Cocke,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Rhea,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Lapeer,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Davie,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
PR,Manati,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,New Madrid,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Douglas,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
OH,Ottawa,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
WI,Door,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
OK,McClain,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
SD,Clark,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
OH,Allen,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Logan,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
PA,Wyoming,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Moniteau,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Outagamie,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rains,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Caswell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Bradley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
GA,Chattooga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MD,Howard,"Medstar Health, Inc.",MedStar Medicare Choice (HMO),Y,N,Y,Y,N,,,455,455,228,228,H9915,8,0,Completed,07/11/2017 8:53,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pennington,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Faribault,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Rutherford,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Cherokee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Dickenson,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
IN,Johnson,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
TX,Willacy,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
CO,Denver,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
PR,Morovis,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VT,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Franklin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
TX,Blanco,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
KY,Edmonson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Pendleton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Lewis,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
AR,Scott,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Monongalia,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OK,Ottawa,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
FL,Baker,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
CT,Middlesex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Huntingdon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NE,Platte,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
AL,Etowah,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pipestone,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MD,Washington,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
TX,Kendall,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
AL,Tallapoosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hickman,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Crow Wing,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
TX,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Webster,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
MO,Wright,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,Clear Creek,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MS,Greene,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
NC,Davie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
AL,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PR,Naguabo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Powder River,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Henrico,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
NC,Gaston,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
FL,Pinellas,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
GA,Baldwin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
VA,Arlington,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MO,Cass,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OK,Pottawatomie,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WA,Pierce,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
ID,Payette,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
TX,Upshur,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
GA,Laurens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Jefferson,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Erie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,4,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Osceola,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,St. Clair,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NY,Saratoga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Heard,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WV,Wyoming,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
TX,Erath,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Chester,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
PA,Philadelphia,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
KY,Boyle,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WA,Thurston,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
OH,Lucas,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
TX,Fannin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Washington,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TN,Grainger,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
WV,Marion,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
NY,Cayuga,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
NY,Madison,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
AL,Shelby,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
NY,Kings,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,07/25/2017 11:55,Medicare-Medicaid Plan HMO/HMOPOS
MO,Nodaway,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KY,Martin,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
GA,Irwin,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Suffolk,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,2,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Alamosa,"Friday Health Plans, Inc.",Friday Health Plans Platinum SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,7,0,Completed,07/28/2017 17:35,1876 Cost
FL,Walton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,455,0,228,H3018,1,0,Completed,07/25/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
NC,Gaston,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Chemung,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MO,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Mahnomen,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Dallas,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MN,Roseau,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Harrison,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
WV,Wyoming,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
PA,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Harris,Humana Inc.,Humana Gold Plus H2649-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Harris,Humana Inc.,Humana Gold Plus H2649-064 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,64,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Clay,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Cherokee,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,4,0,Completed,07/14/2017 12:55,HMO/HMOPOS
OH,Holmes,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
OH,Portage,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MT,Pondera,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
NY,Queens,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Rockwall,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,1,Completed,07/06/2017 14:24,HMO/HMOPOS
OR,Yamhill,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
NY,Bronx,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
PA,Clinton,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
VA,Petersburg City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,West Baton Rouge,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Jefferson,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,Chatham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Pulaski,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NM,Valencia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6526,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Bourbon,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
LA,St. Bernard,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,101,2,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Bonner,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,4,0,Completed,07/26/2017 17:12,Local PPO
FL,Okeechobee,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,229,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Adams,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
WI,Kewaunee,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
WI,Racine,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,9,0,Completed,07/28/2017 12:26,Local PPO
IN,Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,49,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Catawba,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Queens,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
OH,Putnam,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Highlands,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
KY,Gallatin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
OH,Ottawa,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,1,0,Completed,07/28/2017 11:13,Local PPO
WI,Kenosha,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/26/2017 12:18,HMO/HMOPOS
GA,Atkinson,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
SC,Newberry,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
AR,Crawford,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Sussex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Curry,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,8,0,Completed,06/15/2017 15:55,Local PPO
WV,Pocahontas,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Calhoun,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Newberry,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Sharp,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
MT,Lake,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Mahoning,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Greene,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,2,0,Completed,07/25/2017 17:34,Local PPO
PA,Washington,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
PA,Bradford,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,1,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Franklin,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Monroe,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,St. Joseph,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
TX,San Jacinto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Jerome,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,4,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
TX,Willacy,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,5,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Dallas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,27,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Robertson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
MN,Koochiching,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,West Carroll,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Snyder,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Sullivan,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
VA,Suffolk City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesapeake City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NC,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
NY,Lewis,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
NY,Rockland,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
TN,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Highland,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
GA,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Tioga,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Menard,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
IA,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Alexander,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Bronx,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Steuben,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
PR,Coamo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,New Madrid,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Union,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NH,Belknap,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
IN,Brown,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,151,0,Completed,07/12/2017 15:39,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Ashtabula,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,13,0,Completed,07/26/2017 12:58,HMO/HMOPOS
GA,DeKalb,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MT,Judith Basin,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
PR,Guanica,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Beaufort,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
VA,Madison,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Wythe,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
IA,Montgomery,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IA,Plymouth,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IA,Monona,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,8,0,Completed,07/12/2017 15:39,Local PPO
PA,Montour,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
VA,Buchanan,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Madera,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore City,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
LA,St. Martin,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
MN,Itasca,Itasca County Health & Human Services,IMCare Classic (HMO SNP),N,N,N,N,N,,,,,,,H2417,1,0,Completed,06/05/2017 15:41,HMO/HMOPOS
OH,Franklin,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
NY,Orleans,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
KY,Meade,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Somerset,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Pulaski,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,4,Completed,07/13/2017 12:29,PFFS
AL,Madison,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
SC,Beaufort,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
IA,Cerro Gordo,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cocke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Sacramento,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,45,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Hanover,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
OH,Ottawa,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
NY,Kings,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Starr,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
IN,Lake,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Arlington,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OK,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Bingham,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,9,0,Completed,06/15/2017 15:55,Local PPO
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
OH,Trumbull,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Yamhill,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MA,Essex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,Crook,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
NY,New York,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Wake,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Jefferson,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
NH,Belknap,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Pima,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,41,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Bienville,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
VA,Campbell,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
WV,Tucker,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Washington,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Perry,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
MN,Lake,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
FL,Broward,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
MD,Baltimore,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
MD,Harford,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Wyoming,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IN,Howard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Gage,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vermillion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
IA,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
FL,Pasco,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
FL,Brevard,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
NE,Morrill,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Bexar,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,199,0,Completed,07/12/2017 15:39,Local PPO
PA,Montour,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Dallas,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
OH,Geauga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Summit,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Fulton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
LA,Terrebonne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Georgetown,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,3,0,Completed,07/31/2017 13:54,Local PPO
OK,Garfield,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Tazewell,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,2,0,Completed,07/26/2017 16:56,HMO/HMOPOS
NE,Harlan,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
MD,Washington,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
NE,Washington,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,Wyandotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Henry,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
NM,Valencia,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MI,Wayne,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,11,0,Completed,07/25/2017 10:12,Local PPO
PA,Cumberland,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
MN,Pennington,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
IN,Noble,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
AL,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
NY,Monroe,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Greene,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
FL,Lee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
TX,Parker,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Irion,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Milam,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
OH,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 8 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,57,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AR,Pope,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,35,0,Completed,07/24/2017 12:23,Local PPO
GA,Gordon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Yankton,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wabasha,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grant,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MI,Montcalm,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
TX,Potter,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TN,Hamblen,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
VA,Loudoun,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
FL,Sumter,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Allegany,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
IA,Shelby,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Columbia,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Sumter,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
SD,Douglas,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
GA,Banks,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
TX,Rockwall,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Harrison,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Jackson,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
PA,Philadelphia,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Marshall,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Red Lake,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lincoln,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,White,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
WA,Snohomish,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,1,0,Completed,07/10/2017 17:32,HMO/HMOPOS
OK,Wagoner,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Leelanau,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
TN,Bledsoe,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,9,Completed,06/29/2017 13:12,Local PPO
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
AZ,Maricopa,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,1,0,Completed,06/19/2017 17:09,HMO/HMOPOS
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,166,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
KY,McCracken,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
OR,Crook,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,39,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
VT,Washington,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
TX,Real,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MN,Stearns,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
OH,Meigs,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
GA,Oconee,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
KS,Reno,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
WV,Ritchie,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
MT,Ravalli,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NC,Cleveland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Catano,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Lancaster,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Pickens,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Ponce,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Butler,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
AL,Lauderdale,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Sacramento,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,54,0,Completed,07/27/2017 13:34,HMO/HMOPOS
OK,Logan,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lancaster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Charlotte,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Forsyth,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,DeKalb,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,4,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Osceola,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,8,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MN,Benton,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Corson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Ashland,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Orocovis,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CA,San Bernardino,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5943,1,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Jackson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Hancock,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,49,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Brown,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
NM,Bernalillo,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
WV,Doddridge,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
FL,Miami-Dade,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,68,0,Completed,07/25/2017 10:12,Local PPO
GA,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,06/14/2017 16:42,Medicare-Medicaid Plan HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Manatee,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Montgomery,Humana Inc.,HumanaChoice H5970-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,8,0,Completed,07/25/2017 10:12,Local PPO
PA,Delaware,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,511,511,21,256,H5932,10,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Crawford,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Geary,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
FL,Orange,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,11,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
ND,Adams,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Turner,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mower,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Bernard,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Cameron,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Fort Bend,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,White,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Greene,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
SD,Edmunds,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Meriwether,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MA,Suffolk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Chittenden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Addison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Nicholas,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Fayette,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Douglas,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,1,0,Completed,06/30/2017 19:02,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Berks,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
WV,Harrison,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
GA,Washington,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WI,Taylor,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Union,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
SC,Laurens,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
IL,Stephenson,Humana Inc.,Humana Gold Plus H1468-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
AR,Pope,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Flex (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3251,21,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NC,Randolph,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
HI,Maui,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Maui (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,Monroe,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
AL,Escambia,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Cabell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
LA,Assumption,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Talbot,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Morgan,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Craig,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Jefferson,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NY,Suffolk,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
NY,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Thurston,The Carle Foundation,Health Alliance NW Pioneer Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,7,0,Completed,07/26/2017 12:58,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Oxford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
AR,Madison,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Greensville,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Franklin,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Pittsylvania,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Chilton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,FamilyCare Incorporated,FamilyCare Community (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H3818,2,0,Completed,06/14/2017 13:43,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Ingham,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
AR,Carroll,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Lawrence,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IA,Pocahontas,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
VA,Petersburg City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
MI,Kalamazoo,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
CO,Pueblo,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,30,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
PA,Warren,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
KY,Woodford,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
TX,Webb,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
SD,Butte,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OK,Kiowa,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Pottawatomie,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Humboldt,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,Davidson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
GA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TN,Marion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,40,0,Completed,07/17/2017 11:05,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Montgomery,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,17,0,Completed,06/21/2017 11:09,HMO/HMOPOS
OH,Crawford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Cache,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,2,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Yancey,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,10,0,Completed,07/31/2017 15:04,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Sharp,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Petersburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
KY,Boone,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Fairfield,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Bristol,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Clearfield,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Warren,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,2,Completed,07/27/2017 12:35,HMO/HMOPOS
NM,Hidalgo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,42,0,Completed,07/24/2017 12:23,Local PPO
MN,Itasca,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
GA,Morgan,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Coosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Henry,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Moore,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Larimer,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
IL,Fulton,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MI,Berrien,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
PA,Snyder,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
PA,Northumberland,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
IN,Noble,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Brown,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Appomattox,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
WA,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Wilcox,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
KY,Owen,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
TN,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Chautauqua,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
IL,DuPage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Clinton,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Queens,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,109,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Marion,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burnet,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Caldwell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Darlington,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
ND,McHenry,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Cherokee,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Taylor,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Obion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Greene,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Gadsden,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Berkeley,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MI,Kalkaska,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
AR,Scott,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MN,Blue Earth,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
CO,Boulder,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vanderburgh,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,3,0,Completed,07/06/2017 14:24,Local PPO
PA,Fayette,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Indiana,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Logan,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
OH,Jackson,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
GA,Meriwether,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Guayama,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
VA,Petersburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Elbert,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MT,Musselshell,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Berks,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
IA,Ida,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,8,0,Completed,07/12/2017 15:39,Local PPO
WV,Lincoln,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Northampton,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Columbia,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
WA,King,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
KY,Henderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Polk,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Livingston,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
PA,Philadelphia,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Madison,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Monroe,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
MD,Baltimore,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
ND,Ransom,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
MO,Douglas,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Saratoga,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3342,19,0,Completed,07/18/2017 9:33,Local PPO
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Martin,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TX,Palo Pinto,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
WV,Morgan,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
GA,Effingham,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Hampton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
AL,Conecuh,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Sumter,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
FL,Hillsborough,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,7,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MD,Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
SD,Corson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
OK,Sequoyah,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Glades,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
NY,Westchester,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Hampton City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Marshall,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Wayne,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
WI,Green Lake,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Macomb,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,6,Completed,07/26/2017 11:41,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
GA,Talbot,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,DeKalb,Anthem Inc.,BCBSHP MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Arapahoe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Stone,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OH,Carroll,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Middlesex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SD,Lake,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MN,Wright,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
LA,Lafayette,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Keokuk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
GA,Fayette,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,La Paz,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,13,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,Allegan,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,13,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Marshall,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IA,Buena Vista,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WI,Langlade,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MN,Dakota,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IA,Guthrie,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IN,Kosciusko,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NY,Wayne,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KY,Christian,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Hancock,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,88,0,Completed,07/12/2017 15:39,Local PPO
GA,McIntosh,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,San Juan,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Twiggs,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Fulton,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
WV,Wayne,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
AR,Crittenden,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
AL,Dale,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,96,0,Completed,07/25/2017 10:12,Local PPO
NY,Saratoga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
AL,Macon,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
IL,Madison,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hudson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
PA,Venango,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Wood,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Jo Daviess,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
AL,Walker,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,125,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Berks,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Harris,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Geauga,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Rappahannock,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Richmond City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Robertson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NC,Wilkes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
SC,Calhoun,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
TX,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
GA,Bleckley,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Meade,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Turner,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bibb,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MD,Calvert,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Unicoi,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Todd,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Becker,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,White,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Floyd,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
TX,Frio,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
WV,Marshall,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
PR,Bayamon,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Grady,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Cameron,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
TX,Grayson,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
NY,Yates,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
AL,Shelby,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
IA,Davis,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Butts,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Seneca,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,New London,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
MI,Allegan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
MI,Midland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TN,Shelby,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Licking,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Polk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Rockbridge,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Douglas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Marshall,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
NY,Broome,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Lackawanna,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
MN,Fillmore,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
SC,Dillon,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
KS,Wyandotte,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KS,Johnson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Washington,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Boone,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Teller,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
HI,Hawaii,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,,,H5969,2,0,Completed,06/30/2017 23:07,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
HI,Honolulu,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,3,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
MI,Montcalm,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
OK,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Crisp,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Fulton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Lake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bath,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Henry,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
KY,Bath,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
NY,Genesee,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Chenango,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NE,Butler,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Wright,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Halifax,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Henry,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,3,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,King William,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
AZ,Pinal,Centene Corporation,Allwell Medicare Essentials II (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,49,2,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Newton,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Estill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Cleburne,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
KY,Webster,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
CA,Monterey,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
FL,Martin,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,226,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,270,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Buckingham,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Lincoln,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Franklin,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/07/2017 12:31,HMO/HMOPOS
OH,Mahoning,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
KY,Carroll,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
MO,Phelps,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Miami,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
GA,Henry,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
MN,Steele,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
IA,Washington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Oglethorpe,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IA,Appanoose,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PR,San Sebastian,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Ulster,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,110,0,Completed,07/12/2017 15:39,Local PPO
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,York,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Seminole,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,St. Lawrence,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Milam,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
VA,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Tallapoosa,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MO,New Madrid,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
PA,Schuylkill,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
CA,Riverside,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,4,0,Completed,07/28/2017 18:46,HMO/HMOPOS
IN,Howard,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,1,0,Completed,07/06/2017 14:24,Local PPO
TN,Moore,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Madison,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
TN,Decatur,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
SC,Richland,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,1,0,Completed,07/28/2017 11:13,Local PPO
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
VA,Arlington,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
SC,Hampton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PA,Philadelphia,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Rutherford,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Lajas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
HI,Maui,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,,,H5969,2,0,Completed,06/30/2017 23:07,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,1,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Westchester,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,1,Completed,07/26/2017 16:51,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Middlesex,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NH,Merrimack,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
GA,Bibb,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Meriwether,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Preble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lackawanna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Grady,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
GA,Burke,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
KY,Metcalfe,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
TN,Cheatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Robertson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Virginia Beach City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Franklin,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
CO,Douglas,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
WI,Calumet,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
IN,Marion,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
ME,Sagadahoc,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Runnels,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
MI,Clare,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/07/2017 12:31,HMO/HMOPOS
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
SD,Hanson,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
KS,McPherson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NM,Grant,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
PA,Clinton,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
TX,Jim Wells,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OK,Delaware,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OK,Kay,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Grant,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Mesa,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,2,Completed,07/25/2017 10:12,Local PPO
GA,Burke,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
TX,Cherokee,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
PA,Forest,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,14,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,2,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Charlotte,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Lauderdale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
WI,Washburn,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Harris,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
NY,Rensselaer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Kane,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
ID,Bonner,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,11,0,Completed,06/15/2017 15:55,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
SD,Todd,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wabasha,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
FL,Clay,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,4,0,Completed,07/18/2017 13:53,HMO/HMOPOS
MD,Baltimore,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
OH,Fulton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
VA,Craig,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
KS,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
PA,Erie,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Seneca,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Mills,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
OH,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Ogle,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Shelby,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
IA,Fayette,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Morgan,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Saline,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
SD,Todd,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Day,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Newton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Carroll,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
VA,Manassas Park City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
UT,Box Elder,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Clear Creek,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MS,Jones,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Salem City,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,2,Completed,07/26/2017 16:51,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Cass,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Monmouth,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
PA,Washington,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
VA,Bath,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
LA,Jefferson,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Miami,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KS,Jackson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Lowndes,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Menominee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
WI,Dane,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
IN,Rush,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Norman,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MA,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Angelina,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Ohio,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MI,Shiawassee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
KY,Logan,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
VA,Brunswick,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
NM,Sandoval,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
PA,Juniata,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,McNairy,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
WI,Sauk,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Newton,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,6,Completed,07/26/2017 11:41,Local PPO
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Larimer,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PA,Bucks,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Sussex,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sumner,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),N,N,N,N,N,,,,,,,H5826,6,0,Completed,06/29/2017 11:10,HMO/HMOPOS
GA,Clarke,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
KS,Shawnee,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,Braxton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Harnett,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Mifflin,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
IN,Boone,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Sherburne,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
WV,Mason,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
MD,Baltimore City,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Auglaize,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Campbell,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
NE,Sherman,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Queens,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Becker,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Grant,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,2,0,Completed,07/26/2017 12:58,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,6,Completed,07/26/2017 11:41,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Allendale,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Richland,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
VA,Cumberland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Mecklenburg,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Manassas City,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Buckingham,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MN,Morrison,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
MO,Clinton,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
AR,Garland,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Mason,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
WV,Tucker,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,West Baton Rouge,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,La Porte,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesterfield,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Southampton,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
MI,Wayne,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
AZ,Pinal,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,30,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NH,Rockingham,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Lorain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Cumberland,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,2,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Alfalfa,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NE,Buffalo,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
FL,Dade,Humana Inc.,Humana Gold Plus H1036-054C (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,251,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Bronze (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,6,0,Completed,06/28/2017 15:06,Local PPO
OH,Fulton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
NY,Rensselaer,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
WI,Washington,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Austin,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
CA,Santa Clara,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,20,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Cannon,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Weakley,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Orange,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hickman,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,2,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
AR,Montgomery,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Thurston,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
NY,Queens,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
ME,Kennebec,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
SC,Jasper,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Madison,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Douglas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
OR,Multnomah,"CareOregon, Inc.",CareOregon Advantage Star (HMO),Y,Y,Y,Y,N,,,0,402,0,201,H5859,3,0,Completed,06/30/2017 20:32,HMO/HMOPOS
KS,Bourbon,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OK,Okmulgee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WI,Kenosha,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
VA,Russell,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
MO,Iron,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Staunton City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Comal,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
PA,Washington,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Worth,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Forsyth,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
GA,Macon,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
NC,Lee,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
TX,Wood,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
VA,Caroline,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
IN,Morgan,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
MN,Redwood,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SC,Newberry,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
PA,Greene,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,7,Completed,07/27/2017 12:35,HMO/HMOPOS
IA,Madison,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,119,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Burke,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Josephine,ATRIO Health Plans,ATRIO Bronze Rx (Rogue) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,14,0,Completed,06/28/2017 15:06,Local PPO
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Piscataquis,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
NC,Alamance,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
KY,Hickman,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Lycoming,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
WV,Fayette,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
AR,Hot Spring,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-087 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,87,0,Completed,07/25/2017 10:12,Local PPO
CO,Park,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MT,Yellowstone,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,89,0,Completed,07/25/2017 10:12,Local PPO
IN,Hendricks,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,Juncos,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Roosevelt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Brooks,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Huntingdon,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PA,Sullivan,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
ME,Androscoggin,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,143,0,Completed,07/12/2017 15:39,Local PPO
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Bibb,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Oconee,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,New York,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Kearny,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Logan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
FL,Pasco,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,33,0,Completed,07/24/2017 12:23,Local PPO
MN,Becker,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ransom,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
LA,West Feliciana,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Macon,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Webster,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
FL,Hillsborough,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
HI,Maui,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Gibson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Coconino,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
FL,Volusia,Humana Inc.,Humana Gold Plus H1036-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Monroe,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lee,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
VA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
KY,Webster,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
AR,Dallas,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OH,Ottawa,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
OK,Pottawatomie,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
TN,Madison,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
VA,Fauquier,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
CO,Delta,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
CO,Larimer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
NJ,Burlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
PR,San German,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
AL,Henry,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,White,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
IL,Monroe,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Clinton,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Clarion,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Rowan,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
KS,Wilson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
SD,Faulk,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
PA,Philadelphia,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,1,0,Completed,07/24/2017 10:45,Local PPO
NC,Wake,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6320,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
IA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Grant,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
GA,Wilcox,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Bremer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IL,Rock Island,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
IA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
AL,Tallapoosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Putnam,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,2,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Cochise,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,1,0,Completed,07/25/2017 11:49,HMO/HMOPOS
LA,Livingston,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Miami,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Arkansas,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
PA,Snyder,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Craig,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CO,Denver,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NY,Genesee,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
IN,Wells,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,99,0,Completed,07/12/2017 15:39,Local PPO
TX,Atascosa,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Morgan,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WA,Walla Walla,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
WI,Racine,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
AL,Autauga,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
MS,Scott,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
GA,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Aiken,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lafayette,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
IA,Jasper,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NJ,Union,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Grady,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
FL,Sumter,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Newton,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Wright,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Philadelphia,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,7,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
KS,Stanton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
TX,Dallas,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Douglas,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
NM,Otero,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
NM,Torrance,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
AR,Garland,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6947,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WI,Fond du Lac,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
KY,Pendleton,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PA,Snyder,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,Livingston,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. Tammany,Humana Inc.,Humana Gold Plus SNP-DE H1951-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Franklin,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
GA,Cobb,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Washington,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
WI,Waushara,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
PA,Montour,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
IL,Lake,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,26,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Pipestone,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
NY,Yates,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
KY,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Stephenson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,74,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Tyler,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Summit,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
IL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
NM,Valencia,Humana Inc.,Humana Gold Plus H2649-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TN,Union,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Van Zandt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
CO,Adams,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Dodge,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wright,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Becker,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
IN,Union,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MO,Hickory,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
TX,Van Zandt,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
WI,Dane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
DC,District of Columbia,"Medstar Health, Inc.",MedStar Medicare Choice Care Advantage (HMO SNP),Y,N,Y,Y,N,,,511,511,256,256,H9915,7,0,Completed,07/11/2017 8:53,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Madison,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MO,Jasper,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Ozark,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Cass,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Gwinnett,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Franklin,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Centre,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Pope,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Arenac,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Calhoun,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MI,Dickinson,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MS,Rankin,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
CT,Litchfield,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Carter,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Wakulla,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,16,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IA,Ida,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
OH,Clermont,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
OH,Preble,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
MO,Perry,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
KY,Jessamine,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,Wabash,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
PA,Centre,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Orange,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AR,Perry,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6947,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
IN,Clinton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Madison,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,9,0,Completed,06/15/2017 15:55,Local PPO
KY,Owsley,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
SC,Barnwell,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
SC,Lancaster,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Johnson,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Tarrant,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NC,McDowell,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Manitowoc,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Kings,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Marshall,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,7,0,Completed,07/12/2017 15:39,Local PPO
PA,Lackawanna,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
OH,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Avery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Jones,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,23,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Tuscaloosa,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
ND,Bottineau,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
MN,Beltrami,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
IA,Marshall,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cannon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MS,Attala,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Plus H1036-140 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,140,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,13,0,Completed,07/05/2017 14:27,Local PPO
WV,Wayne,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Milwaukee,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Cumberland,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
NY,Queens,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,8,6,Completed,07/18/2017 9:33,HMO/HMOPOS
SD,McCook,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Monroe,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,1,Completed,07/20/2017 14:11,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,Winchester City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Concordia,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KS,Miami,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
LA,St. Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
WA,Whatcom,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,1,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Fayette,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Elkhart,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,La Porte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Washington,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Gibson,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Santa Barbara,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Robertson,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
OH,Pickaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Goochland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Wythe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Marathon,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
SC,Chester,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MI,Baraga,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MD,Baltimore City,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
ND,Cass,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
TN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NJ,Somerset,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,19,0,Completed,07/14/2017 10:43,HMO/HMOPOS
OH,Mercer,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SD,Hand,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mower,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
TX,Cameron,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
WI,Kenosha,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Montgomery,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Pottawatomie,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
AR,Cross,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Vanderburgh,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Washington,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
AR,Jefferson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
VA,Chesterfield,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
CO,Arapahoe,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IN,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,2,0,Completed,06/12/2017 11:28,1876 Cost
PR,Trujillo Alto,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Trinity,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Storey,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
KY,Bath,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
TX,Bee,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
AR,Phillips,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
SD,Davison,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
MN,Murray,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
TN,Robertson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
PA,Union,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,St. Lucie,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Miami-Dade,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Murray,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Summers,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
AL,Bullock,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Winnebago,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
MN,Rice,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Lincoln,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Decatur,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Cannon,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
GA,Newton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Knox,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
PA,Crawford,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
VA,Hanover,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MT,Cascade,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,8,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lackawanna,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Mateo,Chinese Hospital Association,CCHP Senior Program (HMO),Y,N,Y,N,N,,,,,,,H0571,1,0,Completed,07/26/2017 11:49,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Dutchess,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Platte,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
LA,Jefferson,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,1,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Erie,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
ME,Oxford,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Diego,Humana Inc.,Humana Gold Plus H5619-016 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Winn,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
NC,Davie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Bridges Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,28,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Doddridge,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Warren,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Van Buren,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
NM,Valencia,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5746,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Van Buren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Pinal,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NY,Oswego,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Irion,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
NC,Johnston,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NJ,Mercer,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
VA,Fairfax,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Clermont,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,17,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
MA,Plymouth,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
KY,Fayette,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Barren,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
OH,Ottawa,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
WI,Brown,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
OH,Tuscarawas,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
GA,Ben Hill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Dawes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NJ,Hudson,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
TX,Collin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Dawson,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,138,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
VA,Salem City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Newport News City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Blount,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
SC,Clarendon,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
LA,Lafayette,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
CA,Orange,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,2,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Cameron,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
WI,Brown,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AZ,La Paz,Humana Inc.,Humana Gold Plus H2649-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
TX,Jim Wells,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PA,Mifflin,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Williamsburg City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MN,Sherburne,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
GA,McIntosh,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TN,Campbell,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Olmsted,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dodge,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
IN,Owen,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MI,Kalamazoo,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
NV,Nye,"UnitedHealth Group, Inc.",Senior Dimensions Southern Nevada (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2931,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Montgomery,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Surry,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Moca,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Scotland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Houston,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,115,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Talbot,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NJ,Somerset,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,31,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Carroll,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
KY,Edmonson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
TX,Franklin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Carroll,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WA,Snohomish,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
PA,Chester,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MO,Wayne,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
CA,Riverside,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,16,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CO,Otero,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
CA,San Mateo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Marin San Mateo (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,31,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Anderson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Cumberland,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Steuben,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Crockett,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Obion,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
IN,Huntington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Ozaukee,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,White,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
SC,Kershaw,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
OH,Scioto,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NC,Northampton,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
PR,Villalba,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Yauco,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,East Baton Rouge,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,1,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Warren,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
PA,Washington,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
AL,Limestone,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore City,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,22,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Gallia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Bladen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Leslie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lyon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Forsyth,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Martinsville City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Fayette,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Fulton,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,1,Completed,07/17/2017 11:05,HMO/HMOPOS
TX,Wise,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Mason,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Fort Bend,Memorial Hermann Health System,Memorial Hermann Advantage (PPO),Y,N,Y,Y,N,,,455,455,228,228,H2968,1,0,Completed,07/28/2017 11:53,Local PPO
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,McHenry,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,Blaine,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
ID,Jefferson,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,9,0,Completed,06/15/2017 15:55,Local PPO
NY,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,1,Completed,07/26/2017 16:51,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,2,Completed,07/26/2017 16:51,HMO/HMOPOS
OR,Wheeler,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OH,Ottawa,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Allegheny,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
NJ,Passaic,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
IN,Carroll,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
IN,Marshall,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
PA,Snyder,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,McLennan,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,Polk,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,5,0,Completed,07/24/2017 12:23,Local PPO
NY,Otsego,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
OH,Wood,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
GA,Clay,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Johnson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,York,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
WI,Richland,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Osage,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
SC,Cherokee,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,6,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Jefferson,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ID,Owyhee,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,10,0,Completed,07/26/2017 17:12,Local PPO
WA,Asotin,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,1,0,Completed,07/26/2017 17:12,Local PPO
OH,Clermont,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
NY,Allegany,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus H1036-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
PA,Snyder,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,46,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Coke,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TN,Anderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Clayton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
GA,Upson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MD,Worcester,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
FL,Pinellas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Multnomah,FamilyCare Incorporated,FamilyCare Advantage Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H3818,3,0,Completed,06/14/2017 13:43,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
OH,Mahoning,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Clermont,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,New London,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
PA,Mifflin,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
WI,Door,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
AR,Benton,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
FL,Duval,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
IA,Floyd,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
NY,Bronx,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
PA,Lancaster,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
AL,Shelby,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,San Francisco,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,69,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,71,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Shelby,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Waukesha,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,11,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Philadelphia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,511,511,21,256,H5932,10,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MO,Mississippi,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
WI,Dodge,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ND,Cavalier,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Becker,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lincoln,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
TX,Wise,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Van Zandt,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Albemarle,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
WA,Grant,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
OH,Greene,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Franklin,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KY,Fayette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
FL,Marion,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Winneshiek,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Warren,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
NE,Hooker,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
VT,Lamoille,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Sarasota,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Madison,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,Clark,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
MO,Howell,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
KY,Franklin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,118,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NC,Durham,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,87,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,64,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
NC,Transylvania,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PA,Blair,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
AR,Faulkner,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,3,Completed,07/13/2017 12:29,HMO/HMOPOS
MO,St. Louis,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Robertson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,45,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Clinch,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Allendale,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,54,0,Completed,06/26/2017 13:34,Local PPO
PA,Northampton,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Pennington,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
OH,Portage,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Chickasaw,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IL,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
PA,Adams,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Blair,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
SC,Horry,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Clarke,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
TN,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
RI,Kent,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,06/05/2017 13:34,Medicare-Medicaid Plan HMO/HMOPOS
FL,Nassau,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Amador,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
IN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Ray,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kenosha,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
NC,Wake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
PA,Perry,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Cleveland,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NC,Union,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cumberland,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,25,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,2,Completed,07/27/2017 12:35,HMO/HMOPOS
SD,Clay,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Helena,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Barrow,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Dooly,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Pittsylvania,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Roanoke,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Taylor,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,2,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Olmsted,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
IN,Gibson,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OH,Mahoning,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Benton,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Faulkner,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
VA,Patrick,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
TN,Wayne,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WA,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Union,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NC,Guilford,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Carroll,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TX,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
NE,Platte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NV,Clark,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,22,0,Completed,07/12/2017 15:39,Local PPO
WI,Ozaukee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
GA,Elbert,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Hancock,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Toombs,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Morgan,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OH,Van Wert,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
TX,Comal,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
WV,Wood,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
CO,Grand,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Broome,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
MO,Cass,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Charlotte,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Morgan,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Kings,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NV,Lyon,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,5,0,Completed,06/27/2017 19:00,Local PPO
OR,Yamhill,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
PA,Lancaster,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Douglas,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Beltrami,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MI,Charlevoix,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Randolph,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
VA,Page,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
IL,Bureau,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IL,Hardin,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Powhatan,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MI,Charlevoix,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
TX,Montgomery,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,1,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Monroe,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,White,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Marinette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Elmore,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
WA,Thurston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,King William,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
IN,Marshall,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Vernon,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
WI,Waukesha,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,6,Completed,07/26/2017 11:41,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
ID,Bannock,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
VA,Bath,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
PR,Vieques,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MT,Missoula,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,7,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Queens,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
FL,Glades,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Montgomery,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
KS,Linn,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,18,0,Completed,06/21/2017 11:09,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
TX,Bexar,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Socorro,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Northumberland,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Chesapeake City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Lawrence,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
OH,Lucas,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Hickory,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
WV,Greenbrier,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
MN,Kittson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MD,Frederick,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Unicoi,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Lane,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,1,Completed,07/26/2017 17:12,Local PPO
MN,Scott,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Fayette,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
OK,Marshall,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WV,Doddridge,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MO,Cedar,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Newport News City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
PR,Dorado,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Douglas,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Dawson,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OH,Preble,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
ND,Richland,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
SD,Turner,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,138,0,Completed,07/25/2017 10:12,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
CO,Las Animas,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
FL,Pinellas,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,28,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,San Joaquin,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
VA,Chesterfield,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Elbert,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
KY,Pendleton,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clermont,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,184,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Kendall,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
KS,Linn,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
OK,Delaware,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
OK,Seminole,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
MO,Barton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Forsyth,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
AL,Barbour,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Jefferson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sumner,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Johnson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Sherburne,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
KY,Nelson,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/28/2017 15:20,HMO/HMOPOS
TX,Kleberg,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
MO,Laclede,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IL,Jo Daviess,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
CO,Montrose,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
IN,Wabash,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MA,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
NM,Hidalgo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
IN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
ND,Emmons,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MD,Baltimore,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
GA,Butts,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Aetna Medicare PinnacleHealth Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,91,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Gratiot,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
TX,Jefferson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,1,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Greene,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OK,Tulsa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Curry,PacificSource Health Plans,PacificSource Medicare Explorer Rx 7 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,7,0,Completed,06/15/2017 15:55,Local PPO
WV,Mineral,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
FL,Dade,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,N,Y,100,100,,,,,H1016,1,0,Completed,07/17/2017 18:14,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
VA,Richmond,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
ME,Cumberland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Mathews,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Washington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Douglas,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
TX,Dallas,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,2,0,Completed,07/25/2017 17:34,Local PPO
NY,New York,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KS,Shawnee,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
NC,Avery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Susquehanna,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
PA,Elk,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
VA,Rockingham,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Cuyahoga,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,160,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Allegheny,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
FL,Citrus,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
PR,Yauco,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Iredell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
GA,Hancock,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Stewart,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
IN,Clay,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Swift,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
VA,Portsmouth City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,1,Completed,07/25/2017 10:12,Local PPO
NC,Chatham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
MI,Kent,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
OH,Allen,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
PA,Susquehanna,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OK,Comanche,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MS,Harrison,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,66,0,Completed,07/25/2017 10:12,Local PPO
SD,Meade,Humana Inc.,HumanaChoice H5216-084 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,84,0,Completed,07/25/2017 10:12,Local PPO
IA,O Brien,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
CO,Arapahoe,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
SC,Dorchester,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Riverside,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,567,567,284,284,H8677,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
TX,Collin,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,1,0,Completed,07/16/2017 17:10,Local PPO
NY,Wayne,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Reagan,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
WV,Lewis,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
NC,Durham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Medina,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
AR,Lonoke,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore City,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Virginia Beach City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,1,Completed,07/07/2017 9:15,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,2,Completed,07/26/2017 16:51,HMO/HMOPOS
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,8,0,Completed,06/29/2017 11:10,HMO/HMOPOS
MO,Livingston,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,Hampshire,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
LA,Livingston,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Snohomish,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Madison,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Pittsylvania,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Paulding,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Vinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Portage,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,25,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
AL,Etowah,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Cotton,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,McClain,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NM,Torrance,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5746,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,Bernalillo,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6526,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Bradley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,101,1,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Monroe,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
CA,Alameda,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,5,0,Completed,06/06/2017 3:07,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus H1036-056 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Noble,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Pickaway,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Howard,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
NY,Franklin,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Wood,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TN,Bradley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
SD,Campbell,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
FL,Pinellas,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,8,0,Completed,07/18/2017 13:53,HMO/HMOPOS
LA,East Feliciana,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lake,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Tucker,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
PR,Naranjito,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Platte,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Comal,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Pueblo,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Albany,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3342,19,0,Completed,07/18/2017 9:33,Local PPO
MN,Itasca,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Appling,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
PR,Hatillo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
OR,Curry,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
PA,Potter,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
PA,Warren,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,Beaver,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
CA,San Bernardino,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Montgomery,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Fulton,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
OH,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Monroe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Nicholas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Carbon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Socorro,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Sebastian,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
WA,Clark,PacificSource Health Plans,PacificSource Medicare MyCare Rx 28 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,28,2,Completed,06/15/2017 15:55,HMO/HMOPOS
GA,Douglas,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MO,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Jay,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Coke,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coke,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Becker,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
GA,Madison,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
WA,Clark,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,5,0,Completed,07/26/2017 17:12,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,Fort Bend,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,52,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Chesterfield,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
KY,Grant,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,King George,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Green Lake,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Outagamie,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Manassas Park City,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
OK,Okmulgee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Ritchie,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
VA,Virginia Beach City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
GA,DeKalb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Ray,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
MN,Kandiyohi,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Fillmore,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MI,Cheboygan,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
TX,Collin,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
MO,Washington,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Polk,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
OH,Clermont,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NY,Warren,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Crisp,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Washington,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Bath,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
FL,Brevard,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,62,0,Completed,07/25/2017 10:12,Local PPO
TX,Rockwall,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OK,McClain,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
ID,Bonner,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
GA,Stewart,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
OK,Coal,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Doniphan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Clarke,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
WI,Rusk,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
FL,Clay,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Camden,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,8,0,Completed,07/27/2017 20:51,HMO/HMOPOS
KS,Cheyenne,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
IL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
GA,Clayton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,McCook,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Preferred HMO (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,5,0,Completed,07/18/2017 13:53,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Columbiana,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Webster,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
MS,Scott,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Benton,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
PA,Delaware,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CT,Hartford,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Blount,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Knox,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,White,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Pike,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
WI,Oneida,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
KY,Clark,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
AL,Montgomery,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
VA,Amherst,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,Schoolcraft,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CA,Ventura,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Solano,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Solano (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Rhea,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Nassau,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,445,0,228,H8029,1,0,Completed,07/18/2017 12:59,Medicare-Medicaid Plan HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Darke,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MO,Pike,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Blount,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,White,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,Adams,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MI,Montcalm,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Lawrence,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OH,Wayne,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
TX,Falls,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
FL,Hernando,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
FL,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
NY,Washington,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WV,Braxton,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
OR,Jefferson,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
IN,Bartholomew,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
MO,Vernon,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Moniteau,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Dallas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Pocahontas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MS,Wilkinson,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
PA,Bedford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Atchison,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Midwest MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9712,1,0,Completed,07/26/2017 14:26,Medicare-Medicaid Plan HMO/HMOPOS
FL,Miami-Dade,CIGNA,Leon Medical Centers Health Plans - Leon Cares (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IA,Fayette,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TX,Collin,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5656,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
VA,King William,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,64,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Marin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Polk,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OK,Cleveland,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Lucas,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Union,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Morgan,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OR,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Greene,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
KY,Grant,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lackawanna,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
NE,Cuming,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
FL,Manatee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,9,0,Completed,07/24/2017 12:23,Local PPO
NC,Alamance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Gila,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,1,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,Berrien,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
GA,Chattooga,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
NM,San Miguel,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
PA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
PR,Naranjito,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Arthur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NE,Platte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
DE,Kent,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,95,0,Completed,07/12/2017 15:39,Local PPO
IN,Hendricks,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,151,0,Completed,07/12/2017 15:39,Local PPO
GA,Lee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/07/2017 12:31,HMO/HMOPOS
KY,Marion,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Crawford,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
IN,La Porte,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
MS,Lauderdale,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
GA,Ben Hill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Seminole,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Thomas,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,1,Completed,07/24/2017 7:36,HMO/HMOPOS
FL,Escambia,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MO,Miller,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,York,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
WI,Milwaukee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Cook,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,6,0,Completed,06/26/2017 13:34,Local PPO
PR,Fajardo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Forest,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
MD,Howard,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
MD,Queen Anne s,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
NC,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Grant,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Summers,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,1,Completed,07/06/2017 14:24,HMO/HMOPOS
NC,Burke,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Southampton,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Benton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Cortland,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
TN,McNairy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,82,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Montgomery,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IL,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,4,0,Completed,07/24/2017 12:23,Local PPO
GA,Twiggs,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Buckingham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Manassas City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Benton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Coffee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Wayne,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,1,0,Completed,07/28/2017 11:13,Local PPO
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Grant,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Chester,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
IL,Knox,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
NY,Clinton,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
UT,Salt Lake,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
VA,Louisa,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
PR,Patillas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KS,Jefferson,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,Gilmer,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
OK,Craig,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PA,Lawrence,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
VA,Russell,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Medina,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NY,Kings,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,1,Completed,07/20/2017 15:47,HMO/HMOPOS
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
MN,Big Stone,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MD,Frederick,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
PA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Orange,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Florence,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Morgan,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
WV,Logan,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Moca,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CA,Riverside,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5943,1,0,Completed,06/26/2017 14:13,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Tippecanoe,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
PA,Cameron,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Hubbard,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
TN,Marion,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Calhoun,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
WV,Boone,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
OH,Brown,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,Madison,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,10,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NC,Davidson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Marshall,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
TX,Hidalgo,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,2,0,Completed,06/22/2017 17:15,HMO/HMOPOS
PA,Delaware,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Bristol,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,14,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,Lane,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
TX,Dallas,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
FL,Duval,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Mason,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Benton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OH,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
NV,Washoe,Renown Health,Senior Care Plus: Value Rx Plan (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,12,0,Completed,06/27/2017 19:00,HMO/HMOPOS
PA,Tioga,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Schuylkill,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
IL,DuPage,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Marion,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Sebastian,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
NY,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1537,4,0,Completed,07/24/2017 12:23,Local PPO
KS,Jefferson,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KS,Sedgwick,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Florence,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
AL,Lawrence,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Okmulgee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
KY,Carroll,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
KS,Wyandotte,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6550,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IA,Butler,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Scott,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,160,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Lawrence,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Monroe,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
AZ,Pima,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lafayette,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MD,Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
WA,Chelan,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
MO,Wright,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WI,Calumet,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
VA,Stafford,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
MO,Stone,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,1,Completed,07/20/2017 14:11,Local PPO
IN,Huntington,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Trimble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Atlantic,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Mercer,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
LA,St. Tammany,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Kern,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
OR,Multnomah,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,153,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Ozaukee,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,10,0,Completed,07/28/2017 12:26,Local PPO
IL,Kankakee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,72,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,91,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
SD,Pennington,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Tripp,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
FL,Indian River,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ID,Latah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,4,0,Completed,07/26/2017 17:12,Local PPO
NE,Seward,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Galax City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Lowndes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Leavenworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,44,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NC,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Cobb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
MN,Winona,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
TX,Wilson,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
VA,Colonial Heights City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
PA,Luzerne,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Sibley,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
MO,Polk,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Transylvania,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,51,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,McNairy,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Noble,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
OR,Washington,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,1,Completed,07/26/2017 17:12,Local PPO
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
AZ,Greenlee,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,1,0,Completed,07/25/2017 11:49,HMO/HMOPOS
GA,Chatham,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MO,Carroll,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
MI,Van Buren,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,Wexford,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IL,Brown,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
NY,Livingston,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Staunton City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Fallon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
FL,Manatee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
GA,White,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TX,Denton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
GA,Crisp,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
TX,Washington,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
IL,Kankakee,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,153,0,Completed,07/12/2017 15:39,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
IL,DuPage,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
AR,Crawford,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OH,Franklin,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
OK,Pushmataha,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
TX,Jim Wells,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Smith,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IN,Franklin,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
TX,Liberty,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Real,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,Trinity,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TN,Sevier,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
KS,Linn,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Iowa,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NV,Washoe,Humana Inc.,HumanaChoice H5216-038 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,38,0,Completed,07/25/2017 10:12,Local PPO
CT,Windham,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,4,0,Completed,07/24/2017 14:11,HMO/HMOPOS
FL,Charlotte,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Polk,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NM,Eddy,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Wyoming,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,2,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
TN,Wayne,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Lake,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
MN,Mille Lacs,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
SC,Laurens,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
PA,Blair,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
FL,Orange,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,43,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Surry,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Adams,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PR,Manati,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,174,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NJ,Union,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
PA,Lebanon,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
VA,Albemarle,Humana Inc.,Humana Gold Plus H5619-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Scott,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
SC,Orangeburg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Chesapeake City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
TX,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Henderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Belmont,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Skagit,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
VA,Richmond City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Owen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Brown,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
OH,Stark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
OH,Wood,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
KY,Meade,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OK,Dewey,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
TX,Johnson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
WV,Doddridge,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
TN,Cheatham,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
PA,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
NY,Yates,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Ontario,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,2,0,Completed,07/24/2017 12:23,Local PPO
SD,Brown,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Bennett,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
TX,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Fulton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
ND,Burleigh,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TX,Kinney,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Lehigh,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
KY,Marion,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
LA,Morehouse,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
CO,Elbert,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
AL,Conecuh,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,4,0,Completed,06/12/2017 11:28,1876 Cost
NY,Steuben,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,St. Lucie,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
TX,Matagorda,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Greene,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
GA,Taliaferro,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
AL,Crenshaw,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IL,Washington,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,York,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
OR,Linn,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3811,3,0,Completed,07/31/2017 19:26,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
LA,Rapides,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Livingston,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
AL,Winston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,1,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
VA,Stafford,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
DE,Sussex,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,102,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Waupaca,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
ND,Cavalier,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Hamblen,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Henderson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
TX,Hardin,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Parker,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Mercer,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Stephenson,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
IA,Grundy,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,St. Francis,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
SC,Pickens,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
MS,Jones,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MO,St. Clair,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
KY,Fayette,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
PA,York,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
OH,Lucas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
NY,Tioga,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
GA,Peach,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Wood,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,49,0,Completed,07/17/2017 11:30,HMO/HMOPOS
WV,Marshall,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Shelby,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
TX,Gray,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Huntingdon,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OH,Paulding,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
KY,Franklin,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
IA,Decatur,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
IA,Sioux,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
NY,Nassau,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Seminole,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
IA,Buchanan,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
CA,Napa,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,53,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
IN,Marion,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
HI,Kalawao,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,,,H5969,2,0,Completed,06/30/2017 23:07,HMO/HMOPOS
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,2,Completed,07/26/2017 16:51,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
PA,Dauphin,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
AR,Benton,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Fredericksburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Cowlitz,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
GA,Burke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Columbiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Kiowa,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NE,Furnas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IA,Johnson,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sumner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rains,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TX,Travis,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TN,Robertson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Madison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Tooele,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,455,0,228,H3018,1,0,Completed,07/25/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Teton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MI,Kent,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
MI,Muskegon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
NY,Wayne,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
NJ,Gloucester,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,123,0,Completed,07/12/2017 15:39,Local PPO
GA,DeKalb,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Lumpkin,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NY,Schenectady,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NY,Sullivan,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Gregg,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mills,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TN,Unicoi,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Cape May,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MA,Norfolk,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Greensville,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Greene,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lehigh,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,36,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Clinton,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
OH,Jefferson,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
NC,New Hanover,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NY,New York,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
PA,Centre,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
VA,Dickenson,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
SC,York,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,McLean,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Pender,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Wyoming,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Cleveland,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Logan,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
GA,Monroe,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MN,Dodge,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Mahaska,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
NE,Cuming,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,White,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Renville,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,McMinn,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
UT,Utah,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Caguas,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WA,Clark,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Jefferson,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,St. Charles,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
MO,Henry,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
IA,Jefferson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OH,Medina,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
LA,Jefferson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Centre,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
VA,Frederick,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Haralson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Jones,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
NM,San Juan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Pawnee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Lincoln,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Pennington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Wyoming,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Baker,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Perry,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Warren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
PA,Jefferson,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Washington,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bell,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
IA,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Beaufort,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
GA,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Citrus,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Maries,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,07/20/2017 14:41,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan smartHMO (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,13,0,Completed,07/27/2017 20:51,HMO/HMOPOS
GA,Talbot,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,McPherson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,St. Clair,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
AL,Shelby,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
PA,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
IN,Hamilton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,14,0,Completed,07/26/2017 12:58,HMO/HMOPOS
IL,De Witt,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,DuPage,Humana Inc.,Humana Gold Plus H1468-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Jackson,ATRIO Health Plans,ATRIO Special Needs Plan (Rogue) (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3814,29,0,Completed,06/28/2017 15:06,HMO/HMOPOS
IN,Greene,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,6,Completed,07/26/2017 11:41,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
WA,Cowlitz,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Wood,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Luzerne,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Juniata,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
FL,Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Kosciusko,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Diego,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Tallapoosa,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Hale,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
TX,Robertson,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Boone,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Bronx,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Fort Bend,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,23,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Comal,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Williamsburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
OH,Wayne,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Waupaca,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Hancock,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
ND,Ransom,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Deuel,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
WV,Cabell,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
AR,Newton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Beltrami,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MI,Antrim,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
MO,Barry,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
WV,Tyler,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
CO,Huerfano,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Cayey,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NC,Caswell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
FL,Marion,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
GA,Habersham,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Vieques,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Geauga,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MN,Lac qui Parle,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Logan,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Fulton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
VA,Warren,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
FL,Escambia,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
IN,Jennings,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
SC,Spartanburg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
CA,Los Angeles,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NJ,Monmouth,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Davie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Benson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lawrence,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Monroe,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Isanti,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
WI,Dane,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
VA,Floyd,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CO,Otero,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
PR,Barranquitas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
TX,Victoria,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Cumberland,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OH,Butler,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
SD,Grant,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
LA,Vernon,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,135,0,Completed,07/25/2017 10:12,Local PPO
IL,Kankakee,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
PA,Wayne,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NY,Monroe,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
CA,Riverside,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,567,567,284,284,H5810,1,0,Completed,06/06/2017 15:33,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Baldwin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Kenton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Johnson,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Adams,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
SD,Buffalo,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,McPherson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Benton,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Preferred HMO (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,5,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,9,0,Completed,07/24/2017 10:45,Local PPO
GA,Forsyth,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Jackson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Greene,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Polk,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Greene,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Gilmer,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
NM,Sierra,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Santa Rosa,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MD,Harford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
NY,Livingston,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Merrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,Calaveras,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
LA,Jefferson,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
OH,Muskingum,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Logan,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Cumberland,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
NM,Luna,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MO,Boone,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
GA,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Macon,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Marion,Aetna Inc.,Advantra (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Dade,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Monroe,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Morrison,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
TN,Shelby,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,Hancock,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Stark,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Bridges Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,28,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Marshall,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Tyler,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WI,Crawford,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
MN,Mower,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Winona,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
IA,Polk,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
IA,Butler,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,Harris,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NE,Butler,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Rockland,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wadena,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dodge,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Isabella,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IA,Louisa,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
IL,Mason,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
GA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Cidra,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Banks,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Effingham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,El Paso,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5928,38,0,Completed,07/24/2017 20:49,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Morgan,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4868,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
WV,Jefferson,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KY,Hickman,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
OK,McCurtain,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Columbia,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Smith,Humana Inc.,Humana Gold Plus H2649-055 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NY,Cayuga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
IN,Vanderburgh,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Houston,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Chippewa,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Perry,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
UT,Utah,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Fulton,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
KS,Chautauqua,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
TX,Victoria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Hancock,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TX,Kimble,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coleman,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Yancey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Madera,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,52,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Dade,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NE,Wheeler,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
AL,Clay,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NH,Strafford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,5,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ND,Pierce,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
TX,Chambers,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TN,Henry,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Wasatch,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jasper,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Wayne,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
MO,Callaway,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AR,Lonoke,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6947,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WI,Lafayette,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
VA,Alexandria City,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NM,San Miguel,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,2,0,Completed,07/14/2017 12:55,HMO/HMOPOS
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TX,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Clayton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Emmet,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NC,Gates,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
IN,Randolph,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,Bureau,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
TX,Hill,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
UT,Sanpete,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,2,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Renville,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Carson City,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,7,0,Completed,06/27/2017 19:00,Local PPO
WI,Dodge,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
GA,DeKalb,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,49,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
WI,Ozaukee,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Waynesboro City,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WA,Wahkiakum,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,Lake,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
NJ,Morris,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WA,Grant,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Orange,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Menard,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
MO,Buchanan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,36,0,Completed,07/12/2017 15:39,Local PPO
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Halifax,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,West Feliciana,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Lancaster,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
TX,Rusk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Gallia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Monroe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Van Wert,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Noble,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OR,Washington,PacificSource Health Plans,PacificSource Medicare MyCare Rx 28 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,28,1,Completed,06/15/2017 15:55,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
LA,East Feliciana,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Lafourche,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Warren,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
NY,Seneca,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Clay,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,68,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus H1036-062C (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,62,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Henry,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Todd,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Hendricks,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Crawford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
CA,Contra Costa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,163,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Indiana,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cattaraugus,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Irion,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
IL,Whiteside,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Erie,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
NC,Iredell,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
NC,Vance,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
KY,Franklin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Adair,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
NM,Lincoln,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IN,Owen,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
PA,Chester,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,122,0,Completed,07/25/2017 10:12,Local PPO
VA,Suffolk City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
GA,Pickens,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
IA,Page,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Wirt,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
GA,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Cook,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Oswego,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Indian River,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Cullman,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NJ,Somerset,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
NY,Cortland,"WellCare Health Plans, Inc.",Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4868,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
WV,Pendleton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
KS,Russell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
TX,Wharton,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
WI,Adams,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Tuscarawas,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Richland,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
UT,Salt Lake,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
TX,Denton,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
LA,Acadia,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Medina,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,3,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Hale,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
AZ,Santa Cruz,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/19/2017 17:09,HMO/HMOPOS
MA,Hampden,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,N,N,,,,,,,H9585,1,0,Completed,07/26/2017 18:10,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
TX,Montgomery,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Houston,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Smith,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Dallas,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Palm Beach,"UnitedHealth Group, Inc.",Preferred Medicare Assist Palm Beach (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,Warren,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Broomfield,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Black Hawk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
IA,Butler,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
TX,Dallas,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5656,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Clinton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MO,Jackson,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,36,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Blue Earth,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
WI,Burnett,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
WI,Pierce,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Mahoning,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
ND,Burleigh,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MO,Jasper,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MI,Ingham,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
NC,Macon,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
AL,Marion,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
MI,Leelanau,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
VA,Highland,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
IL,Pike,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Isle of Wight,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,8,0,Completed,06/12/2017 11:28,1876 Cost
PR,Dorado,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Stokes,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
PA,Wayne,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Wilson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
WI,Kenosha,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Emmet,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,Livingston,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
TN,Fayette,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Sauk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Stone,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Johnston,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Union,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Franklin,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
SC,Colleton,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,84,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Pierce,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Talbot,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
VA,Suffolk City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NH,Sullivan,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
SC,Greenville,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,6,0,Completed,07/26/2017 17:12,HMO/HMOPOS
KS,Reno,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
WI,Grant,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
OH,Stark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Jackson,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NE,Sarpy,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Fluvanna,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Northampton,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
CA,Santa Clara,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Union,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,1,Completed,07/25/2017 10:12,Local PPO
NM,Valencia,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
MI,Clare,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
WV,Hancock,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Brooke,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
IA,Sac,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,Ripley,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
AL,Fayette,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
NY,Orleans,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Schley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Rockland,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
NJ,Sussex,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
GA,Dougherty,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Jones,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
PA,Northampton,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Volusia,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,22,0,Completed,07/06/2017 14:45,HMO/HMOPOS
TX,Cass,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
PR,Villalba,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Greensville,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MT,Petroleum,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TN,Davidson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Wilcox,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,Albany,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OR,Benton,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NM,Cibola,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
MO,Pettis,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Alexandria City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
VA,Essex,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
TX,Shelby,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Jones,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
CO,Clear Creek,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IN,Franklin,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
FL,Brevard,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,Monterey,Montage Health,Aspire Health Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8764,3,0,Completed,07/26/2017 12:33,HMO/HMOPOS
NJ,Warren,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,80,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
WV,Gilmer,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NY,Queens,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3262,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
GA,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Wright,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Chaffee,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
LA,West Carroll,"Vantage Holdings, Inc.",AAA9 Vantage 100 (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,22,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Gilmer,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,Yavapai,Humana Inc.,Humana Gold Plus H2649-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Putnam,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Polk,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
OH,Montgomery,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,110,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stearns,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MS,Montgomery,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
IN,De Kalb,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
GA,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Sebastian,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IL,St. Clair,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Chesterfield,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CO,Weld,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
CO,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
PR,Arroyo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Refugio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
CA,Modoc,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Ontario,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
PA,Lawrence,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
MI,Macomb,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,149,0,Completed,07/12/2017 15:39,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
NC,Orange,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
NY,Cattaraugus,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3227,1,0,Completed,07/27/2017 16:53,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
TN,Hickman,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
IA,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Marinette,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
VA,Richmond,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Clackamas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
ME,York,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
IL,Washington,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Allen,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
MI,Monroe,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Snyder,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
IN,Kosciusko,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Hopkins,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Woodford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Robertson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Coffee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IN,Delaware,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Sacramento,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,146,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bexar,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,8,0,Completed,06/14/2017 16:42,Local PPO
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
KY,Hardin,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Fulton,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Genesee,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
OH,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,1,Completed,07/17/2017 11:05,HMO/HMOPOS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,38,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
OH,Butler,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
AL,Shelby,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8280,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Stafford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
NC,Haywood,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Dallas,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
WV,Boone,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Perry,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
SD,Edmunds,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Ziebach,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
PR,Guaynabo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
IL,Fayette,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Mahaska,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Forest,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
VA,Pulaski,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Washington,"PH Holdings, LLC",Peoples Health Choices Select (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,7,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,McCreary,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
WA,Skagit,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
KY,Oldham,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
MN,Mahnomen,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
IA,O Brien,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Stewart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Rockingham,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Rappahannock,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Ozaukee,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,9,0,Completed,07/28/2017 12:26,Local PPO
AL,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Daviess,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burnet,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Iowa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Nassau,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Saratoga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
MN,Morrison,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Faulk,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Madison,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Clayton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Forsyth,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Rhea,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Houston,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
IN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Cullman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Preferred (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,135,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Marathon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Chesapeake City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
VA,Hampton City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
TX,Travis,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,6,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NM,Hidalgo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Columbia,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Sussex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Knox,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,White,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Carroll,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Appomattox,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
OH,Lorain,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,11,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Nassau,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,3,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Woodford,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,Mercer,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
TX,Collin,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,2,0,Completed,07/25/2017 17:34,Local PPO
MO,Cass,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
KS,Bourbon,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
AR,Franklin,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Randolph,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Wirt,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hardin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,37,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
KY,Larue,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
NY,Tioga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
TN,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Alameda,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,45,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,St. Lawrence,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
VA,Amelia,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Augusta,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Buchanan,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Greene,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Waller,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Leon,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Nassau,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,445,0,228,H8029,1,0,Completed,07/18/2017 12:59,Medicare-Medicaid Plan HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,Yadkin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,9,0,Completed,06/26/2017 14:13,HMO/HMOPOS
IN,Hamilton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Martin,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
CO,Denver,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Covington City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
VA,Buena Vista City,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Philadelphia,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Linn,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Kings,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
GA,Fayette,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
GA,Liberty,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,New Hanover,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
IN,Johnson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Tulare,Humana Inc.,Humana Gold Plus H5619-015 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Darlington,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
NY,Queens,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,18,0,Completed,07/26/2017 18:49,HMO/HMOPOS
SC,Beaufort,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KY,Menifee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Scott,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Pima,Anthem Inc.,CareMore Care Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,20,0,Completed,07/27/2017 13:34,HMO/HMOPOS
VA,Manassas City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IA,Calhoun,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
NH,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
VA,Henrico,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Guayanilla,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
LA,Orleans,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
WA,Pierce,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,127,0,Completed,07/12/2017 15:39,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
KY,Nelson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Grant,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
NM,Lincoln,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
WV,Monroe,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
MN,Kittson,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
OH,Union,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
CA,Orange,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IA,Scott,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,408,408,204,204,H3811,1,0,Completed,07/31/2017 19:26,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Aguas Buenas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Sabana Grande,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Lake,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
SD,Douglas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Webster,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Graham,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MO,Atchison,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
MI,Washtenaw,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2247,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NH,Cheshire,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Liberty,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Upshur,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Bay,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,18,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,56,0,Completed,07/18/2017 13:53,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Winnebago,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
MO,St. Louis,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
OH,Perry,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MN,Pennington,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WV,Summers,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
GA,Lincoln,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Berkeley,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
IL,Richland,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
FL,Highlands,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
CO,Chaffee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Manatee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,2,0,Completed,06/12/2017 11:28,1876 Cost
TX,Goliad,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Columbia,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IN,Tipton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
AR,Cleburne,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Owen,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
SD,Meade,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Lyon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
CO,Delta,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,2,Completed,07/25/2017 10:12,Local PPO
AL,Blount,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
AL,Walker,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
MO,Jefferson,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Ouachita,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Otter Tail,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Hamilton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Clinch,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NH,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Liberty,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
FL,Dade,Anthem Inc.,HealthSun MediMax (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,6,0,Completed,07/14/2017 16:29,HMO/HMOPOS
TX,Willacy,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Carroll,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Harrison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
NY,Franklin,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
WI,Juneau,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
IN,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Marshall,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,8,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,Monroe,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,White,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Wilkinson,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Pike,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Washington,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Brown,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
WV,Monroe,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
VA,Craig,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
CO,Broomfield,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OH,Miami,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
PR,Adjuntas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Waller,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Johnson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
SD,McCook,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Mahoning,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WI,Marathon,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,8,Completed,07/17/2017 11:05,HMO/HMOPOS
TN,Knox,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Sullivan,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Wetzel,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
GA,Cherokee,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MS,Stone,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,Hinds,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
AR,Washington,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Crockett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Lagrange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Pottawattamie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Benton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Edmonson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Monroe,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Crockett,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hill,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TN,Unicoi,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,97,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
TX,Medina,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Rusk,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
AR,Sebastian,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OK,Noble,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
FL,Suwannee,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
CO,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
PR,Cidra,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KY,Christian,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AL,Lee,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Merced,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
WV,Brooke,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
SC,Abbeville,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MI,Luce,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MD,Talbot,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
IN,Warrick,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,22,0,Completed,07/24/2017 12:23,Local PPO
PR,Maricao,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Fulton,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Prince George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Teller,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Montgomery,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Halifax,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Hidalgo,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,2,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Jackson,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
OR,Yamhill,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
WV,Monongalia,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
LA,Tensas,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,West Feliciana,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Aiken,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
SC,Laurens,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Greene,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KY,Owen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Clay,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,13,0,Completed,07/27/2017 12:35,HMO/HMOPOS
OK,Pontotoc,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Cass,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
MO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Rock,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Boone,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Warren,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
PA,Cameron,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Lehigh,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Navarro,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IL,Adams,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
IN,Elkhart,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,San Juan,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Comanche,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Delaware,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Shelby,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Ascension,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Galax City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
AZ,Maricopa,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
TX,Fort Bend,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,1,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Butler,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,6,Completed,06/29/2017 13:12,HMO/HMOPOS
AR,Saline,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,2,Completed,07/13/2017 12:29,HMO/HMOPOS
MO,Dade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Muscogee,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Marshall,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
IA,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Howard,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Polk,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Clearwater,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Morrison,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
OH,Geauga,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
OH,Licking,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Washtenaw,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
SC,Fairfield,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AZ,Maricopa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Wyoming,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,36,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
CA,Contra Costa,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,3,Completed,10/17/2017 0:50,HMO/HMOPOS
NC,Yancey,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,7,0,Completed,07/31/2017 15:04,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
AZ,Pima,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Manatee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Lunenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
NJ,Passaic,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
SC,Beaufort,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
AR,Benton,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Weakley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
AR,Washington,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WI,Washington,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MN,Goodhue,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
OK,Tulsa,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PR,Comerio,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Rensselaer,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
NV,Washoe,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,130,0,Completed,07/12/2017 15:39,Local PPO
NJ,Warren,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Cherokee,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/07/2017 12:31,HMO/HMOPOS
OH,Stark,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MN,Morrison,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
PA,Schuylkill,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
KY,Owen,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,58,0,Completed,07/25/2017 10:12,Local PPO
SD,Lake,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Tyler,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
DE,Kent,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,28,0,Completed,07/25/2017 10:12,Local PPO
NC,Clay,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
DC,District of Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,45,0,Completed,07/24/2017 12:23,Local PPO
GA,Muscogee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
ND,Rolette,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
GA,Newton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
CO,Otero,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
AL,Dallas,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
KY,Clark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Arapahoe,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Rock Island,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Boone,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
GA,Stewart,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
FL,Hernando,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,33,0,Completed,07/24/2017 12:23,Local PPO
MN,Norman,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TX,Tarrant,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Danville City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
FL,Pasco,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Wilson,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
HI,Honolulu,Hawaii Medical Service Association,HMSA Akamai Advantage Complete Plus (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,10,0,Completed,07/20/2017 22:08,Local PPO
HI,Maui,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,7,0,Completed,07/20/2017 22:08,Local PPO
MN,Winona,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Queens,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Chester,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
IA,Jones,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Fulton,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Sullivan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Butler,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
WI,Sauk,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
SD,Custer,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wabasha,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Spink,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MA,Worcester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Tama,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
MO,Christian,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bledsoe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Arlington,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Ulster,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
GA,Polk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OK,Cleveland,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MO,Carroll,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IL,Logan,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
FL,Palm Beach,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
CO,Boulder,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
KY,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
MO,Perry,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
IA,Hamilton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IA,Monroe,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,Rockdale,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
WV,Wood,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
NC,Granville,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Bedford,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,York,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
WA,Spokane,"Cambia Health Solutions, Inc.",Asuris TruAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5010,1,0,Completed,07/26/2017 17:12,Local PPO
OH,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ashtabula,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Taylor,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Hughes,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Marshall,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
NY,Franklin,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Sullivan,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
OH,Geauga,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
IN,Vermillion,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Cass,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Irion,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
NC,Cleveland,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
WV,Logan,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
NY,Schoharie,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,77,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Manassas Park City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Bennington,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
GA,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
AL,Lauderdale,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
AL,Pike,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
GA,Emanuel,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NY,Nassau,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,2,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
MA,Plymouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Roanoke City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PR,Naguabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Taney,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Bee,Humana Inc.,Humana Gold Plus H2649-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Webster,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
PA,Lycoming,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
PA,Berks,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MN,Washington,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
VA,Alexandria City,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Oakland,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
SC,Pickens,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
GA,Chatham,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Cook,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,106,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,19,1,Completed,06/21/2017 11:09,HMO/HMOPOS
TX,Montgomery,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,23,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Muscogee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,3,Completed,06/29/2017 13:12,Local PPO
WI,Milwaukee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
IL,Jo Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Albany,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
VT,Chittenden,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Orange,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,9,0,Completed,06/28/2017 12:35,Local PPO
LA,Morehouse,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Poweshiek,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
IA,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
OR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
VA,Grayson,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
MI,Oceana,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
TN,Coffee,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Richland,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,McKinley,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NC,Moore,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
AR,Yell,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,3,Completed,07/13/2017 12:29,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Santa Rosa,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NV,Lyon,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,6,0,Completed,06/27/2017 19:00,Local PPO
KY,Magoffin,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
OH,Athens,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NC,Bladen,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
GA,Macon,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
GA,Putnam,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
SC,Fairfield,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Muscogee,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Peach,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Portage,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Giles,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Highland,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Charlottesville City,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MN,Steele,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Jackson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Winnebago,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
IL,Livingston,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Howard,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
OK,McIntosh,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
SC,Colleton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KS,Shawnee,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
AL,Madison,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NH,Cheshire,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,2,0,Completed,07/18/2017 9:33,Local PPO
NY,New York,Jewish Guild for the Blind,GuildNet Gold (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6864,1,0,Completed,07/26/2017 13:17,HMO/HMOPOS
NH,Merrimack,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OK,Love,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
IN,Starke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
CA,Ventura,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Washington,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wilkin,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
TX,San Patricio,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WA,Spokane,Premera,Premera Blue Cross Medicare Advantage Total Health (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,5,0,Completed,07/10/2017 17:32,HMO/HMOPOS
CO,Jefferson,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
VA,Arlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
MO,Ralls,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Columbia,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
TX,Hidalgo,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
GA,Crisp,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Hall,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Madison,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
WV,Kanawha,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
TX,Kerr,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Howell,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OK,Craig,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Johnson,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MS,Smith,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
AR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Manatee,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Monroe,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KY,Pike,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Focus DC (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,7,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MN,Isanti,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mower,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Screven,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Newton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Banks,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Atascosa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Middlesex,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Spotsylvania,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Susquehanna Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,50,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Beltrami,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sevier,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Madison,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,McMinn,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Jay,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
TX,Hidalgo,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
AR,Conway,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MO,Polk,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IL,Ogle,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
CA,Los Angeles,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,4,0,Completed,07/28/2017 18:46,HMO/HMOPOS
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
IN,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NY,Tompkins,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Genesee,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
KS,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MS,DeSoto,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,154,0,Completed,07/12/2017 15:39,Local PPO
NY,Bronx,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Lyon,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
ID,Ada,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
MI,Van Buren,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
AR,Poinsett,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
FL,Broward,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,65,0,Completed,07/25/2017 10:12,Local PPO
NC,Transylvania,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,10,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,El Paso,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,13,0,Completed,06/14/2017 16:42,HMO/HMOPOS
AR,Carroll,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Blount,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Smith,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Meeker,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Becker,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
AR,Lawrence,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Monroe,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
IA,Linn,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
MO,Carroll,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
IA,Crawford,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Nassau,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Sullivan,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pope,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MI,Genesee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Gilmer,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
OH,Ross,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
VA,Wise,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
CO,Huerfano,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
IN,St. Joseph,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,Guaynabo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
WY,Weston,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Tift,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TN,Weakley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Monroe,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
MS,Harrison,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,171,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Grand,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
KY,Hart,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,97,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MN,Murray,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,DeKalb,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Hawkins,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chisago,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
TX,Bosque,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Buchanan,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
CO,Grand,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Miami-Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
GA,McDuffie,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Schley,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Terrell,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Columbiana,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
KY,Spencer,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Anderson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TN,Blount,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
AR,Grant,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IN,Boone,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
DE,New Castle,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,28,0,Completed,07/25/2017 10:12,Local PPO
WA,Clark,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
GA,Bryan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Herkimer,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
AL,Bullock,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Green,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Northumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Orange,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MI,Schoolcraft,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
PR,Salinas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Stone,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,19,1,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,43,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
PA,Northumberland,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,455,0,228,H3018,1,0,Completed,07/25/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Fayette,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
OK,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
AR,White,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Denton,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
VA,Southampton,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WA,Cowlitz,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Cabarrus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Elk,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
AR,Saline,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Washington,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NH,Hillsborough,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Ashtabula,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Paulding,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Hampshire,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,2,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Geneva,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Tipton,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
OK,Craig,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
NV,Clark,Humana Inc.,HumanaChoice H5216-141 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,141,0,Completed,07/25/2017 10:12,Local PPO
KY,Bullitt,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
TX,Smith,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
KS,Cherokee,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
AL,Montgomery,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
AL,Shelby,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,St. Charles,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
SD,Deuel,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Venango,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MO,St. Clair,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
VA,Arlington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Hamilton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Forest,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
NY,Queens,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Stark,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
AR,Prairie,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,King William,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
GA,Camden,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Carolina,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Luzerne,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,36,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MN,Todd,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
KS,Allen,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
NE,Washington,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
LA,Tangipahoa,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Powhatan,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,King,Humana Inc.,Humana Gold Plus H5619-057 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Berks,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PA,Mercer,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TN,Rutherford,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Bleckley,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
VA,Norfolk City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,1,Completed,07/25/2017 10:12,Local PPO
KY,Morgan,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Simpson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Muskogee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KS,Cherokee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Spotsylvania,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
GA,Muscogee,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
TN,Hardin,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
IA,Clinton,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PA,Beaver,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Seminole,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Etowah,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Lawrence,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Indiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Sarasota,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Warren,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MN,Wright,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
PA,Franklin,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Villalba,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Hooker,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Beaver,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
NY,St. Lawrence,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
GA,Randolph,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MA,Bristol,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
MN,Steele,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
PA,Westmoreland,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
IN,Hendricks,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
OH,Pike,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
SD,Custer,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
AL,Lowndes,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
KS,Miami,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Sarasota,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,9,0,Completed,07/18/2017 12:54,HMO/HMOPOS
CO,Costilla,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,6,0,Completed,07/28/2017 17:35,1876 Cost
WV,Lewis,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,6,Completed,07/26/2017 11:41,Local PPO
ME,Androscoggin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
PR,Hormigueros,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Maricao,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Gibson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
TN,Sevier,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
MN,Hennepin,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Westmoreland,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Iowa,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
KY,Kenton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NC,Gates,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Abbeville,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Louisa,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
PR,Dorado,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Carroll,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,Bronx,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,6,0,Completed,07/25/2017 14:48,HMO/HMOPOS
NY,Kings,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
OH,Lucas,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,10,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,Floyd,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,2,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Rockingham,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Lafayette,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Allen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Chowan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Fayette,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Woods,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
KY,Breckinridge,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
ME,Cumberland,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
OH,Adams,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,17,0,Completed,06/26/2017 8:52,HMO/HMOPOS
MN,Pipestone,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
SC,Laurens,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,1,0,Completed,07/28/2017 11:13,Local PPO
IN,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
IN,Carroll,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
SC,Marion,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
VA,Powhatan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
NV,Nye,Humana Inc.,Humana Gold Plus H6622-028 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Preble,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Emporia City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Bureau,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
PA,Huntingdon,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
MD,Talbot,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
KS,Osage,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Van Wert,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Bridges Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,28,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Nicholas,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Blount,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OR,Curry,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,26,1,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Snyder,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Jay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
OH,Montgomery,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Santa Rosa,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
KY,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,King,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,126,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Big Stone,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
TN,Carter,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Clinton,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,1,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Osceola,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Pike,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
AZ,Maricopa,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,5,0,Completed,07/24/2017 12:23,Local PPO
CO,Larimer,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
PR,Guayanilla,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
SC,Richland,Anthem Inc.,AFC Care Rx (HMO),Y,Y,N,Y,N,,,0,455,0,228,H8170,1,0,Completed,07/06/2017 10:58,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
NC,Jones,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Trumbull,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Sampson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lewis,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day In Control Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,26,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
AR,Newton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
AL,Morgan,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
GA,Jones,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
ME,Somerset,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Broward,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,121,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
CO,Douglas,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
OH,Lorain,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
OH,Marion,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Westmoreland,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Madison,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Roanoke City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Polk,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sanborn,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Day,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Lumpkin,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
CA,San Diego,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H9312,2,0,Completed,06/30/2017 16:42,Local PPO
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Warren,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
IL,Lake,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/25/2017 10:12,Medicare-Medicaid Plan HMO/HMOPOS
IA,Sioux,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
AR,Hot Spring,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Carroll,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
IA,Buena Vista,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
NM,Rio Arriba,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
IN,Wabash,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,Toa Alta,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
PR,Vega Baja,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Allen,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
WI,Dodge,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
KY,Trigg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Elmore,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
ID,Valley,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NE,Platte,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,San Luis Obispo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bexar,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,9,0,Completed,06/14/2017 16:42,Local PPO
PA,Lebanon,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,Hays,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,7,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,La Porte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,St. Joseph,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Carroll,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
ME,Cumberland,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coke,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Waller,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Wake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MN,Scott,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MO,Clay,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
SC,Greenwood,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Kittson,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
CA,San Diego,Sharp Healthcare,Sharp Direct Advantage Gold Card (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5386,3,0,Completed,07/26/2017 12:00,HMO/HMOPOS
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Weld,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Butler,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,16,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Jennings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vigo,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Perry,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
LA,Caddo,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Chenango,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
PA,Westmoreland,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Petroleum,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Richmond,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,40,0,Completed,07/12/2017 15:39,Local PPO
TX,Bandera,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
TX,Colorado,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OR,Benton,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Louis City,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MO,Clay,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
SC,Charleston,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Sumter,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Richmond,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,15,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Dallas,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Pinellas,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Union,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,89,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Houston,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Monongalia,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
GA,Towns,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NH,Hillsborough,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,13,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MO,Ray,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
PA,Northampton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,36,0,Completed,07/24/2017 12:23,Local PPO
MN,Jackson,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Day,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Twiggs,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
AZ,Maricopa,Humana Inc.,Humana Gold Plus H2649-063 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,63,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Clinch,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Trumbull,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
TX,Brazos,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
TX,Liberty,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Letcher,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Grady,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MO,Ray,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
FL,Flagler,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
CO,Archuleta,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
TX,Henderson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
FL,Dade,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Edwards,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Seward,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Decatur,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
FL,Miami-Dade,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NH,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Kent,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,1,Completed,07/24/2017 10:22,Local PPO
TN,Houston,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hardeman,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,7,Completed,06/29/2017 13:12,Local PPO
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Bradford,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Ripley,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Warren,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
KY,Grant,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
VA,Craig,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,102,0,Completed,07/12/2017 15:39,Local PPO
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
KY,Menifee,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Owsley,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MI,Gratiot,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
TX,Harris,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
VA,Alexandria City,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
WV,Marshall,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
AR,Cleburne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Preferred Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Santa Clara,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
SD,Charles Mix,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,1,0,Completed,07/27/2017 20:51,HMO/HMOPOS
NY,New York,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
VT,Bennington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Nassau,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Cedar,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Brevard,"Health First, Inc.",Health First Rewards Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,14,0,Completed,07/24/2017 14:05,HMO/HMOPOS
MI,Ionia,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
OH,Portage,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Lycoming,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Clay,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
FL,Seminole,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Palm Beach,"UnitedHealth Group, Inc.",Preferred Choice Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,DeKalb,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WI,Winnebago,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Transylvania,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Morrison,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
IA,Scott,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
TN,Carter,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MI,Berrien,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
OH,Knox,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
IA,Adair,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
OK,Grady,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
NC,Johnston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
OH,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
PR,Caguas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Harrison,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
GA,Burke,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
OH,Auglaize,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OH,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,61,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Trempealeau,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
MD,Anne Arundel,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
SD,Harding,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hand,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,1,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NY,Lewis,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Ashland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Rutherford,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,116,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Towns,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Rutherford,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Douglas,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Ellis,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,2,Completed,07/17/2017 11:05,HMO/HMOPOS
OH,Lucas,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,11,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Randolph,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Dinwiddie,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Goochland,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Allen,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
VA,Arlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Clay,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Gallia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Owen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Bridges Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,29,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Delaware,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NY,Orleans,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,237,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Williamsburg City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Steuben,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,56,0,Completed,07/24/2017 10:45,HMO/HMOPOS
IN,St. Joseph,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Franklin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Tompkins,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Madison,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Marion,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Concho,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Wood,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
IA,Cedar,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,McMinn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Worcester,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,57,0,Completed,07/25/2017 10:12,Local PPO
TX,Frio,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OK,Seminole,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Juana Diaz,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Natrona,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Travis,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
MN,Renville,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Ziebach,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lincoln,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Oglethorpe,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Jefferson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
TN,Bradley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Henry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Hancock,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
WI,Burnett,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamblen,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Pinal,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,15,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,Midland,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Madison,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IN,Tipton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WV,Ritchie,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
KS,Harvey,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Barry,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,4,Completed,07/24/2017 10:22,Local PPO
OH,Muskingum,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MA,Plymouth,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,N,N,,,,,,,H9585,1,0,Completed,07/26/2017 18:10,HMO/HMOPOS
TN,Roane,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Loudon,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
NE,Morrill,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Uvalde,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Franklin,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
PA,Cumberland,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,3,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,McDowell,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,7,0,Completed,07/31/2017 15:04,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Wilson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TX,Brazoria,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
IL,Carroll,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
TX,Tarrant,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,2,0,Completed,07/25/2017 17:34,Local PPO
GA,Coweta,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
IL,Madison,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NY,Chemung,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
FL,Pinellas,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
GA,Cherokee,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Hickman,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Decatur,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Red Lake,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Cass,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MO,Jasper,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
MO,Newton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Floyd,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,Delta,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
VA,Alexandria City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Manati,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Brunswick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Liberty,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
TX,Ellis,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
TX,Fort Bend,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Sibley,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OR,Malheur,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
OH,Defiance,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,59,0,Completed,07/25/2017 10:12,Local PPO
SD,Deuel,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
ND,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
PA,Centre,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OK,Mayes,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Union,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
AR,Benton,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
NY,Nassau,"Healthfirst, Inc.",Healthfirst AssuredCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,35,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Craighead,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Miller,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
OH,Ottawa,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,King William,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Henderson,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
KS,Atchison,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,Taylor,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Dutchess,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nobles,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Davidson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,6,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WV,Logan,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IN,Whitley,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
TX,Medina,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Pendleton,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
AL,Autauga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
CO,Broomfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
PA,Lehigh,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
VT,Lamoille,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Brazoria,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
TX,Fort Bend,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
GA,Jackson,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
AR,Polk,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OH,Warren,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
NE,Blaine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KY,Calloway,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Orleans,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
TX,Henderson,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
CT,New London,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Oglethorpe,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
FL,Lee,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Pike,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,4,0,Completed,07/24/2017 14:11,HMO/HMOPOS
IA,Linn,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Manatee,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Tift,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
AL,Tallapoosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
WI,Kewaunee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MN,Beltrami,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Davison,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
SD,Meade,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Clinch,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PA,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Forest,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sullivan,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Davidson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MT,Lincoln,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
IL,Peoria,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Perry,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,Jefferson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TN,Sevier,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,1,0,Completed,07/28/2017 11:13,Local PPO
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Blue Earth,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Barren,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
SC,York,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
SD,Clay,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
PA,Tioga,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Cherokee,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
NY,Rensselaer,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Bucks,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
CA,Los Angeles,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
OK,Woodward,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
NY,Broome,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Milwaukee,Independent Care Health Plan Inc.,Aurora Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,9,0,Completed,07/26/2017 12:18,HMO/HMOPOS
IL,Fulton,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
GA,Rockdale,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Nassau,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,07/25/2017 11:55,HMO/HMOPOS
AR,Arkansas,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Henrico,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Josephine,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,16,2,Completed,07/06/2017 14:24,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
MN,Freeborn,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
IL,Peoria,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MI,Barry,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
AR,Logan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Wagoner,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OK,Creek,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PA,Wayne,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
WV,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
SC,Fairfield,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,Meriwether,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Essex,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Lawrence,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Jefferson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,4,Completed,07/13/2017 12:29,PFFS
OK,Cotton,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OH,Butler,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,17,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
IL,DuPage,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,5,0,Completed,07/26/2017 17:12,HMO/HMOPOS
NY,Genesee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Pettis,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Bates,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MO,Cooper,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
TX,Dimmit,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
WI,Crawford,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
TN,Montgomery,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
SC,Colleton,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montour,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
AL,Bullock,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Philadelphia,"Health Partners Plans, Inc.",Health Partners Medicare Basic (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,1,0,Completed,07/10/2017 11:38,HMO/HMOPOS
IA,Harrison,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NH,Strafford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,13,0,Completed,07/25/2017 8:54,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Jefferson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Braxton,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Brevard,"Health First, Inc.",Health First Classic Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,1,0,Completed,07/24/2017 14:05,HMO/HMOPOS
PA,Philadelphia,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Scotland,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
GA,Fulton,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Douglas,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,16,2,Completed,07/06/2017 14:24,Local PPO
OR,Clatsop,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
IN,Marshall,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,18,0,Completed,07/26/2017 16:54,HMO/HMOPOS
NY,Richmond,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
SC,Hampton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KY,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Hamilton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,33,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Antrim,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
IL,Knox,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Meeker,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,7,Completed,06/29/2017 13:12,Local PPO
UT,Weber,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
NM,Curry,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
VA,James City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Fentress,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
AR,Jackson,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Washington,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Jefferson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OK,Sequoyah,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
IN,De Kalb,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
HI,Honolulu,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,41,0,Completed,07/25/2017 10:12,Local PPO
GA,Lumpkin,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
NY,Nassau,Humana Inc.,Humana Gold Plus H3533-010 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,10,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Lee,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,35,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Cherokee,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Tallapoosa,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,San Diego,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,70,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Preferred Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Imperial,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,567,567,284,284,H5810,1,0,Completed,06/06/2017 15:33,HMO/HMOPOS
CA,San Bernardino,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
MA,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,34,0,Completed,06/26/2017 14:13,HMO/HMOPOS
SC,Richland,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
IN,Lagrange,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Westmoreland,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
MO,Webster,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
KY,Whitley,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PA,Lackawanna,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
NY,Delaware,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
MO,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Ray,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
LA,Lafayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
AL,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,2,0,Completed,06/14/2017 16:42,Local PPO
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,7,Completed,07/17/2017 11:05,HMO/HMOPOS
NY,Chenango,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Warren,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
MI,Clare,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
TX,Hockley,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Lewis,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
IA,Louisa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Talladega,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
WI,Marathon,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Marion,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,3,Completed,06/29/2017 13:12,Local PPO
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WA,Thurston,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
AL,Etowah,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Marshall,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Assumption,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Franklin,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,1,Completed,07/26/2017 17:12,Local PPO
MN,Murray,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
WI,Polk,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Washington,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Calhoun,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
IL,Clark,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,Berrien,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
TN,Hamilton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
MA,Suffolk,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,N,N,,,,,,,H9585,1,0,Completed,07/26/2017 18:10,HMO/HMOPOS
MO,Pike,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Nassau,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,27,0,Completed,07/14/2017 10:43,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,DuPage,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
VA,Fairfax City,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Carter,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PA,McKean,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,6,Completed,07/26/2017 11:41,Local PPO
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Weld,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,4,0,Completed,06/14/2017 16:42,Local PPO
WI,Washington,Independent Care Health Plan Inc.,Aurora Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,9,0,Completed,07/26/2017 12:18,HMO/HMOPOS
ID,Bannock,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
OH,Clark,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,6,Completed,07/26/2017 11:41,Local PPO
PR,Aguas Buenas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Colleton,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Fremont,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Monroe,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Wilson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Worcester,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Delaware,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
FL,Union,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
AR,Sebastian,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,1,Completed,07/25/2017 10:12,HMO/HMOPOS
DC,District of Columbia,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Williamsburg City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Iberville,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KS,Russell,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Amber II Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Sumner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Bullitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Trumbull,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Hopkins,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Marion,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
IA,Plymouth,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Loudon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Steuben,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
WI,Washington,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,10,0,Completed,07/28/2017 12:26,Local PPO
PA,Berks,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,45,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Prime + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,37,0,Completed,07/07/2017 13:42,HMO/HMOPOS
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,53,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PA,Bucks,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
OH,Cuyahoga,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Marshall,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
ME,York,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Montgomery,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Pender,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
MN,Sherburne,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WI,Waukesha,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
WI,Waukesha,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
OR,Washington,"CareOregon, Inc.",CareOregon Advantage Star (HMO),Y,Y,Y,Y,N,,,0,402,0,201,H5859,3,0,Completed,06/30/2017 20:32,HMO/HMOPOS
GA,Dawson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Mingo,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,Rock Island,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Suffolk City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
AL,Tallapoosa,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
PR,Barceloneta,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Stark,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,88,0,Completed,07/12/2017 15:39,Local PPO
FL,Martin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
GA,Hall,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Spalding,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Caguas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/07/2017 12:31,HMO/HMOPOS
NC,Watauga,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
MO,Polk,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KY,Menifee,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
VA,Hopewell City,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
CO,Denver,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
NY,Saratoga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
CA,Los Angeles,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,72,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Dauphin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
OH,Medina,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
SC,Horry,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,1,Completed,07/27/2017 12:35,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SD,Lawrence,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
GA,Wilkinson,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Madison,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,60,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,60,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,51,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Franklin,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Hampton City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schenectady,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Scott,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Maury,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Hennepin,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wilkin,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hennepin,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Carter,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Oglethorpe,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Fountain,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OH,Crawford,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Lawrence,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
IN,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
IN,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NY,Cayuga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VT,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
WY,Crook,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
IL,McHenry,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,16,0,Completed,07/12/2017 15:39,Local PPO
CO,Douglas,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
CO,Arapahoe,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
GA,Hancock,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
WV,Wayne,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KS,Reno,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
SD,Deuel,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
IA,Clayton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IN,Lawrence,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
AL,Coffee,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,96,0,Completed,07/25/2017 10:12,Local PPO
IA,Monroe,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
KY,Campbell,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cumberland,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
NY,Bronx,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
TX,Denton,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H2171,1,0,Completed,06/22/2017 12:46,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,White,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
SD,Yankton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Montgomery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,Spokane,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
LA,East Baton Rouge,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Snyder,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
VA,Norton City,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Lewis,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
WA,Spokane,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5010,4,0,Completed,07/26/2017 17:12,Local PPO
OH,Van Wert,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Hyde,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NM,Socorro,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Lauderdale,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
KY,Woodford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
MN,Carver,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
ID,Canyon,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,9,0,Completed,07/26/2017 17:12,Local PPO
NY,Otsego,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NC,Person,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Rowan,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Washington,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
AL,Cullman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
CA,Los Angeles,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5852,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
MN,Kittson,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NC,Yadkin,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
OK,Sequoyah,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Menifee,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Platte,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MN,Wabasha,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Fayette,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Kinney,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
WI,Rock,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
OH,Delaware,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
AL,Talladega,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
AR,Saline,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Martin,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Union,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Webster,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
PA,Perry,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
OK,Caddo,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Lee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
OH,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
WY,Natrona,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Cumberland,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OR,Yamhill,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OK,Johnston,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MN,Nicollet,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
VA,Manassas Park City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
GA,Carroll,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
SD,Moody,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
NC,Alamance,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,17,0,Completed,07/25/2017 10:12,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
PA,Fayette,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
FL,Charlotte,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Jasper,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,Laclede,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,St. Clair,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Orange,California Physicians  Service,Care1st TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,567,0,284,H5928,5,0,Completed,07/24/2017 20:49,HMO/HMOPOS
GA,Meriwether,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Broward,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,12,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ND,Foster,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Grant,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
OH,Highland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Hamilton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Preferred (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,135,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Wood,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
OK,Latimer,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,1,Completed,07/20/2017 15:47,HMO/HMOPOS
WV,Jefferson,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Taylor,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Dickinson,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
PR,Barranquitas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,62,0,Completed,06/26/2017 14:13,HMO/HMOPOS
IL,Ogle,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
OH,Gallia,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
PA,Monroe,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Bamberg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Chesterfield,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OR,Polk,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Cumberland,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
FL,Broward,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Wirt,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Spokane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,7,Completed,07/27/2017 12:35,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. Landry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,114,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
CO,Denver,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
NY,Montgomery,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
MN,Crow Wing,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Clinton,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Fayette,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
IN,Decatur,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,56,0,Completed,07/24/2017 10:45,HMO/HMOPOS
WI,Calumet,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Somerset,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Washington,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Leon,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Buncombe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,10,0,Completed,06/28/2017 12:35,Local PPO
GA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Ozark,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Delaware,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,5,0,Completed,07/10/2017 11:38,HMO/HMOPOS
AR,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Brevard,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,San Joaquin,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,6,0,Completed,07/27/2017 20:51,HMO/HMOPOS
KS,Gray,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Albany,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
WA,Douglas,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
MO,St. Francois,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Hardin,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
NM,Bernalillo,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,8,0,Completed,06/07/2017 12:19,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Palm Beach,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,38,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Westmoreland,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Sauk,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Pike,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
NC,Richmond,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
PR,Fajardo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OH,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lyon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Noble,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Knox,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Niagara,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Ross,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Cass,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Smith,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
CA,San Bernardino,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Inland Empire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Cook,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MA,Dukes,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
CT,New Haven,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SC,Greenville,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Kennebec,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Clarion,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
PA,Northampton,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
AR,Sharp,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Wells,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Hopewell City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Mason,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
MD,Baltimore,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,22,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Campbell,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,East Baton Rouge,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Duval,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Wadena,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Clinton,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Henrico,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Tompkins,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Cayuga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
GA,Gwinnett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
IN,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
ND,Richland,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ransom,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Taliaferro,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Franklin,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,San Augustine,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Franklin,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Ingham,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Newaygo,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,13,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,11,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,16,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Switzerland,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MO,Cole,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
MO,Vernon,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Stafford,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
TX,Coke,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Montgomery,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Lincoln,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Coffee,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Adams,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Delaware,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Wilkin,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,2,Completed,06/29/2017 13:12,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
AR,Lonoke,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
SD,Hutchinson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IA,Poweshiek,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
WV,Mason,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
WV,Upshur,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
SC,Union,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
TN,Greene,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sherburne,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Willacy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Maricopa,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,15,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Pendleton,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
OH,Richland,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
NY,Yates,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
TX,Brooks,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
UT,Weber,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,197,0,Completed,07/12/2017 15:39,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MA,Hampden,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
MN,Meeker,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Spink,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Terrebonne,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Hidalgo,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,5,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IA,Calhoun,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
WV,Jackson,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
VA,Pittsylvania,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
AL,Elmore,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Johnson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Wayne,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MN,Hennepin,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Martin,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Norman,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
FL,Liberty,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
WV,Brooke,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MO,Ozark,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,DeSoto,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
FL,Martin,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
NV,Mineral,"UnitedHealth Group, Inc.",Senior Dimensions Greater Nevada (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2931,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PA,Schuylkill,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
MI,St. Clair,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,149,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WI,Green Lake,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Lafayette,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Clay,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
WV,Pleasants,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
NE,Cass,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
MN,Goodhue,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
PA,Berks,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
PA,Elk,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
FL,Indian River,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Platte,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
WV,Mingo,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
TX,Hays,Humana Inc.,Humana Gold Plus H2649-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
WA,Thurston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,19,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Loudoun,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Independence,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Orange,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Fairfield,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Brown,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
CA,San Mateo,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MS,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MI,Marquette,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
NM,Sierra,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,42,0,Completed,07/24/2017 12:23,Local PPO
SD,Roberts,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
LA,Jefferson,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
AR,Pulaski,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cumberland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,2,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MT,Cascade,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MO,Clay,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
MI,Eaton,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CO,Elbert,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Hernando,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
PR,Catano,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Pecos,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VT,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Limestone,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
NJ,Monmouth,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
GA,Clarke,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
NC,Rockingham,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,170,0,Completed,07/12/2017 15:39,Local PPO
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
MS,Forrest,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Dauphin,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Nelson,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Jackson,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Ceiba,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AL,Russell,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Fulton,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
OH,Licking,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
GA,Dooly,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
IN,Vermillion,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
ID,Kootenai,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
OH,Union,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Menifee,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Muskogee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
UT,Utah,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
MO,Ozark,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
IA,Appanoose,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IN,Orange,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
GA,Taylor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Cayuga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
AR,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Rooks,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WV,Tucker,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Red River,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
TX,Fort Bend,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,26,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Forsyth,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Stewart,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Preble,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Otero,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
CA,San Bernardino,AHMC Central Health LLC,Central Health Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,2,0,Completed,07/28/2017 18:46,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
TN,Sevier,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Benton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,McNairy,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
TX,Cooke,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
TX,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Citrus,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
OK,Logan,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
VA,Louisa,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
KY,Union,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
LA,Caldwell,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
MO,Douglas,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
VA,Richmond,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
TX,Harris,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IA,Calhoun,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NY,Bronx,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Benito,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,24,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,10,0,Completed,07/24/2017 20:49,HMO/HMOPOS
OK,Harper,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
CO,Saguache,"Friday Health Plans, Inc.",Friday Health Plans Platinum SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,7,0,Completed,07/28/2017 17:35,1876 Cost
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
PR,Culebra,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PA,Butler,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
MD,Caroline,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
SC,Lexington,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
OH,Paulding,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Larue,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Trigg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Collier,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,217,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IA,Mills,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,DuPage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Indiana,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
DE,New Castle,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,102,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Louisa,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Mower,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wabasha,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
KY,Hardin,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/28/2017 15:20,HMO/HMOPOS
GA,Fulton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
VA,Falls Church City,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IL,Lee,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
WV,Taylor,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
GA,Houston,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Platte,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
AR,Craighead,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Avoyelles,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KS,Leavenworth,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Leslie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Polk,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Joaquin,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
ME,Piscataquis,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
FL,Putnam,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,68,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Lake of the Woods,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Brown,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
OH,Greene,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
CA,Fresno,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Travis,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
LA,Lincoln,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Bedford,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
VA,Norfolk City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KY,Garrard,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Major,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Lauderdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,McNairy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Cochise,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NE,Saunders,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,McLean,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Collin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,2,0,Completed,06/14/2017 16:42,Local PPO
OH,Harrison,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Schoharie,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Ontario,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
OH,Geauga,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MN,Rock,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OK,Ottawa,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
OK,Cleveland,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
IN,Hamilton,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
IA,Ringgold,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
CO,Jefferson,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
TN,Wayne,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
WA,Kittitas,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
GA,Twiggs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
WI,Jackson,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Lyon,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,7,0,Completed,06/27/2017 19:00,Local PPO
IL,Will,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
GA,Barrow,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
SC,Marion,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
LA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Alleghany,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
AL,Talladega,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Switzerland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Graves,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Suffolk,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Austin,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
VA,Portsmouth City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,St. Louis City,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Clay,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Forest,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
WI,Calumet,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
WV,Greenbrier,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AR,Lee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WI,Eau Claire,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
PA,Clinton,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Muskegon,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CA,Amador,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Preble,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,3,Completed,06/29/2017 13:12,Local PPO
PA,Cumberland,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,31,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Roseau,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
TX,Smith,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,3,0,Completed,07/14/2017 12:55,HMO/HMOPOS
IL,Woodford,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Wayne,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
WI,Dane,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
SC,Colleton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Fairfield,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Cherokee,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Newton,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Poquoson City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
MT,Powell,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Miami,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Lincoln,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
NC,Greene,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Bossier,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Lee,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Merrimack,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Columbia,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
OH,Columbiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bath,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MO,Laclede,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
MI,Lenawee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,1,Completed,07/24/2017 10:22,Local PPO
TX,Dallas,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,2,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,7,Completed,06/29/2017 13:12,Local PPO
NC,Cabarrus,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Miami-Dade,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,1,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Fulton,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MT,Silver Bow,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
WI,Dane,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
PR,Aibonito,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
CO,Boulder,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Ouachita,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Lafayette,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Polk,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,20,0,Completed,07/18/2017 9:33,HMO/HMOPOS
DE,Kent,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,10,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Hamilton,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Louisa,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
ME,Penobscot,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Benton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
VA,Chesterfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Bedford,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
MI,Kent,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,4,0,Completed,07/26/2017 16:54,HMO/HMOPOS
VA,Washington,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Calhoun,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
KY,Campbell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Preble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
LA,St. John the Baptist,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Madera,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
OH,Fairfield,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
NY,Clinton,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Erie,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
IN,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Platte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Milam,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,75,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,7,Completed,07/17/2017 11:05,HMO/HMOPOS
DE,New Castle,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,104,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Roanoke City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,101,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,5,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
UT,Weber,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Northumberland,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Richmond,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Madison,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
FL,Pinellas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,33,0,Completed,07/24/2017 12:23,Local PPO
MN,Ramsey,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
GA,Heard,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
IA,Linn,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IA,Pottawattamie,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MN,Lincoln,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Lake,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Nicollet,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MO,St. Clair,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PA,Lackawanna,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
MI,Tuscola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2247,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ND,Billings,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chisago,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sherburne,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
WI,Richland,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
FL,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Manatee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AZ,Maricopa,Humana Inc.,Humana Gold Plus H2649-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Snohomish,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1894,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Delaware,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,36,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
OH,Trumbull,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
MN,Watonwan,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Fairfield,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
WI,Forest,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
WA,Kitsap,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
MO,Laclede,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Webster,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
KY,Marion,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
SD,Yankton,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
IA,Poweshiek,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,Washington,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
IA,Mahaska,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
AL,Morgan,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
VA,Grayson,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
AR,Pope,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Forest,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Crenshaw,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OR,Coos,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,26,1,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Otter Tail,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
OH,Brown,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
OH,Highland,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,La Porte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vanderburgh,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waupaca,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
IN,White,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Mason,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Custer,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Louis,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Rock,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Wood,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
MI,Macomb,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,11,0,Completed,07/25/2017 10:12,Local PPO
MN,Winona,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
MN,Swift,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
GA,Towns,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
TN,Williamson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
OH,Summit,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,24,0,Completed,07/25/2017 10:12,Local PPO
TX,Winkler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Terrell,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Monroe,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Manatee,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Polk,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,49,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Outagamie,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Armstrong,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,3,0,Completed,07/24/2017 14:11,HMO/HMOPOS
IA,Carroll,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
MI,Chippewa,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MI,Luce,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
SD,Dewey,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
OH,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WI,Lincoln,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
OH,Seneca,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Westmoreland,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Rusk,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
PR,Guaynabo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,James City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
NC,Guilford,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,170,0,Completed,07/12/2017 15:39,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Hunterdon,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,31,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Allen,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,49,0,Completed,07/17/2017 11:30,HMO/HMOPOS
WV,Hardy,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,22,0,Completed,07/25/2017 10:12,Local PPO
TN,Rhea,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
ND,Burleigh,Humana Inc.,HumanaChoice H5216-087 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,87,0,Completed,07/25/2017 10:12,Local PPO
WV,Ohio,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
TX,Rusk,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
SC,Clarendon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,7,0,Completed,07/27/2017 13:34,HMO/HMOPOS
AR,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Marion,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Ellis,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WI,Jackson,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
SD,Brown,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
GA,Baldwin,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Ohio,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Lares,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CO,Adams,Humana Inc.,Humana Value Plus H2649-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Coffee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Waupaca,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
IN,Warren,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CO,Douglas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,Weld,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
GA,Clinch,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
FL,Palm Beach,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Pennington,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NC,Franklin,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
OK,Haskell,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
KY,Meade,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
WV,Lincoln,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
SD,Hutchinson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Brooke,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
KY,Boyle,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
PA,Snyder,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Susquehanna,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Armstrong,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
AL,Talladega,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
MO,Polk,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Comal,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Kleberg,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,53,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
WV,Mineral,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MO,Newton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
OH,Union,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
PA,Indiana,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
NY,Kings,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,07/25/2017 11:55,HMO/HMOPOS
NY,Queens,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,07/25/2017 11:55,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
AR,Izard,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Dorchester,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
GA,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Muscogee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Caldwell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Cleburne,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NH,Hillsborough,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,2,0,Completed,07/18/2017 9:33,Local PPO
OR,Washington,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,153,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Bland,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Campbell,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Champaign,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,16,0,Completed,06/26/2017 8:52,HMO/HMOPOS
PA,Blair,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
NY,Tompkins,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
WA,King,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,127,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WA,Skagit,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,6,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,19,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Moore,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
FL,Dade,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,1,0,Completed,07/18/2017 13:53,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Essentials I (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9287,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
PA,Beaver,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Polk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
IA,Bremer,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,51,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Cass,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carver,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
TN,Jefferson,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Travis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
WV,Pleasants,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
OH,Williams,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
WV,Morgan,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,22,0,Completed,07/25/2017 10:12,Local PPO
SD,Yankton,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
MO,Hickory,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
WV,Ohio,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
WV,Ritchie,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OH,Washington,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
VA,Fairfax,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Washington,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
WV,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
NY,Bronx,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
GA,Fulton,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Tuscarawas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clermont,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Rockcastle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Fulton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Leslie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Halifax,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Elmore,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
TN,McMinn,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Hamilton,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
IL,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Fond du Lac,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Menard,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sutton,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TN,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Sumter,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NC,Wilkes,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,139,0,Completed,07/12/2017 15:39,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Butts,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
SD,Union,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
PA,Schuylkill,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MN,Le Sueur,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KY,Bath,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
AR,Clark,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
TN,Sumner,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
IL,Christian,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
AL,Pickens,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
FL,Orange,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Delaware,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,7,Completed,07/27/2017 13:39,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
MI,Muskegon,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,4,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Izard,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Richmond,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KY,Harrison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Greene,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Autauga,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Adair,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Alfalfa,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Whatcom,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
TN,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Davie,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Bay,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,214,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus SNP-DE H1036-259 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,259,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Rensselaer,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
SD,Spink,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
ID,Ada,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
VA,King and Queen,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
MO,Polk,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
VA,Gloucester,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
WV,Boone,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Louis City,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,Wayne,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
KY,Scott,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
KS,Franklin,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
NE,Dakota,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Haralson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NC,Alexander,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
PA,Bedford,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Sullivan,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Gaston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wake,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Tioga,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Cortland,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Crawford,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,115,0,Completed,07/12/2017 15:39,Local PPO
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Cherokee,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Holmes,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
MN,Renville,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
SD,Lincoln,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
SD,Codington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Camp,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
KS,Crawford,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
GA,Peach,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Turner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
GA,Columbia,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
MO,Grundy,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Colbert,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
CA,San Diego,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,52,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NM,Valencia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,47,0,Completed,07/24/2017 12:23,Local PPO
SD,Turner,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grant,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. Landry,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
IA,Iowa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,4,0,Completed,06/21/2017 11:09,HMO/HMOPOS
TN,Trousdale,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Preble,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Covington City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Sampson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NY,Livingston,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Alamance,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
MA,Plymouth,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,158,0,Completed,07/12/2017 15:39,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Kanawha,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Cass,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Elbert,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5943,2,0,Completed,06/26/2017 14:13,HMO/HMOPOS
AL,Winston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hawkins,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
UT,Utah,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H4605,1,0,Completed,07/26/2017 17:12,Local PPO
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Winona,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Williamson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MT,Teton,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WV,Hardy,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
WI,Dodge,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
GA,Morgan,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Ashland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Huron,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Chester,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NM,Taos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
NY,Kings,Jewish Guild for the Blind,GuildNet Gold Plus FIDA Plan POS (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H0811,1,0,Completed,07/26/2017 13:17,Medicare-Medicaid Plan HMO/HMOPOS
TN,Maury,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Davidson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
PR,Guayama,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
WV,Putnam,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
AL,Monroe,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
WI,Waupaca,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Manatee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MO,Clay,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Douglas,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Roberts,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Lamar,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
GA,Clayton,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Humphreys,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rockland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Trinity,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Benton,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nicollet,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Murray,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wabasha,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,13,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IN,Morgan,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
CO,Adams,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Manatee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
IA,Appanoose,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
AR,Marion,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Raleigh,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
FL,Osceola,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
GA,Barrow,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Clayton,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Clayton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Baker,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,Montgomery,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
FL,Pinellas,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
WV,Gilmer,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
PA,Wyoming,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Shelby,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PR,Rio Grande,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Nelson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Cuyahoga,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Columbia,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
KY,Fayette,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Strafford,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Champaign,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Morrow,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Warren,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
FL,Martin,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,229,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,138,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Renville,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
NC,Forsyth,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Gwinnett,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Charles City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cheatham,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Dyer,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
TN,Lake,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
TN,Marion,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
TN,Smith,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
AR,Pulaski,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
MT,Chouteau,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Waukesha,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Gold Plus H6622-028 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Washington,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Marshall,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,29,0,Completed,06/26/2017 14:13,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Warren,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Orange,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,Freeborn,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KS,Doniphan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,36,0,Completed,07/12/2017 15:39,Local PPO
KY,Lee,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Forest,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
TN,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Chemung,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
OR,Clackamas,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,153,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Plus H1036-266 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,266,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Langlade,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
GA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IL,Bureau,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MN,Isanti,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Benson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Becker,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Talbot,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MD,Harford,"Medstar Health, Inc.",MedStar Medicare Choice Care Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,10,0,Completed,07/11/2017 8:53,HMO/HMOPOS
MD,Baltimore City,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,2,0,Completed,07/31/2017 15:05,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Washington,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Kleberg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Beltrami,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Douglas,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Benton,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NM,San Miguel,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,1,0,Completed,07/14/2017 12:55,HMO/HMOPOS
IL,Livingston,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
IN,Clinton,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Colleton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,Crittenden,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
ME,Oxford,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Adams,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
SD,Minnehaha,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,4,0,Completed,07/12/2017 15:39,Local PPO
OK,Canadian,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
AR,Madison,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Marshall,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
PA,Cumberland,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
VA,Smyth,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NE,Lancaster,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Fulton,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Pender,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Owen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Allegheny,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,Yakima,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,5,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,2,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Tallapoosa,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NY,Orange,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
OK,Oklahoma,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
CA,Kern,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,121,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Faribault,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Grant,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NV,Washoe,Humana Inc.,HumanaChoice H5216-039 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,39,0,Completed,07/25/2017 10:12,Local PPO
TX,Victoria,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
GA,Franklin,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
AL,Henry,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,96,0,Completed,07/25/2017 10:12,Local PPO
FL,Collier,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
GA,Walton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
NY,Schenectady,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Davidson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
MO,Jefferson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
SD,Sanborn,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Marion,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
FL,Sumter,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,92,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,35,0,Completed,07/06/2017 14:45,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,1,0,Completed,07/27/2017 20:51,HMO/HMOPOS
GA,Harris,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
KY,Bell,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
PA,Beaver,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Josephine,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Pope,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
IN,Elkhart,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,2,0,Completed,07/06/2017 14:24,Local PPO
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
IN,Johnson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Hancock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Green,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MT,Chouteau,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
VA,Chesterfield,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
TX,Collin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PR,Naguabo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MN,Todd,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
TN,Johnson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,Bronx,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
PA,Juniata,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
MI,Livingston,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,9,0,Completed,07/26/2017 16:54,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Pasco,"ULTIMATE HEALTH PLAN, INC.",Ultimate Elite (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,3,0,Completed,07/17/2017 9:31,HMO/HMOPOS
OH,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Amherst,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
WV,McDowell,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Cleveland,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Brown,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
MO,Jasper,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Wilson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Prince Edward,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
WV,Doddridge,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MD,Queen Anne s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
ND,Emmons,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Ramsey,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Henry,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Benton,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
NY,Kings,"Village Care of New York, Inc.",VillageCareMAX Full Advantage FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9345,1,0,Completed,07/25/2017 10:44,Medicare-Medicaid Plan HMO/HMOPOS
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MI,Ionia,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
KS,Labette,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
GA,Candler,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Wayne,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
SD,Bon Homme,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
PA,Lancaster,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
PR,Trujillo Alto,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Riverside,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,126,0,Completed,07/12/2017 15:39,Local PPO
TX,Comal,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
OH,Trumbull,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
TX,Gonzales,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PA,Lancaster,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
TX,Fort Bend,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Pendleton,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
MO,Lawrence,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Clay,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
IL,Monroe,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
KY,Hardin,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
SD,Lincoln,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WI,Green,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-087 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,87,0,Completed,07/25/2017 10:12,Local PPO
PA,Carbon,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Bedford,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TN,Robertson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
ID,Ada,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Guernsey,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
CO,Boulder,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
IN,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Walworth,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
OH,Madison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
NY,Chenango,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
KY,Kenton,Catholic Health Initiatives,Classic Plus Rx - N Kentucky (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,2,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Grant,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SD,Custer,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Chatham,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Heard,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Lorain,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,Madison,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Blount,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Wyoming,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IN,Huntington,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
PA,Sullivan,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
MI,Crawford,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
GA,Gwinnett,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Morgan,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
KS,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Perkins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Presidio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MI,Gladwin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
TX,Galveston,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
MI,Livingston,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,149,0,Completed,07/12/2017 15:39,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
WI,Kenosha,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
TN,Washington,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst AssuredCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,35,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Greene,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Bamberg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Elbert,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Fremont,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,18,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Boone,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
NY,Bronx,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,8,5,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,7,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,Adams,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Androscoggin,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Cabell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
SC,Greenville,Anthem Inc.,AFC Care Rx (HMO),Y,Y,N,Y,N,,,0,455,0,228,H8170,1,0,Completed,07/06/2017 10:58,HMO/HMOPOS
WI,Jefferson,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
KY,Boyd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Crittenden,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Davie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3822,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Fayette,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Noble,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
KY,Scott,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
TN,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
ID,Canyon,PacificSource Health Plans,PacificSource Medicare MyCare Rx 32 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,32,0,Completed,06/15/2017 15:55,HMO/HMOPOS
LA,Grant,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,Kootenai,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,4,0,Completed,07/26/2017 17:12,Local PPO
NY,Delaware,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
WI,Forest,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
KS,Harvey,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Douglas,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Douglas,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Durham,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Montgomery,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
MN,Watonwan,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Mississippi,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Haywood,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
TN,Blount,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
IN,Marshall,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
ID,Canyon,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
MO,St. Charles,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
GA,Jasper,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,41,0,Completed,06/26/2017 13:34,Local PPO
SC,Georgetown,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Newton,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Highland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Las Piedras,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,1,Completed,07/06/2017 14:24,Local PPO
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Fayette,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
WA,King,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
KY,Hardin,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Traverse,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,6,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,Pasco,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,57,0,Completed,07/18/2017 13:53,HMO/HMOPOS
WI,Shawano,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
PA,Lehigh,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
AR,Logan,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
PA,Lehigh,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Trumbull,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesterfield,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,1,Completed,07/26/2017 16:51,HMO/HMOPOS
TX,Rockwall,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IA,Plymouth,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,8,0,Completed,07/12/2017 15:39,Local PPO
NC,Mitchell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell CHF/Diabetes Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,38,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Saluda,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
AL,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Clarke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Virginia Beach City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Cambria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
VA,Page,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Pittsylvania,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Kittson,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
AR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Cumberland,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coryell,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Wayne,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
SD,Davison,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
PA,Snyder,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MI,St. Joseph,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
TX,Navarro,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
VA,Wythe,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
IA,Harrison,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Anderson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Oconee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Wyandot,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
TX,Jim Wells,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
NY,Cayuga,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Hormigueros,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Chase,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Harris,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Treutlen,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
KY,Green,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
IN,Dearborn,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
PA,Warren,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OK,Noble,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,Dallas,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Fillmore,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Jackson,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
PA,Franklin,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
NC,Rutherford,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
NY,Saratoga,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
CA,Fresno,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,52,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Marathon,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
OK,Canadian,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Montgomery,"Health Partners Plans, Inc.",Health Partners Medicare Basic (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,1,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,Polk,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,28,0,Completed,07/21/2017 17:33,HMO/HMOPOS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
TX,San Jacinto,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Bent,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
OH,Lorain,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Harlan,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
NM,Catron,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
MO,Barry,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NE,Lancaster,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
MS,Wayne,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
GA,Schley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NC,McDowell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
OH,Lucas,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,88,0,Completed,07/12/2017 15:39,Local PPO
NJ,Gloucester,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
CA,Orange,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,4,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Beaver,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Garland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
TN,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Greenlee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Grant,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,247,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Olmsted,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Franklin,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,St. Lucie,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
IN,Vanderburgh,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Austin,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Essex,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
TX,Chambers,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Webb,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Henry,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Marion,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KY,Metcalfe,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,20,0,Completed,07/25/2017 10:12,Local PPO
IA,Jackson,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
AL,Choctaw,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
IN,Noble,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
PR,Toa Baja,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Siskiyou,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Graham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Hamilton,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Allegany,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Chenango,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NY,Cortland,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
WI,Trempealeau,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,St. Charles,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,St. Charles,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Vega Baja,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Ponce,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Volusia,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
SD,Pennington,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
WV,Wood,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
WV,Wyoming,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
SC,Bamberg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SC,Lancaster,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Irwin,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Crittenden,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MA,Hampden,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MA,Suffolk,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Hampshire,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Logan,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
GA,Toombs,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NY,Cayuga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
NY,Chenango,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Crow Wing,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
VA,Culpeper,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vanderburgh,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Washington,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bosque,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Chesterfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Lincoln,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Haakon,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Jones,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Clark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Pike,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Monroe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Waseca,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Madison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Webster,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MI,Berrien,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
NY,Broome,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Alamance,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
GA,Towns,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Kings,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Wyoming,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
NY,Onondaga,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
AL,Blount,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Lawrence,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clarion,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Gloucester,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Faulkner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,8,0,Completed,07/27/2017 20:51,HMO/HMOPOS
KS,Stevens,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
SC,Lancaster,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Franklin,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Dawson,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Galveston,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
WV,Grant,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Sullivan,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Polk,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Monroe,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Emmet,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,Greene,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
TN,Trousdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Winchester City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
IN,White,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Casey,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
AL,Marshall,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,3,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Trempealeau,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
WI,Rock,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SC,Orangeburg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
IN,Hendricks,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
ND,LaMoure,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
PA,Beaver,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
FL,Holmes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Fayette,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Hickory,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Worcester,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
VA,Falls Church City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Berks,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,36,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,7,0,Completed,06/21/2017 11:09,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
WI,Douglas,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Lapeer,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Putnam,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
WI,Brown,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,42,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Marshall,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Lorain,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Auglaize,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Richland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Salt Lake,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
VA,Fairfax City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Bartow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Tripp,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
VT,Lamoille,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
TX,Montgomery,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Coffee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Saratoga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Campbell,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
IN,Clay,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Door,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Kane,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Bradford,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
LA,Plaquemines,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Henry,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,10,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Madison,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,King,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
OH,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Campbell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day In Control Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,27,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,1,Completed,07/27/2017 12:35,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
AZ,Maricopa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MD,Anne Arundel,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Yates,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Steuben,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
MN,Morrison,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AR,Saline,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
KY,Campbell,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Waukesha,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Hanover,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Greene,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Middlesex,"Clover Health Holdings, Inc.",Clover Health NJ Purple (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,32,0,Completed,07/25/2017 8:01,Local PPO
NJ,Atlantic,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
VA,Botetourt,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Plus H5619-080 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,80,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Poquoson City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KY,Anderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bath,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Cuyahoga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,4,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Otter Tail,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Grundy,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,White,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Lewis,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NC,Guilford,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Orange,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,1,0,Completed,06/26/2017 11:39,HMO/HMOPOS
IN,Dubois,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Calloway,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schuyler,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,130,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Mason,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lee,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Milam,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TN,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
PA,Berks,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,St. Lawrence,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
VA,Manassas City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,77,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Chittenden,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
AR,Clay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Becker,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sequatchie,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Grainger,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Union,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Franklin,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
TX,Freestone,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
MN,Redwood,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
FL,Broward,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
NV,Washoe,"UnitedHealth Group, Inc.",Senior Dimensions Greater Nevada (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2931,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Wyoming,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Dorado,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Johnson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Barrow,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OR,Jefferson,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WV,Mingo,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
TX,Camp,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MS,Jackson,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,66,0,Completed,07/25/2017 10:12,Local PPO
MO,Taney,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
AR,St. Francis,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
GA,Chattahoochee,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
TN,Hickman,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
IL,DuPage,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,49,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Somerset,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Warren,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IN,Miami,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Dane,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Campbell,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
CO,Fremont,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Decatur,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
LA,Rapides,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Joaquin,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Ventura,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Preston,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
VA,Hampton City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,2,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Huron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Union,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Trimble,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Saline,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,6,Completed,07/13/2017 12:29,PFFS
AL,Baldwin,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Butler,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,Apache,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Gaston,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,2,Completed,07/26/2017 16:51,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Indiana,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
IN,Posey,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Scott,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Craighead,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,Pulaski,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Orange,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Morgan,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
GA,Fayette,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NC,Alamance,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,5,0,Completed,06/21/2017 11:26,Local PPO
IL,Will,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Adams,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Metcalfe,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Hidalgo,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MS,Hancock,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,66,0,Completed,07/25/2017 10:12,Local PPO
MO,Johnson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
WV,Jefferson,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
KY,Woodford,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
OK,Cleveland,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Olmsted,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
IA,Franklin,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
SC,Beaufort,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NY,Washington,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Steuben,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Runnels,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Harrison,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
OH,Geauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
PA,Philadelphia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Value (HMO-POS),Y,Y,Y,Y,N,,,511,511,21,256,H5932,11,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,16,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KS,Trego,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Coosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,4,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
WI,Vernon,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
IN,De Kalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MN,Traverse,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brookings,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,8,0,Completed,07/18/2017 13:53,HMO/HMOPOS
LA,Tangipahoa,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,3,0,Completed,07/25/2017 9:56,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Greenbrier,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MS,Jefferson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Putnam,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,73,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jackson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
SD,Lawrence,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
PA,Chester,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,9,0,Completed,07/24/2017 10:45,Local PPO
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
AL,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Henry,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Will,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Berrien,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
OH,Pickaway,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
FL,Citrus,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,8,0,Completed,06/12/2017 11:28,1876 Cost
VT,Washington,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Keith,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NC,Forsyth,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,31,0,Completed,07/26/2017 10:13,HMO/HMOPOS
IN,Randolph,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OK,Kiowa,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OK,Oklahoma,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
GA,Hart,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
WI,Richland,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
FL,Brevard,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,9,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Marion,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Stanislaus,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
AL,Dallas,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
FL,Dade,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WV,Morgan,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,El Paso,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Broomfield,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Rockwall,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5656,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
GA,Burke,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
WI,Washington,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ND,Steele,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Beadle,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carver,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
WI,Florence,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Hancock,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
KY,Daviess,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AZ,Pinal (Partial),Humana Inc.,Humana Gold Plus H2649-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,31,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NM,Sandoval,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,8,0,Completed,06/07/2017 12:19,HMO/HMOPOS
NY,St. Lawrence,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AL,Shelby,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,125,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,York,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Hickman,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Grundy,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Union,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Connected (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7833,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
PA,Montour,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Berks,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TN,Stewart,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Stewart,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TX,Potter,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Norman,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Meigs,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MT,Granite,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
PA,Beaver,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
SC,Bamberg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Cherokee,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,Denver,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Hampton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Tazewell,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,10,0,Completed,06/28/2017 12:35,Local PPO
IN,Fountain,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Koochiching,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Waseca,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Winona,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Sully,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Vermilion,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
IL,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
AL,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Pike,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chippewa,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Norman,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamilton,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cocke,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Leavenworth,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NC,Yancey,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
IA,Sioux,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
VA,Dickenson,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
WV,Barbour,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
CA,San Mateo,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Grant,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,7,Completed,06/29/2017 13:12,Local PPO
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
NM,Roosevelt,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8133,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Polk,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,DeKalb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Sevier,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
PA,Philadelphia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
NY,Montgomery,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Hoke,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Schoharie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
VA,Richmond City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
OH,Hocking,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Union,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Tulsa,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Rogers,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
KY,Anderson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
FL,Osceola,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,213,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Essex,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Montgomery,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
OR,Klamath,ATRIO Health Plans,ATRIO Gold Rx (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,4,0,Completed,06/28/2017 15:06,Local PPO
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Green,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Hill,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Goochland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
PR,Las Marias,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Medina,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Chatham,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
GA,Screven,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NM,Otero,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,137,0,Completed,07/25/2017 10:12,Local PPO
KY,Johnson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
WI,Winnebago,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
KY,Shelby,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
IN,Vigo,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
PA,Fayette,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dakota,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MI,St. Joseph,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
GA,Forsyth,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WI,Juneau,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CO,Arapahoe,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
CO,Delta,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Gladwin,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
MI,Ingham,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
MN,Washington,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Garfield,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,2,0,Completed,07/26/2017 9:21,HMO/HMOPOS
UT,Weber,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,10,0,Completed,07/27/2017 13:34,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Tipton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
MN,Rock,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
AR,Sevier,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AZ,Maricopa,"Veritage, LLC",Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,1,0,Completed,06/19/2017 17:18,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
OH,Cuyahoga,Humana Inc.,Humana Cleveland Clinic Preferred SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,24,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Flex (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3251,21,0,Completed,06/14/2017 16:42,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Davidson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Warren,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
GA,Forsyth,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
WV,Morgan,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
LA,Washington,Humana Inc.,Humana Gold Plus SNP-DE H1951-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lake,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Greene,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
ME,Sagadahoc,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
MT,Sanders,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Marion,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Jefferson,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Johnson,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
IA,Warren,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
AR,Scott,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,McDowell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
ND,Renville,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
SC,Greenville,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,87,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Benton,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Marion,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Georgetown,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Isle of Wight,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NC,Polk,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Butler,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Scott,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
MA,Berkshire,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Mobile,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
ID,Gem,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,9,0,Completed,07/26/2017 17:12,Local PPO
KS,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,54,0,Completed,07/24/2017 10:45,HMO/HMOPOS
OR,Gilliam,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
TX,Henderson,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
IA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Iowa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mitchell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,68,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Addison,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
NY,Columbia,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
MI,Marquette,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MA,Suffolk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
IN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
SD,Codington,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Olmsted,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Roberts,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Douglas,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Butts,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Cullman,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Walker,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Rockingham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
ME,Lincoln,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
GA,DeKalb,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Ashtabula,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
KY,Gallatin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
FL,Gulf,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
MO,Christian,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
NM,Otero,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
SD,Brookings,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SC,Barnwell,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
DE,Sussex,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,28,0,Completed,07/25/2017 10:12,Local PPO
FL,Orange,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Walker,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
FL,Pinellas,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Sullivan,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
VT,Windsor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,6,Completed,07/27/2017 12:35,HMO/HMOPOS
ID,Twin Falls,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Houston,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
NY,Columbia,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
PA,Blair,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Harrison,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
AL,Colbert,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
NY,Oneida,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NE,Buffalo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Eastland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
CA,Calaveras,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Henry,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
IL,McHenry,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,86,0,Completed,07/12/2017 15:39,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Floyd,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TX,Hood,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OR,Linn,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
PA,Perry,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
IN,Elkhart,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
WV,Harrison,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OK,Nowata,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Madison,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
WV,Calhoun,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
PA,Huntingdon,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
TX,Morris,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Deaf Smith,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,Maverick,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
OK,Osage,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,Searcy,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IL,Will,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
GA,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
NY,Greene,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
AL,Cullman,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Montgomery,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
WI,Oconto,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Kershaw,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Harding,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Cherokee,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Jones,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Schley,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MD,Prince George s,"Medstar Health, Inc.",MedStar Medicare Choice (HMO),Y,N,Y,Y,N,,,455,455,228,228,H9915,8,0,Completed,07/11/2017 8:53,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Lauderdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
WV,Upshur,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Gurabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CO,Jefferson,Humana Inc.,Humana Value Plus H2649-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Wake,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,87,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,33,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TX,Willacy,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vanderburgh,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
CA,Santa Clara,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Lorain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Trigg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Allen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Putnam,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Webster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Houston,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Garvin,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
SD,Union,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Dickinson,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Pointe Coupee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Santa Clara,Centene Corporation,Health Net Seniority Plus Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,95,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NY,Genesee,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
VA,Botetourt,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Morgan,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Hendricks,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
WA,Snohomish,Providence Health & Services,Providence Medicare Summit + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,47,0,Completed,07/07/2017 13:42,HMO/HMOPOS
FL,Collier,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
NJ,Hudson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
KS,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VT,Grand Isle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MT,Fallon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MO,Adair,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Columbiana,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
AR,Hot Spring,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Trimble,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Coleman,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
VA,Prince George,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
IN,Montgomery,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
IL,Kendall,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
FL,Marion,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Mobile,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Barry,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
KY,Adair,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MN,Big Stone,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Ziebach,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WA,Snohomish,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,127,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Hartford,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Ramsey,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wadena,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Union,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Cass,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
IL,Edgar,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WI,Racine,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
TX,Bexar,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Marion,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
MI,Menominee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
NC,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Culebra,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
IL,Kane,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,86,0,Completed,07/12/2017 15:39,Local PPO
NY,Delaware,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,110,0,Completed,07/12/2017 15:39,Local PPO
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Meriwether,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
NM,Dona Ana,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,137,0,Completed,07/25/2017 10:12,Local PPO
FL,Madison,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
TX,Howard,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Randall,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Aransas,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
OH,Jackson,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
WI,Lafayette,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
TN,DeKalb,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
PA,Washington,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NY,Schenectady,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,Steuben,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
FL,Sarasota,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Rockdale,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Woodson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Neosho,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Turner,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
OH,Lake,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
AL,St. Clair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,Union,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Sheboygan,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
FL,Dade,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
TX,Menard,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
VA,Roanoke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Keokuk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jackson,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
IA,Cedar,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
WV,Preston,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Chautauqua,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,DeKalb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Limestone,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
SD,Ziebach,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
AL,Lawrence,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Bexar,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Jackson,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Murray,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sequatchie,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,1,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,13,0,Completed,06/26/2017 13:34,HMO/HMOPOS
TX,Lamb,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
TX,Lynn,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
OK,Okmulgee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TN,Dickson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NJ,Morris,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Dyer,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
FL,Martin,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IN,Posey,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Oconto,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
OK,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MT,Broadwater,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
KY,Edmonson,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
CO,Arapahoe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Pulaski,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
DE,New Castle,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,10,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Nassau,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,Rensselaer,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Clay,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
MO,Vernon,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
IA,Adair,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
VA,Henrico,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,New York,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,2,0,Completed,07/25/2017 10:44,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
SC,Calhoun,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Poquoson City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Nelson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Perry,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,2,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Garfield,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MS,Madison,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
LA,St. Martin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IL,Kane,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Chilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
KY,Woodford,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Woodford,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
PA,Northumberland,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TX,Grayson,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
TX,Randall,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
WV,Greenbrier,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Washington,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AR,Desha,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Amelia,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Broomfield,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Wasco,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
KY,Boyle,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IN,Elkhart,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Madison,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Portsmouth City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Williamsburg City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,James City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,2,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,West Baton Rouge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,5,Completed,07/27/2017 12:35,HMO/HMOPOS
WA,Clark,PacificSource Health Plans,PacificSource Medicare MyCare Rx 31 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,31,2,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,McNairy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Racine,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,10,0,Completed,07/28/2017 12:26,Local PPO
IN,Warrick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Warren,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
IA,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
KY,Casey,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
NE,Dodge,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
MN,Faribault,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Day,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Franklin,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AL,Tuscaloosa,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Mobile,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Indian River,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Cook,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0281,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
IL,Kankakee,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0281,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Platte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Crow Wing,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Bledsoe,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Clinton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IN,Hendricks,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
GA,Talbot,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
FL,Brevard,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
MI,Gratiot,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
OR,Yamhill,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,2,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Fairfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Benton,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Grundy,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
DC,District of Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Mendocino,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,McDuffie,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Effingham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
PA,Luzerne,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
OK,Grady,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,Benton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
OH,Mahoning,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Redwood,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Rock,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Butler,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,McHenry,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
PR,Cidra,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
IL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
ND,Steele,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MD,Howard,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
VT,Rutland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Denton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Cameron,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Forest,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
WI,Calumet,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Dade,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Sumner,Humana Inc.,Humana Gold Plus H2649-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Bremer,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,50,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MO,Lafayette,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Cooke,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Navarro,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Utah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,4,0,Completed,07/26/2017 17:12,Local PPO
MN,Carver,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Mason,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
IA,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
SC,Dillon,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SC,Horry,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Kanabec,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Saratoga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
WI,Washburn,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
IN,Decatur,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MO,Newton,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
WV,Logan,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
PA,Franklin,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
IL,Crawford,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
FL,Flagler,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
GA,Candler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Ashland,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
CT,Litchfield,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
GA,Warren,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
NJ,Essex,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
NJ,Camden,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Aitkin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
VA,Northumberland,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
SD,Bon Homme,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
SD,Spink,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
PA,Snyder,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
PA,Northumberland,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Perry,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
NY,Madison,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
MO,Jasper,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Franklin,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Sebastian,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,9,0,Completed,07/24/2017 14:11,HMO/HMOPOS
CA,San Bernardino,California Physicians  Service,Care1st TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,567,0,284,H5928,5,0,Completed,07/24/2017 20:49,HMO/HMOPOS
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
MI,Hillsdale,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
IA,Cedar,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Lincoln,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
IN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
MT,Roosevelt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Union,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
AL,Cullman,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Cass,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Shelby,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OK,Logan,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Lehigh,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,10,0,Completed,07/10/2017 11:38,HMO/HMOPOS
IA,Jefferson,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Monongalia,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
AL,Marion,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Geneva,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
SD,Turner,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Morton,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
GA,Clinch,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
FL,Escambia,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Red River,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Marshall,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
TN,Bedford,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Blount,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,13,0,Completed,06/26/2017 13:34,HMO/HMOPOS
MA,Middlesex,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
IN,Vigo,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
KY,Hickman,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Kay,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
IN,Noble,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
VA,Southampton,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
WV,Boone,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
SD,Clay,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
PA,Snyder,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
GA,Wilkinson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Cook,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,21,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Blair,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
WI,Jefferson,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
CA,Riverside,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,1,0,Completed,07/27/2017 20:51,HMO/HMOPOS
CA,Los Angeles (Partial),California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,21,0,Completed,07/21/2017 17:33,HMO/HMOPOS
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,9,0,Completed,07/25/2017 8:54,HMO/HMOPOS
TX,Waller,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Sullivan,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Randolph,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
OH,Morrow,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MT,Jefferson,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MT,Deer Lodge,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
ME,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
SC,Lee,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Pike,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
ME,Sagadahoc,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Montgomery,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Iberville,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Jefferson,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
ID,Canyon,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,Humana Inc.,Humana Gold Plus H5619-021 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Beaver,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MI,Luce,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Columbia,"CareOregon, Inc.",CareOregon Advantage Star (HMO),Y,Y,Y,Y,N,,,0,402,0,201,H5859,3,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Presque Isle,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MT,Deer Lodge,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MI,Ottawa,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IL,Pope,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,Jackson,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
NY,Niagara,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
OH,Highland,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Lea,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PR,Trujillo Alto,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,Nassau,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,1,0,Completed,07/14/2017 10:43,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
WI,Calumet,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
OH,Fulton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
OH,Greene,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
SC,Williamsburg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Oxford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
AR,Benton,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Montgomery,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Polk,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Franklin City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Galax City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
MT,Ravalli,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CO,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Blount,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
MO,Clay,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
OK,Cherokee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Alleghany,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Johnston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Lancaster,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
VA,Mecklenburg,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Queens,"QHP Financial Group, Inc.",Advantage Health NYC - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,17,0,Completed,07/26/2017 18:49,HMO/HMOPOS
KS,Clay,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Grant,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Campbell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Barbour,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Carolina,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Rincon,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CO,Douglas,Humana Inc.,Humana Value Plus H2649-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,1,Completed,07/17/2017 11:05,HMO/HMOPOS
NY,Westchester,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,18,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Monroe,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MT,Chouteau,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
CO,Gilpin,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Kern (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,36,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Marin,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Humphreys,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MO,St. Louis City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Cocke,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Wood,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Toombs,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,Vermilion,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Juniata,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
PA,Montour,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
WA,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
MI,Van Buren,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
GA,Pickens,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Bristol,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Fillmore,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Floyd,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,230,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Grayson,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Wright,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
IN,Allen,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,99,0,Completed,07/12/2017 15:39,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Pinellas,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
FL,Martin,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Polk,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Tioga,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
FL,Seminole,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Wetzel,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
WV,Roane,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
MO,Bollinger,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Pulaski,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
AL,Russell,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Cullman,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
SD,Brookings,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
TX,Jefferson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Blount,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AL,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Kosciusko,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,7,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamilton,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Kalamazoo,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
GA,Marion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Taos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Yolo,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,7,Completed,06/29/2017 13:12,Local PPO
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
MO,Douglas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Mower,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OK,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Brown,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
OH,Delaware,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MT,Meagher,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
PR,Canovanas,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Baxter,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
ME,Penobscot,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Washington,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Harney,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Saline,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
NC,Northampton,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Mercer,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
VA,Loudoun,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Chester,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
SC,Saluda,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
OH,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Otero,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,5,Completed,07/27/2017 12:35,HMO/HMOPOS
MT,Yellowstone,PacificSource Health Plans,PacificSource Medicare MyCare 30 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,30,0,Completed,06/15/2017 15:55,HMO/HMOPOS
KY,Grant,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
CA,Alameda,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,113,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Waynesboro City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Lawrence,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
OH,Muskingum,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Harrison,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Caddo,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
GA,Barrow,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
MN,Waseca,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Tama,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,3,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,100,2,Completed,07/06/2017 14:24,HMO/HMOPOS
NE,Douglas,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Union,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
TX,Liberty,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Owen,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
NM,Torrance,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
SC,Abbeville,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
OK,Logan,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
GA,Paulding,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KY,Livingston,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
OH,Shelby,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MT,Lake,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
CO,Weld,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
WI,Racine,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Clark,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,4,Completed,07/06/2017 14:24,Local PPO
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Northampton,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
IN,Allen,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Anne Arundel,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Caddo,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
NC,Swain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day In Control Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,26,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Cullman,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
ID,Owyhee,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
GA,Gwinnett,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
TN,Loudon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Schuyler,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
OH,Coshocton,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
FL,Marion,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
IN,Greene,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Buncombe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Sacramento,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Preferred (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,135,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Henderson,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Delta,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
GA,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Gregory,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Lumpkin,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
IN,Shelby,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
LA,St. Landry,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
VA,Culpeper,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
TX,Carson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Chippewa,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
NY,Fulton,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
TX,Collin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Dade,Humana Inc.,CareFree PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,76,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Marion,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,26,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,5,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Washington,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Cedar,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,Riverside,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
GA,Jenkins,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Etowah,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Greene,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
NM,Bernalillo,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Coweta,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Chester,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NE,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,3,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Boone,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Howard,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Big Stone,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,5,0,Completed,06/27/2017 19:00,Local PPO
GA,Houston,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MT,Lincoln,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
SC,Chesterfield,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Colleton,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Fayette,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
SC,Dorchester,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Garland,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Howard,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Sebastian,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Rockingham,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
MT,Missoula,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Chester,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,New York,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
OR,Benton,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
TN,Hardin,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,Kings,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,15,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Greene,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NJ,Hudson,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
ND,Grand Forks,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Blair,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Pike,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
VA,Louisa,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Pickens,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Duplin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NE,Dodge,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
KY,Trimble,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
TN,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Lafourche,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Alachua,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,245,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Lee,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,217,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Scott,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Highland,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Knox,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Marion,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schoharie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Warren,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Lake of the Woods,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Bradley,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Habersham,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Reynolds,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
SC,Abbeville,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
GA,Lamar,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Corozal,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Towns,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Richmond,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
WI,Sheboygan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
OH,Marion,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
TX,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Tippecanoe,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
KY,Lincoln,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Cleveland,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
KY,Lincoln,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
MN,Red Lake,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
IA,Page,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
MO,Christian,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,12,0,Completed,07/24/2017 14:11,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Summers,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
MO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
WI,Ashland,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
CA,Placer,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Bucks,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,9,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NC,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SD,Mellette,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MD,Baltimore City,"Medstar Health, Inc.",MedStar Medicare Choice (HMO),Y,N,Y,Y,N,,,455,455,228,228,H9915,8,0,Completed,07/11/2017 8:53,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Gibson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
GA,Rockdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,1,Completed,07/24/2017 10:22,HMO/HMOPOS
TX,Hill,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PR,Anasco,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Valley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Crawford,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
GA,Douglas,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Bibb,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Baker,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Columbiana,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Adams,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Bullitt,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WI,Marinette,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,57,0,Completed,07/25/2017 10:12,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
NY,Cortland,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WV,Ohio,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
KS,Meade,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
WI,Langlade,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Angelina,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
WV,Marion,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Loiza,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,San Lorenzo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Forest,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Milwaukee,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Norman,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Unicoi,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,King,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,2,0,Completed,07/10/2017 17:32,HMO/HMOPOS
MT,Pondera,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
AR,Montgomery,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Carver,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Darke,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Randolph,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Utah,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,7,Completed,06/29/2017 13:12,Local PPO
ID,Ada,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
OK,Canadian,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Caroline,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,White,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Stewart,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
TN,Cannon,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
IN,Wabash,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,Jasper,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
AR,Cleveland,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Roanoke City,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Loudoun,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,4,0,Completed,06/14/2017 16:42,Local PPO
MN,Swift,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Winnebago,Humana Inc.,Humana Gold Plus H1468-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Dallas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
MO,Stone,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
OH,Miami,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MT,Sanders,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
PR,Orocovis,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Anderson,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
NY,New York,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
PA,Venango,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
NH,Merrimack,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
KY,Todd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
VA,Halifax,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Sullivan,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,109,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Smith,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
ND,Pierce,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Forsyth,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Hart,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Summit,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
AR,Marion,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Hubbard,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
GA,Cobb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OK,Tulsa,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Leelanau,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
TX,Dallas,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
OH,Ottawa,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Manassas City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OH,Belmont,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
SD,Day,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
GA,Peach,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AR,Hot Spring,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Pope,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Powhatan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
KY,Kenton,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Francisco,Chinese Hospital Association,CCHP Senior Select Program (HMO SNP),Y,N,Y,N,N,,,,,,,H0571,5,0,Completed,07/26/2017 11:49,HMO/HMOPOS
MN,Scott,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MN,Waseca,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Fulton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MO,Hickory,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Pasco,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Bexar,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
IN,Vanderburgh,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,152,0,Completed,07/12/2017 15:39,Local PPO
LA,Ascension,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
KY,Campbell,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,85,0,Completed,07/12/2017 15:39,Local PPO
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
TX,Van Zandt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Johnson,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
PA,Philadelphia,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,122,0,Completed,07/25/2017 10:12,Local PPO
SD,Custer,Humana Inc.,HumanaChoice H5216-084 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,84,0,Completed,07/25/2017 10:12,Local PPO
MN,Stearns,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Dallas,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
AL,Washington,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
NY,Broome,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,26,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Dade,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Huntingdon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KY,Green,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,1,Completed,07/17/2017 11:05,HMO/HMOPOS
WA,King,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,127,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Ashland,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
NM,Los Alamos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Nassau,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Westchester,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Benton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Stevens,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Montgomery,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Buchanan,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
HI,Honolulu,Hawaii Medical Service Association,HMSA Akamai Advantage Complete (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,9,0,Completed,07/20/2017 22:08,Local PPO
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,Faribault,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Roseau,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Steele,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Watonwan,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Franklin,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Marion,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MT,Silver Bow,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
TX,Lynn,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
MI,Kent,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
FL,Putnam,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
GA,Rockdale,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
AZ,Pima,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/19/2017 17:09,HMO/HMOPOS
MA,Worcester,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,12,0,Completed,07/06/2017 14:10,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Putnam,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
PA,Berks,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Cumberland,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
IN,Posey,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Madison,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,18,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NY,Rockland,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
MI,Branch,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
LA,Orleans,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Gallia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
LA,St. Bernard,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Boone,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,3,0,Completed,07/26/2017 16:56,HMO/HMOPOS
MS,Forrest,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Wabasha,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
LA,St. Tammany,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
MN,Carlton,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
OH,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Roanoke City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
SD,Brule,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Clark,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
IN,Vigo,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MN,Chippewa,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lyon,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Isanti,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TX,Liberty,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Cameron,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Bartow,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Roane,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
TX,Van Zandt,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
GA,Upson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
MT,Garfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Tioga,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Philadelphia,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
ME,Penobscot,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
GA,Muscogee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Saratoga,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Fillmore,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Clinton,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
OH,Greene,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
UT,Salt Lake,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
IN,Ohio,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
WA,Pierce,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
MO,Taney,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MI,Monroe,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
IN,Marion,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
IA,Floyd,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MT,Flathead,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Barrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Burnett,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
MN,Kandiyohi,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Lincoln,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
KS,Phillips,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WV,Jackson,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Webster,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Cass,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,2,Completed,07/25/2017 10:12,HMO/HMOPOS
NM,Valencia,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,New Haven,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,10,0,Completed,07/12/2017 15:39,HMO/HMOPOS
HI,Kalawao,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,8,0,Completed,07/20/2017 22:08,Local PPO
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Henry,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Wayne,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,9,Completed,06/29/2017 13:12,Local PPO
PA,Sullivan,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
TN,Johnson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
CA,Orange,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,28,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Kenosha,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Humacao,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Nueces,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hardee,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,16,0,Completed,07/24/2017 14:05,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
WI,Dane,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/26/2017 12:18,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Walton,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
WI,Dane,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MA,Suffolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,9,0,Completed,07/06/2017 14:10,HMO/HMOPOS
LA,Acadia,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,2,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Scott,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IN,Hamilton,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Dakota,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,6,0,Completed,07/26/2017 17:12,HMO/HMOPOS
KS,Greenwood,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Muhlenberg,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Lowndes,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,Walker,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Caddo,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,Grant,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IA,Polk,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Orleans,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,269,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Tippecanoe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Muscogee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Waller,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NY,New York,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
AL,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nobles,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
WI,Burnett,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
IN,Henry,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,Knox,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
VA,Goochland,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Beltrami,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
IN,Wabash,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,McLeod,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Dane,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Erie,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Bleckley,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
PA,McKean,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
VA,Nottoway,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Hopewell City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ME,Sagadahoc,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
MA,Middlesex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,9,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,Union,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Harney,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
WA,Skagit,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
NV,Washoe,Renown Health,Senior Care Plus: Value Rx Enhanced Plan (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,4,0,Completed,06/27/2017 19:00,HMO/HMOPOS
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,3,0,Completed,07/26/2017 16:54,HMO/HMOPOS
GA,Grady,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cameron,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Saline,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,4,Completed,07/13/2017 12:29,PFFS
IA,Jasper,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Cumberland,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,32,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NY,Washington,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Wood,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OR,Lincoln,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Woodford,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WI,Marathon,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
LA,St. Martin,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
MO,Hickory,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Williamsburg City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
TX,Cameron,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Dodge,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
MS,Tallahatchie,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
VA,Scott,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
GA,Effingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Barrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,St. Johns,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
UT,Davis,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,197,0,Completed,07/12/2017 15:39,Local PPO
GA,Fayette,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Heard,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
NM,Luna,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,137,0,Completed,07/25/2017 10:12,Local PPO
WI,Marquette,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Montour,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IN,Noble,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
GA,Heard,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
TX,Camp,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
AZ,Maricopa,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,103,0,Completed,07/25/2017 10:12,PFFS
OK,Cleveland,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Missaukee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
MI,Genesee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
MI,Manistee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
TN,Moore,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Union,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Tooele,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,DeKalb,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Perry,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MN,Pope,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
IN,Clark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Crawford,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Douglas,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Utah,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2486,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,St. Lucie,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Stafford,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8786,1,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
MO,Benton,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
NC,Lincoln,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Somerset,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
VA,Louisa,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NY,Schoharie,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3342,19,0,Completed,07/18/2017 9:33,Local PPO
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Franklin,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Litchfield,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Marshall,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Washtenaw,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,St. Joseph,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,Hardin,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
OH,Auglaize,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Craighead,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
AR,Faulkner,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Pocahontas,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
KY,Simpson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
FL,Pinellas,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
PA,Lackawanna,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,2,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Loudoun,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Lee,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
CO,Pueblo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Pueblo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Marion,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Pottawatomie,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
OK,Canadian,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Calhoun,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
TX,Lamb,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Chester,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
WA,Cowlitz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Richmond,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8133,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,Webb,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Moore,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
PA,Lancaster,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
PA,Columbia,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Kershaw,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Effingham,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PA,Blair,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
VA,Staunton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
MT,Lewis and Clark,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Anderson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WV,Preston,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
PA,Adams,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
CA,Kings,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Greene,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
HI,Honolulu,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Value Plus H1036-264 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,264,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Fairfield,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OR,Douglas,ATRIO Health Plans,ATRIO Bronze (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,6,0,Completed,06/28/2017 15:06,Local PPO
FL,Seminole,Guidewell Mutual Holding Corporation,FHCP s Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,10,0,Completed,07/28/2017 10:27,HMO/HMOPOS
PA,Centre,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
FL,Manatee,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Broward,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,237,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Walton,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,143,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Scott,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Huron,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Dauphin,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,61,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
GA,Macon,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Waukesha,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Washington,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Cottonwood,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Greene,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Washington,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WV,Randolph,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MN,Martin,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
NC,Mitchell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
MO,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NE,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Terrell,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Greene,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
PA,Luzerne,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
IN,Posey,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,152,0,Completed,07/12/2017 15:39,Local PPO
OH,Seneca,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,88,0,Completed,07/12/2017 15:39,Local PPO
OH,Wood,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,88,0,Completed,07/12/2017 15:39,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
WV,Harrison,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Owen,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
MN,Steele,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Gregg,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
WV,Wyoming,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OK,Pushmataha,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NY,Oswego,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
CA,San Benito,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,25,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Marion,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
WV,Pendleton,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,22,0,Completed,07/25/2017 10:12,Local PPO
OK,Seminole,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
VA,New Kent,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
MI,Isabella,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
SD,Day,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Kingsbury,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,138,0,Completed,07/25/2017 10:12,Local PPO
WV,Webster,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
AR,Franklin,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Teller,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
CO,Larimer,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
AL,Elmore,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring Preferred Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,George,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Rockdale,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Taylor,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Lyon,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
CO,Arapahoe,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,61,0,Completed,06/26/2017 14:13,HMO/HMOPOS
OK,Canadian,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Mercer,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
GA,Wheeler,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
PA,Butler,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Gurabo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Union,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
KY,Greenup,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Northampton,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Bandera,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
GA,Walton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
WI,Jefferson,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MS,Newton,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
LA,Beauregard,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,135,0,Completed,07/25/2017 10:12,Local PPO
FL,Columbia,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
KS,Leavenworth,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
AL,Limestone,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
FL,Charlotte,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
GA,Richmond,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Dallas,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8197,1,0,Completed,06/07/2017 12:14,Medicare-Medicaid Plan HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
RI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,35,0,Completed,07/24/2017 12:23,Local PPO
NY,Cortland,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Seneca,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
DE,New Castle,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,95,0,Completed,07/12/2017 15:39,Local PPO
GA,Franklin,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Leelanau,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
TN,Obion,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Bannock,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,13,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Preferred Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Chariton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
GA,Gwinnett,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,St. Louis,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
WI,Columbia,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Chilton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Henry,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Clinton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
TX,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,6,Completed,07/17/2017 11:05,HMO/HMOPOS
VA,Alexandria City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,17,0,Completed,06/21/2017 11:09,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Jackson,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
NJ,Morris,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Dade,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Greene,Humana Inc.,HumanaChoice H5970-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,8,0,Completed,07/25/2017 10:12,Local PPO
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
WI,Rock,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Menard,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Marion,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
MI,Iron,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Dakota,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
WI,Langlade,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Charlotte,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aibonito,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,Washington,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Webster,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Geneva,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Arlington,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Broomfield,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MI,Luce,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,St. Clair,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Ste. Genevieve,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Lebanon,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
MT,Deer Lodge,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
PR,Catano,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
WV,Greenbrier,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
AL,Calhoun,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,9,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MI,Keweenaw,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,105,0,Completed,07/12/2017 15:39,HMO/HMOPOS
UT,Davis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,2,0,Completed,07/26/2017 17:12,Local PPO
MI,Macomb,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
MI,Wayne,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
TN,Decatur,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
IL,Kane,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
IL,Will,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Van Buren,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Van Buren,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Rhea,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
PA,Allegheny,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Fannin,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
PA,Armstrong,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
PR,Aguada,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
FL,Baker,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Mecklenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
PR,Jayuya,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AZ,Mohave,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
ME,Cumberland,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Spokane,Humana Inc.,Humana Gold Plus H5619-102 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Plaquemines,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Turner,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Putnam,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,1,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,5,Completed,07/27/2017 12:35,HMO/HMOPOS
AL,Limestone,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
ID,Kootenai,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,1,0,Completed,07/26/2017 17:12,Local PPO
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Coweta,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
CO,Crowley,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
FL,Okaloosa,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Penuelas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
PA,Bucks,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IN,Allen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Spalding,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MI,Kent,Humana Inc.,Humana Gold Plus H8908-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
PR,Las Marias,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Umatilla,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Baker,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
LA,East Feliciana,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Jefferson,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Adams,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Linn,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,West Baton Rouge,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Otsego,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
FL,Bay,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,245,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
IA,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Orange,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,10,0,Completed,06/28/2017 12:35,Local PPO
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Winnebago,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Poquoson City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Santa Clara,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Santa Clara (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,39,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Gratiot,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
TN,Giles,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Montgomery,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Stutsman,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IL,Madison,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
WV,Taylor,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
KS,Douglas,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
WI,Columbia,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
PA,Juniata,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
CO,Denver,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
CO,Larimer,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IL,Moultrie,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
SC,Lexington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,Kankakee,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WV,Boone,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AR,Crittenden,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Trinity,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
NM,Taos,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
NY,Albany,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Cedar,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VT,Windsor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NC,Burke,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
TX,Kendall,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
NY,Orleans,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
TN,Union,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
NC,Stokes,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Weld,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Chester,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Scott,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,McMinn,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
PA,Montgomery,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WV,Raleigh,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Pickaway,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
PA,Susquehanna,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
PR,Arroyo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Franklin,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Cleburne,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
PA,York,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
PA,Warren,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
CO,Larimer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Monroe,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Volusia,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Sussex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OH,Wood,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Alexandria City,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,2,Completed,07/26/2017 16:51,HMO/HMOPOS
TN,Loudon,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Lee,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
ME,Cumberland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Brevard,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,10,0,Completed,07/24/2017 12:23,Local PPO
NC,Vance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MD,Kent,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
KY,Jessamine,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Clay,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Gilmer,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,St. Clair,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,McIntosh,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NE,Seward,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IA,Fayette,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Montgomery,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Franklin,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Otsego,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NH,Rockingham,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Noble,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Harrison,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Lenawee,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
SD,Hanson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Roberts,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Aransas,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
KY,Jackson,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
SD,Grant,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
PA,Dauphin,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
IA,Cerro Gordo,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Poinsett,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
IA,Humboldt,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Ashtabula,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Perry,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OR,Clackamas,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
KY,Letcher,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Callaway,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,57,0,Completed,07/25/2017 10:12,Local PPO
SD,Fall River,Humana Inc.,HumanaChoice H5216-084 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,84,0,Completed,07/25/2017 10:12,Local PPO
AR,Washington,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Las Animas,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
IA,Pocahontas,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
IA,Tama,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
AL,Walker,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Milwaukee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Clay,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
MN,Dakota,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,McDuffie,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,Suffolk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Story,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
NC,Union,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Missaukee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
MI,Mecosta,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
OH,Butler,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
AZ,Maricopa,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/19/2017 17:09,HMO/HMOPOS
VA,Spotsylvania,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Sonoma,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,53,0,Completed,06/26/2017 14:13,HMO/HMOPOS
WI,Juneau,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,7,0,Completed,06/27/2017 19:00,Local PPO
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Leslie,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
OH,Trumbull,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
PA,Huntingdon,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
VA,Amherst,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,3,Completed,06/29/2017 13:12,Local PPO
MN,Faribault,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
IN,Hamilton,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,1,0,Completed,07/06/2017 14:24,Local PPO
VA,Richmond City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Hempstead,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
FL,Madison,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Brown,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NC,Forsyth,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Clarion,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Washington,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
IN,Decatur,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
GA,Lamar,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Paulding,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Navajo,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Multnomah,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Grant,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
PA,Clearfield,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
AL,Clarke,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Grayson,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Vernon,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Putnam,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Wayne,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Ritchie,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Clearfield,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
NE,Jefferson,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MD,Allegany,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
FL,Columbia,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Bay,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,271,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,El Dorado,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,140,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Westmoreland,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Franklin,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Maury,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Mason,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
KS,Miami,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
LA,East Carroll,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Dutchess,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
FL,Seminole,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,16,0,Completed,07/24/2017 14:05,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Rhea,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Jackson,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,15,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Ogle,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
AR,Franklin,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Kanawha,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
TN,Davidson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Norfolk,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
VA,Newport News City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Decatur,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
IN,La Porte,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Montgomery,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,5,0,Completed,07/25/2017 10:12,Local PPO
WV,Hancock,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
PA,Cumberland,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
TX,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
MD,Frederick,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
NY,Ulster,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
VA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Winkler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Clermont,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Value Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,6,0,Completed,07/24/2017 14:05,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Roane,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Spalding,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Cross,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
NC,Scotland,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NC,Iredell,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Wright,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Jones,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Sumner,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
IN,Whitley,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Kewaunee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,Crawford,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AR,Dallas,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Craighead,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
OH,Cuyahoga,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,11,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Dauphin,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Williamsburg City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
TX,Parker,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
WV,Monongalia,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
NC,Hyde,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Bossier,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Woodford,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Androscoggin,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,7,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Bath,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Floyd,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Washington,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
CO,Weld,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Scott,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
MO,Montgomery,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
MO,St. Louis,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
IA,Dickinson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
OK,Sequoyah,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,West Baton Rouge,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Lenawee,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,York,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Berks,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
ID,Ada,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Pierce,Humana Inc.,Humana Gold Plus H5619-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,61,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Dickenson,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Poquoson City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,2,Completed,07/07/2017 9:15,HMO/HMOPOS
KS,Franklin,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
GA,Peach,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Ritchie,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Faulkner,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
SC,Calhoun,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
AL,Sumter,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
IA,Des Moines,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
OR,Lake,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,567,0,284,H3237,1,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
PA,Snyder,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Bronx,New York City Health and Hospitals Corporation,MetroPlus FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9115,1,0,Completed,06/07/2017 14:53,Medicare-Medicaid Plan HMO/HMOPOS
KY,Hardin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Simpson,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Freeborn,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
PA,Jefferson,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Saratoga,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
OH,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Wabasha,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clay,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
OR,Clackamas,FamilyCare Incorporated,FamilyCare Advantage Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H3818,3,0,Completed,06/14/2017 13:43,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Delaware,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Salem City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,101,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Grainger,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Hubbard,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,2,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Crawford,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Union,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,58,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Elbert,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Bergen,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
OK,Garvin,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Franklin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Douglas,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kittson,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mahnomen,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Clear Creek,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OR,Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Dauphin,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
PA,Franklin,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
MD,Baltimore,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Grant,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
KS,Miami,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lackawanna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Sebastian,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
OK,Jefferson,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NE,Polk,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
ND,Morton,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
NY,Washington,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
FL,Flagler,Humana Inc.,Humana Gold Plus H1036-157 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,157,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Staunton City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
OH,Darke,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
NY,Erie,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Rock Island,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
HI,Maui,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,40,0,Completed,07/25/2017 10:12,Local PPO
WI,Washington,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
PA,Adams,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MO,Taney,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Pipestone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Davison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Yankton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Hanson,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
IA,Fremont,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Union,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IN,Huntington,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
IA,Lucas,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Peach,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
NJ,Cumberland,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Lewis,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
LA,Caldwell,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Owsley,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,2,Completed,07/27/2017 12:35,HMO/HMOPOS
WA,Spokane,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Centennial (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,21,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NE,Dodge,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montgomery,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,42,0,Completed,07/26/2017 8:03,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Runnels,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
KY,Jessamine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,68,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Botetourt,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
KY,Morgan,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Knott,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
HI,Kauai,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,41,0,Completed,07/25/2017 10:12,Local PPO
PA,Sullivan,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Real,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Randall,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AZ,Mohave,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,35,0,Completed,07/25/2017 10:12,Local PPO
OK,Le Flore,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Sumner,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
NC,Jackson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
OR,Malheur,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
AL,Tuscaloosa,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
OR,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,30,0,Completed,07/24/2017 12:23,Local PPO
NC,Harnett,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Dade,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
GA,Oglethorpe,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Randolph,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
AZ,Pima,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,185,0,Completed,07/12/2017 15:39,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,4,Completed,06/29/2017 13:12,Local PPO
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
MN,Washington,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
WA,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
TN,Cheatham,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
PA,Lehigh,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WI,Dodge,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
SC,Bamberg,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
GA,Charlton,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
PA,Washington,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
PR,Cabo Rojo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Sumter,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
ME,Aroostook,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Roanoke,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Caroline,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Bayamon,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,170,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Gibson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NJ,Essex,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
NC,Warren,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AR,Boone,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Lee,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Preston,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
LA,Catahoula,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Morrow,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Hamilton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
DE,New Castle,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Washington,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Butler,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
NH,Merrimack,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,2,0,Completed,07/18/2017 9:33,Local PPO
ME,Franklin,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
IN,Warrick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,153,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Greenville,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
FL,Indian River,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,30,0,Completed,07/24/2017 12:23,Local PPO
PR,Utuado,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,Buffalo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Warren,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
HI,Honolulu,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,40,0,Completed,07/25/2017 10:12,Local PPO
OH,Hardin,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
IN,Decatur,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
MO,Miller,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,57,0,Completed,07/25/2017 10:12,Local PPO
KY,Bracken,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
TX,Cooke,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AR,Jefferson,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
AL,Madison,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Marengo,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
CO,Alamosa,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,5,0,Completed,07/28/2017 17:35,1876 Cost
WA,Grant,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Louis City,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Douglas,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,3,0,Completed,06/30/2017 19:02,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
MN,Stevens,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Boone,Humana Inc.,Humana Gold Plus H1468-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Spotsylvania,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
GA,Chatham,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PA,Somerset,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Wayne,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
MI,Ottawa,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,5,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AZ,Pinal,Centene Corporation,Allwell Cardio Medicare (HMO SNP),Y,Y,N,Y,Y,100,0,0,455,0,228,H0351,42,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Allen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Hyde,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Anderson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Clay,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
MO,Wright,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Manatee,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,91,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Ben Hill,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
MO,Lewis,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
SC,Marion,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
MN,Aitkin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TN,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OH,Tuscarawas,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Clermont,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
OK,Comanche,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MO,Henry,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
VA,Isle of Wight,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
MI,Midland,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
MI,Muskegon,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
AR,Franklin,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Hocking,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
GA,Wilkes,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
CO,Conejos,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
PA,Bucks,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
NE,Stanton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
CA,San Diego,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,53,0,Completed,07/12/2017 15:39,Local PPO
LA,St. Tammany,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
TX,San Jacinto,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
CA,Tulare,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,56,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Callaway,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WV,Cabell,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
MI,Alger,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MN,Fillmore,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
CA,Los Angeles,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,2,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Rock,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
FL,St. Lucie,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Mitchell,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NE,Nuckolls,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
IN,St. Joseph,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
IA,Adams,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
NM,Dona Ana,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
FL,St. Lucie,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Wayne,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Beltrami,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
VA,Chesterfield,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
IA,Story,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Mower,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,McLean,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,Boundary,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
PA,Perry,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
PA,Westmoreland,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AR,Independence,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Henry,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MT,Cascade,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
TN,Coffee,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Tipton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Henry,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
OK,Lincoln,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
PA,Perry,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
AL,Madison,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Caroline,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Franklin City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Chester,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
PA,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Orleans,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Caddo,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
KY,Warren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
NY,Kings,Jewish Guild for the Blind,GuildNet Gold (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6864,1,0,Completed,07/26/2017 13:17,HMO/HMOPOS
NE,Jefferson,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Morgan,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
AL,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Genesee,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
KS,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Highland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Bullitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Columbiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Hardin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
WV,Summers,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Columbiana,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Butler,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
NE,Lancaster,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IA,Bremer,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,92,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Essentials II (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,49,1,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,St. James,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
GA,Dougherty,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,Caswell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Philadelphia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,3,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Snyder,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Hot Spring,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
OK,Creek,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Ada,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
KY,Edmonson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
OH,Ottawa,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Aitkin,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
MS,Hancock,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IL,Macoupin,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Cullman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,20,0,Completed,07/24/2017 10:45,HMO/HMOPOS
WI,Taylor,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
FL,St. Johns,Guidewell Mutual Holding Corporation,FHCP s Premier Savings Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,15,0,Completed,07/28/2017 10:27,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,San Saba,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cherokee,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Anderson,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
KY,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Bronx,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
LA,Livingston,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Livingston,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Warren,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Centre County (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,19,1,Completed,06/21/2017 11:09,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Oswego,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,109,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,137,1,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Yancey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Ulster,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,9,0,Completed,06/28/2017 12:35,Local PPO
AL,Talladega,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Henderson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Oldham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
NM,Quay,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NC,Transylvania,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,7,0,Completed,07/31/2017 15:04,HMO/HMOPOS
GA,Peach,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,25,0,Completed,07/17/2017 20:44,HMO/HMOPOS
VA,Charlotte,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
VA,Lynchburg City,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
AR,Craighead,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,5,Completed,07/27/2017 12:35,HMO/HMOPOS
WI,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Outagamie,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
ND,Ransom,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
FL,Manatee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Sarasota,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Lucas,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Clear Creek,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Barbour,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,1,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Westchester,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Scott,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
LA,East Baton Rouge,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Fayette,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Kent,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,15,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Schoolcraft,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
CO,Larimer,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
CA,San Bernardino,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,Jefferson,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,26,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Humphreys,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Bronx,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
WI,Outagamie,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Big Stone,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
AR,Greene,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Page,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
KY,Campbell,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,1,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,49,0,Completed,07/24/2017 10:45,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
FL,Orange,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
VA,Dinwiddie,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
KY,Monroe,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,McDonald,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MO,Pettis,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
WV,Kanawha,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Bexar,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Marshall,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
CO,Pueblo,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
OH,Richland,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
GA,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Quebradillas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WI,Racine,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
GA,Emanuel,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,115,0,Completed,07/12/2017 15:39,Local PPO
GA,Fulton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Saratoga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
KY,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,91,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Lamoille,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
CA,San Bernardino,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,20,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Walworth,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Jackson,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
AR,Sebastian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NE,Keya Paha,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
NE,Madison,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
AL,Walker,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
ND,Williams,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wilkin,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Davison,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
TX,Comal,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
NM,Luna,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Lancaster,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,2,Completed,06/29/2017 13:12,HMO/HMOPOS
GA,Bleckley,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Jayuya,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Sherman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Delaware,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
ME,Piscataquis,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
NY,Cortland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
GA,Treutlen,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
GA,Walton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NJ,Mercer,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,30,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NC,Stanly,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
OH,Shelby,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Leslie,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Jackson,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
KY,Henry,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
VA,Amelia,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
TN,Bradley,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
OH,Darke,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
TX,Collin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MD,Garrett,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,129,0,Completed,07/25/2017 10:12,Local PPO
SC,Colleton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Orangeburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Franklin,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Barry,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Palm Beach,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,19,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
TN,Hardeman,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Greene,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,Platte,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Fayette,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Grant,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WA,Grant,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,3,0,Completed,07/26/2017 12:58,HMO/HMOPOS
IL,Will,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Muskingum,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
FL,Miami-Dade,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,N,Y,100,100,,,,,H1016,1,0,Completed,07/17/2017 18:14,HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Crittenden,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Woodruff,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Ashley,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,San Jacinto,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Barron,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
AR,Garland,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,St. Francis,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
NJ,Camden,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Obion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
WV,Hardy,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IN,Jackson,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
GA,Walton,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MO,Reynolds,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Roanoke City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MS,Hancock,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
VA,Amelia,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
FL,Hernando,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MI,Berrien,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
FL,Dade,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,65,0,Completed,07/25/2017 10:12,Local PPO
WV,Braxton,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WI,Outagamie,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
WI,Sauk,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
GA,Upson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
FL,Orange,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,22,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Lee,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,85,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Union,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,80,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
OK,Jackson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
OK,Washita,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Osborne,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Warren,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
IA,Story,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
OH,Carroll,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,7,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Union,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
TX,Dallas,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
IL,Edgar,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
LA,Grant,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,1,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Pike,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Northumberland,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
AL,Lawrence,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Berkeley,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Elbert,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Hidalgo,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Walker,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Braxton,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,El Paso,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Indiana,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
IL,Cass,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
AR,Scott,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,60,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
VA,Madison,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,5,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Queens,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
IL,Bond,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Union,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
LA,West Carroll,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Webster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Harrison,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Clarke,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
ID,Canyon,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,10,0,Completed,07/26/2017 17:12,Local PPO
WI,Waushara,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
KY,Warren,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Warren,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
OH,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Dickenson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
PR,Guanica,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
PR,Las Marias,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Marion,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
OH,Summit,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Edgar,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,Sangamon,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
WV,Upshur,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
WV,Mercer,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
WV,Hancock,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Franklin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OH,Erie,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,Cameron,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Mifflin,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
AR,Crawford,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Tazewell,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore City,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Hamilton,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
NC,Wilkes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Miami,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Scott,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Boone,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NE,Cass,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OR,Deschutes,Humana Inc.,Humana Gold Plus H1036-219 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,219,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Wake,Humana Inc.,Humana Gold Plus H1036-233 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,233,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Pickaway,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Jefferson,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
OR,Harney,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
KY,Daviess,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Madison,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
MO,St. Louis City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
PR,Caguas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KY,Boone,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
GA,Barrow,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
FL,Marion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Russell,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
ME,Piscataquis,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Multnomah,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Winnebago,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Washington,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Crawford,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
SC,Richland,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
OK,Oklahoma,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Franklin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Champaign,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
KY,Clark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
MN,Scott,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Jones,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. James,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. Landry,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NC,Anson,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Harrison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,St. Louis City,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Pinellas,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
PA,York,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
GA,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
ND,Dunn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
AR,Perry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Westchester,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
OR,Multnomah,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,1,Completed,07/06/2017 14:24,Local PPO
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Westchester,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
LA,Madison,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Wood,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
CA,Contra Costa,Humana Inc.,Humana Gold Plus H5619-029 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Strafford,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Wise,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,Wahkiakum,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
KS,Cowley,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Oldham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Coffee,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
IA,Woodbury,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,101,2,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NC,Randolph,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Jefferson,Humana Inc.,Humana Community HMO SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,235,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Accomack,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Pike,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
KY,Anderson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Saratoga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AL,Mobile,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,125,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
AR,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clinton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
FL,Osceola,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
IN,Clinton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
MN,Washington,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
NC,Caswell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
FL,Columbia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
KY,Harrison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Douglas,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
AZ,Pima,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,1,0,Completed,06/19/2017 17:09,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Dickinson,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MI,Keweenaw,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MO,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
SD,Davison,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
PR,Maricao,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Wood,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
GA,Paulding,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Ulster,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Montour,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wilkin,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
OH,Hancock,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
MO,Jackson,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
MI,Manistee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TN,Bedford,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
MO,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Jones,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
MO,Washington,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
IL,Will,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
PA,Columbia,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
WV,Tyler,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
CO,Montrose,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
FL,Pasco,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Oneida,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
NY,Broome,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
AL,Mobile,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,60,3,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Laclede,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OK,Kingfisher,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
IA,Montgomery,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Hamilton,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Santa Clara,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
WV,Mercer,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
KS,Meade,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
CA,San Bernardino,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,63,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Becker,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Swift,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Mellette,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
CO,Las Animas,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
AL,Mobile,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Elk,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,1,Completed,07/26/2017 17:12,Local PPO
MN,Anoka,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Putnam,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,Randall,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PR,Loiza,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Nance,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Augusta,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Grimes,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Heard,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
MA,Hampshire,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
NY,Saratoga,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Lyon,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
WV,Berkeley,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,22,0,Completed,07/25/2017 10:12,Local PPO
NE,Saunders,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KY,Martin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MI,Clinton,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
GA,Douglas,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
GA,Meriwether,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
KY,Webster,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
IL,McHenry,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
FL,Dade,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,24,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Indian River,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Bullock,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,San Francisco,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,54,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NC,Avery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Madison,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
AL,Lamar,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
AL,Pike,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
IL,Winnebago,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,5,0,Completed,07/26/2017 16:56,HMO/HMOPOS
IL,Will,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,3,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,White,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Bedford,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IL,Bond,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Benton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Jefferson,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Jefferson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,6,Completed,07/13/2017 12:29,PFFS
AR,Poinsett,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
KS,Wyandotte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
GA,Jones,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Davison,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hand,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
SD,Dewey,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
OH,Champaign,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Champaign,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
MT,Lewis and Clark,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,8,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Ozaukee,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Grant,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,1,Completed,07/25/2017 10:12,HMO/HMOPOS
HI,Honolulu,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,,,H5969,2,0,Completed,06/30/2017 23:07,HMO/HMOPOS
MN,Wabasha,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
TX,Bexar,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,455,0,228,H6870,1,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
VA,Russell,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Charlottesville City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Clark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,McDowell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Geauga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Alleghany,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Conecuh,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Canadian,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
GA,Bibb,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
WI,Brown,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IL,Cook,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
GA,Columbia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Union,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Anderson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
VA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Greenville,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Washington,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OH,Henry,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
FL,Gilchrist,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
KY,Casey,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KY,Lincoln,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
FL,Okeechobee,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,62,0,Completed,07/25/2017 10:12,Local PPO
TX,Gray,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
CO,Boulder,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IL,Vermilion,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
IA,Woodbury,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
NY,Nassau,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Abbeville,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Saluda,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Otsego,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
WI,Grant,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,4,0,Completed,06/12/2017 11:28,1876 Cost
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MO,Jefferson,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WA,Clark,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,8,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,5,Completed,07/27/2017 13:39,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
OH,Erie,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Fulton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
IN,Madison,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Franklin,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,1,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
OH,Lucas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Pittsylvania,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
ID,Ada,PacificSource Health Plans,PacificSource Medicare MyCare Rx 32 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,32,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MS,Madison,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Winnebago,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
PA,Forest,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NH,Strafford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
WA,Spokane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
PR,Cidra,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MN,Scott,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
TN,Bledsoe,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
OH,Darke,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Fulton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Salt Lake,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
NM,San Miguel,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Lackawanna,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Cayuga,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Pulaski,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6947,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,3,0,Completed,06/14/2017 16:42,Local PPO
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Raleigh,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,6,Completed,07/26/2017 11:41,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
SC,Saluda,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Spartanburg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
PR,Loiza,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Marlboro,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
NV,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Nevada,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Duval,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
MO,St. Charles,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MA,Bristol,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,9,0,Completed,07/06/2017 14:10,HMO/HMOPOS
NY,Westchester,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
NY,Nassau,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Marshall,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Dallas,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IL,Calhoun,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
OK,Ottawa,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
KS,Labette,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
PA,Wyoming,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Mifflin,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Smyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
ND,Pembina,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Mellette,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clay,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MD,Howard,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
LA,Assumption,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Outagamie,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Butts,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Macon,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Wayne,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
FL,Martin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Whatcom,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
NY,Saratoga,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
ND,McHenry,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MS,Pearl River,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Miami-Dade,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
TN,Unicoi,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Marshall,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
GA,Rockdale,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
IL,Bond,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
AL,Mobile,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
VA,Goochland,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
PR,Arecibo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Trumbull,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
TX,Bastrop,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Morgan,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
ND,Burleigh,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
WV,Mineral,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Athens,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
SD,Bennett,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brookings,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
LA,Madison,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
WI,Lincoln,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Chesterfield,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Butler Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,47,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MO,Laclede,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
AR,Baxter,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Henrico,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
TX,Nueces,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
FL,Duval,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,73,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Menard,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NC,Duplin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Douglas,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
MN,Freeborn,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kittson,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TX,Aransas,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Franklin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,13,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Spencer,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WV,Marshall,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
TX,Jefferson,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
TX,Wood,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
VA,Bristol City,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
ND,Burleigh,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,2,0,Completed,06/12/2017 11:28,1876 Cost
NY,Greene,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,112,0,Completed,07/12/2017 15:39,Local PPO
GA,Muscogee,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
NY,Warren,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NC,Stokes,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
WV,Mercer,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
MO,Stone,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Cedar,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
NM,Santa Fe,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
PR,Luquillo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Hopewell City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
ME,Aroostook,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
WI,Walworth,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/07/2017 12:31,HMO/HMOPOS
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/ Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,4,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Shelby,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OH,Crawford,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
NE,Sarpy,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MO,Christian,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
MS,Jefferson,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
OH,Huron,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
CT,New Haven,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Waller,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Wood,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Elmore,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Fresno,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,56,0,Completed,07/27/2017 13:34,HMO/HMOPOS
FL,St. Johns,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Bremer,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,Lee,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
GA,Echols,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
ND,Ward,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Davison,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Grant,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Becker,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
FL,Duval,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,4,0,Completed,07/18/2017 13:53,HMO/HMOPOS
DC,District of Columbia,"Medstar Health, Inc.",MedStar Medicare Choice (HMO),Y,N,Y,Y,N,,,511,511,256,256,H9915,1,0,Completed,07/11/2017 8:53,HMO/HMOPOS
AL,Marshall,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
NE,Sarpy,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Colbert,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Johnson,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,Cumberland,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Chesterfield,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
MI,Cass,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
OH,Columbiana,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Owsley,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Alleghany,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Catawba,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Lynchburg City,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
KY,Henderson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
KY,Henry,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Randolph,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,5,0,Completed,06/21/2017 11:26,Local PPO
CO,Grand,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
CA,Orange,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,14,0,Completed,06/26/2017 11:39,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Walker,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Ripley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Hancock,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Sagadahoc,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Johnston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Deschutes,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,39,0,Completed,07/07/2017 13:42,HMO/HMOPOS
SD,McPherson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lawrence,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Harding,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
AR,Saline,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Essex,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Morrison,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Brown,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Newaygo,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,1,Completed,07/24/2017 10:22,HMO/HMOPOS
IA,Van Buren,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
PA,Perry,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
IA,Cass,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
IA,Henry,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
OH,Cuyahoga,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,24,0,Completed,07/25/2017 10:12,Local PPO
PA,Beaver,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Bucks,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
IA,Keokuk,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Taylor,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
NY,Bronx,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,07/25/2017 11:55,Medicare-Medicaid Plan HMO/HMOPOS
KS,McPherson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Rensselaer,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
TX,Fort Bend,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Walker,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
MO,Barry,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Kendall,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
NM,Santa Fe,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
MO,St. Louis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TX,Gray,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Rice,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Boone,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Saluda,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Westchester,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,07/25/2017 11:55,HMO/HMOPOS
CA,Yolo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Austin,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NY,Westchester,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
MN,Steele,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Rabun,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Wood,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,2,Completed,07/17/2017 11:05,HMO/HMOPOS
TN,Trousdale,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,116,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Fluvanna,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,St. Joseph,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
VA,Richmond City,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
CO,Elbert,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IL,Kane,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
PA,Lawrence,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,Norton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Lanier,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
CA,Los Angeles,"WellCare Health Plans, Inc.",Easy Choice Freedom Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,1,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CO,Mineral,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,6,0,Completed,07/28/2017 17:35,1876 Cost
FL,Santa Rosa,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,18,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Hampshire,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,Mohave,Humana Inc.,Humana Gold Plus H2649-033 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NM,Valencia,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,8,0,Completed,06/07/2017 12:19,HMO/HMOPOS
FL,Brevard,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
KY,Grant,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
KY,Owen,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
IL,Ogle,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
IN,Lake,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
PR,Cayey,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Klamath,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
WV,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
TX,Trinity,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Spencer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Larue,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Macon,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Haskell,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,McDuffie,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
IA,Mitchell,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Tarrant,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,2,0,Completed,06/14/2017 16:42,Local PPO
TX,Travis,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
MI,Midland,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
PA,Blair,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Woodford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Gogebic,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Monroe,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Pima,Anthem Inc.,CareMore Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,1,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
WV,Putnam,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
WV,Upshur,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
WV,Wayne,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
MN,Morrison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Howard,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
AR,Poinsett,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AR,St. Francis,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
TN,Warren,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,8,0,Completed,06/12/2017 11:28,1876 Cost
PR,Guayama,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,La Salle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PA,Union,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
FL,Broward,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
NC,Durham,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,168,0,Completed,07/12/2017 15:39,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Northampton,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
FL,Volusia,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Oswego,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Henderson,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Blount,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Washburn,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
AR,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Orange,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
AL,Macon,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
SC,Sumter,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MN,Carlton,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
NC,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NY,Wayne,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CO,Costilla,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
OH,Lorain,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
CO,Larimer,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Van Buren,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
CA,San Diego,SCAN Health Plan,Scripps Plus offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,40,0,Completed,06/26/2017 14:13,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Georgetown,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Clarendon,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,Clear Creek,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
TX,Johnson,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
WV,Wirt,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
PA,Wayne,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Clarion,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,Union,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
VA,Wise,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Morrow,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Socorro,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
PA,Fayette,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,2,Completed,07/27/2017 12:35,HMO/HMOPOS
OR,Multnomah,PacificSource Health Plans,PacificSource Medicare MyCare Rx 28 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,28,1,Completed,06/15/2017 15:55,HMO/HMOPOS
IA,Louisa,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Campbell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,West Feliciana,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oswego,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
OH,Pike,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
KS,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,51,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,Snyder,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
LA,Orleans,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
LA,Bossier,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Anderson,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
OH,Hamilton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Kittson,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,4,Completed,06/29/2017 13:12,HMO/HMOPOS
OK,Okmulgee,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
GA,Crawford,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Louisa,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Hampton City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hardeman,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Lawrence,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Haywood,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Union,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Tarrant,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,1,0,Completed,07/25/2017 17:34,Local PPO
WV,Clay,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
TN,McMinn,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Macon,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Renville,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MI,Gratiot,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Crawford,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Montgomery,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
KY,Campbell,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MN,Winona,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
PA,Berks,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
PR,Naguabo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
IN,Marion,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,151,0,Completed,07/12/2017 15:39,Local PPO
TX,Jefferson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
TX,Liberty,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
VA,Prince William,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
KY,Madison,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
MO,Dade,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
SC,Aiken,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
VA,Manassas City,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
CT,Hartford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Rains,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
OH,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Raleigh,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Martin,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Meriwether,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
OH,Clermont,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Kendall,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IL,Putnam,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MN,Todd,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
AL,Elmore,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Ozaukee,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cass,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Winona,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WV,Wyoming,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
NY,Wyoming,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Waller,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
IN,Whitley,Aetna Inc.,Aetna Medicare Premium Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,190,0,Completed,07/12/2017 15:39,Local PPO
CO,Adams,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Lamar,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
KY,Jackson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
MN,Traverse,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hubbard,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Chatham,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Campbell,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
AL,Geneva,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Warren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Blue Earth,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Eaton,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MT,Judith Basin,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WV,Clay,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AR,Garland,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Falls,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Greensville,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Wasatch,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Utah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
CA,Ventura,AHMC Central Health LLC,Central Health Ventura Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,9,0,Completed,07/28/2017 18:46,HMO/HMOPOS
CA,Ventura,AHMC Central Health LLC,Central Health Ventura Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,8,0,Completed,07/28/2017 18:46,HMO/HMOPOS
MO,Washington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Anderson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
WA,Douglas,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,3,0,Completed,07/26/2017 12:58,HMO/HMOPOS
OK,Oklahoma,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
SC,Marlboro,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
CO,Boulder,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Yauco,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Clay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Bronx,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Monroe,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
PA,Centre,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
TX,Madison,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mills,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
FL,Sarasota,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
OK,Tulsa,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
AR,St. Francis,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Boyd,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Magoffin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OK,Delaware,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
IN,Vanderburgh,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
OR,Hood River,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
MO,Lincoln,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
FL,Indian River,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,62,0,Completed,07/25/2017 10:12,Local PPO
OH,Champaign,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
WV,Jackson,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WV,Jefferson,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
PR,Ciales,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Franklin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AL,Pike,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Christian,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,St. Louis City,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Audrain,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
KS,Rawlins,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Macon,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Cherokee,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Indian River,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,1,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Jayuya,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
DE,Kent,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,102,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Steuben,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Queens,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Broward,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Fresno,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
WV,Nicholas,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
MO,Gentry,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
TX,Brazoria,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Miami,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,4,0,Completed,06/14/2017 16:42,Local PPO
WI,Door,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
WI,Dane,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
SC,Laurens,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,McDuffie,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,1,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Reagan,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
SD,Beadle,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lincoln,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
SD,Deuel,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,Harding,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
GA,Jones,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Webster,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
MI,Arenac,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
GA,Gwinnett,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MO,Howard,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Platte,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WV,Pendleton,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TN,Knox,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
SD,Meade,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
AR,Phillips,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Weld,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IN,Decatur,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
PA,Huntingdon,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
FL,Martin,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Mitchell,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Santa Rosa,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IA,Clayton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
NM,Torrance,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,8,0,Completed,06/07/2017 12:19,HMO/HMOPOS
HI,Kalawao,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,Y,N,Y,N,,,455,455,228,228,H3832,11,0,Completed,07/20/2017 22:08,Local PPO
PA,Warren,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3251,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Dauphin,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Lycoming,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
SC,Berkeley,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Landry,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,West Feliciana,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Lucas,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OR,Jefferson,Humana Inc.,Humana Gold Plus H1036-219 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,219,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Dakota,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Washington,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Herkimer,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
OR,Multnomah,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
NY,Chemung,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Davidson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,116,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Cass,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,2,0,Completed,07/25/2017 13:22,HMO/HMOPOS
AL,Fayette,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Pender,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wilkes,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Taylor,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AL,Dale,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Seminole,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IL,Boone,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
OH,Fulton,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,4,0,Completed,07/26/2017 12:58,HMO/HMOPOS
MO,Taney,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,6,Completed,07/26/2017 11:41,Local PPO
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AR,Miller,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,56,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
PR,Guaynabo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,5,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,5,Completed,07/27/2017 13:39,HMO/HMOPOS
LA,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
IN,Whitley,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Lauderdale,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Hancock,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Joaquin,Humana Inc.,Humana Gold Plus H5619-026 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Bristol City,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,30,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
KS,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Lewis,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Washington,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Talladega,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NE,Nemaha,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
SC,Jasper,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
NY,Saratoga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
TN,Campbell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Hickman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,East Feliciana,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,90,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
NE,Sarpy,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
DE,Sussex,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,127,0,Completed,07/25/2017 10:12,Local PPO
TX,Anderson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Waller,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
OK,Muskogee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Story,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
OH,Harrison,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
MT,Cascade,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,89,0,Completed,07/25/2017 10:12,Local PPO
FL,Broward,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Montgomery,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Columbia,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
IA,Pottawattamie,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,Stanislaus,"Alignment Healthcare USA, LLC",Alignment Health Plan AllCare Preferred Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,11,0,Completed,07/27/2017 20:51,HMO/HMOPOS
FL,Broward,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
FL,Charlotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Brazoria,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
IL,Lake,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
PA,Centre,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
CA,San Bernardino,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,4,0,Completed,07/28/2017 18:46,HMO/HMOPOS
VA,Botetourt,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Wilson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Wilson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
PA,Sullivan,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IN,Montgomery,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Lake,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Clearwater,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Douglas,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ID,Kootenai,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
VA,Prince George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
NY,Richmond,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,Will,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6080,1,0,Completed,07/26/2017 16:58,Medicare-Medicaid Plan HMO/HMOPOS
NY,Dutchess,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,St. Joseph,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
IA,Osceola,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Johnston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Botetourt,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Montgomery,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cannon,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,Chester,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
WI,Brown,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Fluvanna,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Orange,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WA,Cowlitz,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6786,2,0,Completed,07/18/2017 9:33,Local PPO
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MN,Itasca,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
AL,Dale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Montgomery,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
NY,Suffolk,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Benton,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MI,Benzie,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
WA,Thurston,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,1,0,Completed,07/10/2017 17:32,HMO/HMOPOS
MO,Cole,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NY,Erie,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Mitchell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
VA,Waynesboro City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,Alpine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KY,Calloway,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Livingston,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Doddridge,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
NC,Mitchell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
IN,Dubois,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
TN,Tipton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Johnson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Scioto,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Collin,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Floyd,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
OK,Logan,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,1,0,Completed,07/25/2017 17:34,Local PPO
PA,Clearfield,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,Wabasha,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Davidson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
OK,Muskogee,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Howard,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
IN,Whitley,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MN,Crow Wing,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Becker,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
NC,Scotland,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
TX,Brazos,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
OH,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NY,Orleans,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Kerr,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Orange,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
WI,Waukesha,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,59,0,Completed,07/25/2017 10:12,Local PPO
FL,Washington,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Orange,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IA,Lucas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Steuben,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Philadelphia,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
IA,Johnson,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Tama,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Henry,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Muskingum,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
OH,Medina,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
WV,Marion,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
TX,Fayette,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
NC,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
MN,Benton,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MS,Covington,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Fulton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
IL,Kane,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/25/2017 10:12,Medicare-Medicaid Plan HMO/HMOPOS
TN,Cumberland,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,McMinn,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
GA,Henry,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MI,St. Joseph,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
IA,Lyon,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
VA,King George,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
NY,Fulton,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NE,Gosper,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
AZ,Maricopa,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,184,0,Completed,07/12/2017 15:39,Local PPO
CO,Boulder,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
GA,Terrell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
SD,Miner,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WA,Spokane,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
KS,Dickinson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
KS,Reno,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IA,Monona,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Monroe,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
PA,Juniata,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,Clinton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
NY,Yates,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
CA,San Bernardino,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,38,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,2,0,Completed,07/18/2017 12:54,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
NJ,Passaic,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,12,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
KS,Lane,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Butler,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,New York,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
MI,Wayne,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0192,1,0,Completed,07/20/2017 14:10,Medicare-Medicaid Plan HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Care1st Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,567,0,284,H0148,2,0,Completed,07/28/2017 13:53,Medicare-Medicaid Plan HMO/HMOPOS
CA,San Bernardino,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CO,Custer,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
KY,Oldham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Darke,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
KY,Shelby,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
MS,Pearl River,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Ulster,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
LA,East Baton Rouge,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AL,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Boone,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Travis,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
AL,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Dearborn,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MN,Lake of the Woods,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TN,Monroe,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Clatsop,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
GA,Douglas,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Mercer,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
NC,Avery,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
IN,Fayette,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IN,Howard,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
MO,Vernon,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
AR,Union,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PR,Hatillo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Berrien,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Miami,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,90,0,Completed,07/12/2017 15:39,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Montgomery,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
NM,Chaves,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
VA,Arlington,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
VA,Rappahannock,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
TN,Cocke,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
AR,Greene,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OK,Cherokee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
FL,Putnam,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
NY,Oneida,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
WI,Racine,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
NY,Queens,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Ventura,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,55,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Webster,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Newton,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Philadelphia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OR,Benton,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,2,0,Completed,07/31/2017 19:26,HMO/HMOPOS
KY,Knott,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,Ontonagon,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
IN,St. Joseph,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Washington,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
VA,Alexandria City,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Dillon,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Beaufort,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Hood River,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
PA,Northampton,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
SC,Anderson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,87,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Marion,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Allendale,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OK,Canadian,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IN,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Madison,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Montgomery,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Freestone,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Caldwell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
OH,Lucas,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OK,Choctaw,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
PA,Bucks,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WA,Douglas,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
PR,Luquillo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
MN,Big Stone,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Knox,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
KY,Rockcastle,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
SC,Dorchester,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Hancock,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Johnson,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Washington,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Pickens,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
UT,Salt Lake,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
SC,Charleston,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
WI,Crawford,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,1,0,Completed,06/12/2017 11:28,1876 Cost
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Grant,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
IL,DeKalb,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
OH,Lake,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
LA,Livingston,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Prince William,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
KS,Crawford,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
TX,Gregg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Elite (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,10,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Crawford,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Colbert,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
NE,Hall,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MS,Madison,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Houston,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
OH,Clark,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Jackson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Litchfield,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CT,Middlesex,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Lucas,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
MO,Scotland,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Wichita,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,McPherson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Beadle,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MD,Carroll,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
GA,Walton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Jefferson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Flagler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MO,McDonald,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hawkins,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Comal,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,2,Completed,07/17/2017 11:05,HMO/HMOPOS
VA,Craig,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,101,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,19,1,Completed,06/21/2017 11:09,HMO/HMOPOS
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MN,Martin,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Manistee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
MO,Taney,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Comal,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,25,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Lawrence,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,Davie,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Lewis,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
MN,Grant,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Otter Tail,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jones,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Brown,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Winnebago,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Tuscaloosa,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Butler,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IL,Madison,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Chambers,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ashland,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
SD,Davison,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WV,Hardy,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8133,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
AR,Logan,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
VA,Buena Vista City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Essex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cannon,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,McNairy,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
MN,Sibley,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,3,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,18,0,Completed,06/21/2017 11:09,HMO/HMOPOS
GA,White,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Utah,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Cocke,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Marion,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
AR,Ashley,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Desha,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Caroline,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Dickenson,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Essex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Broomfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NJ,Salem,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Logan,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
SC,McCormick,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
DE,New Castle,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
ND,Traill,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lyon,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Fillmore,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
OK,Grady,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lawrence,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Posey,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
GA,Morgan,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Wythe,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
WI,Shawano,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CO,Fremont,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
GA,Rockdale,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NY,Oswego,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
NV,Carson City,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,130,0,Completed,07/12/2017 15:39,Local PPO
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,DeKalb,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
IN,White,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
IA,Polk,Humana Inc.,HumanaChoice H5216-104 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,104,0,Completed,07/25/2017 10:12,Local PPO
FL,Osceola,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
CO,Boulder,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
IN,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,48,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,York,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
NY,Warren,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Jefferson,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,38,0,Completed,07/07/2017 13:42,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,San Benito,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,21,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,Tulare,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,52,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Bucks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Value (HMO-POS),Y,Y,Y,Y,N,,,511,511,21,256,H5932,11,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Barbour,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
MN,Wabasha,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wadena,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Beltrami,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Morgan,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
AL,Jackson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Menominee,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
PR,Camuy,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
CO,Fremont,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Moore,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sumner,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Van Buren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Norman,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Warren,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,Nye,Humana Inc.,HumanaChoice H5216-036 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,36,0,Completed,07/25/2017 10:12,Local PPO
OK,Noble,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,Fulton,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
TX,Comal,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
AR,Pope,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
GA,Morgan,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
OK,Oklahoma,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OH,Cuyahoga,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Loudoun,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
FL,Broward,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,N,Y,100,100,,,,,H1016,21,0,Completed,07/17/2017 18:14,HMO/HMOPOS
GA,Glascock,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
ID,Canyon,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,9,0,Completed,06/07/2017 12:34,HMO/HMOPOS
SC,Darlington,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OH,Lake,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,11,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Haywood,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Glades,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KS,Franklin,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,Jefferson,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
PA,Berks,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
WA,Kitsap,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
KS,Pottawatomie,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Ohio,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Medina,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Polk,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,3,0,Completed,06/14/2017 16:42,HMO/HMOPOS
AR,Crawford,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
IL,Cook,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1343,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
TN,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NE,Otoe,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Washington,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
AL,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
PA,Allegheny,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Greene,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Greene,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
NC,Cabarrus,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
TX,Cameron,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Clinton,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Patillas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Shannon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KY,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Irwin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MT,Meagher,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
NY,Otsego,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
ID,Bingham,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
VA,Halifax,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
ME,Kennebec,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,Jackson,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
WA,Chelan,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
PA,McKean,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,Luzerne,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
AR,Conway,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Roanoke City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
AZ,Santa Cruz,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,44,3,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Ashland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Roane,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
TN,Lauderdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,St. Charles,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,92,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ID,Nez Perce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,4,0,Completed,07/26/2017 17:12,Local PPO
OH,Fairfield,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Huntington,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,3,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,144,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Harrison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schuyler,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Hamilton,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Ward,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Lake,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
ND,Richland,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
LA,Ouachita,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
IN,Clay,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
TX,Callahan,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
SD,Turner,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
IN,Jackson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
IL,Rock Island,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NY,Ulster,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MO,Lincoln,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
PA,Chester,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,5,0,Completed,07/25/2017 10:12,Local PPO
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
PA,Lycoming,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,36,0,Completed,07/20/2017 14:11,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,3,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AL,Walker,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Bland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NH,Hillsborough,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
GA,Tift,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Leavenworth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Boyle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Newton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
AL,Escambia,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
CA,San Francisco,Imperial Health Plan of California,Senior Value (HMO SNP),Y,N,Y,Y,N,,,567,567,284,284,H5496,5,0,Completed,07/28/2017 16:14,HMO/HMOPOS
TN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,100,0,Completed,07/27/2017 10:38,Local PPO
VA,Loudoun,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,20,0,Completed,07/24/2017 10:45,HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Lebanon,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Allen,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
NY,Genesee,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Leon,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
KY,Jessamine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,67,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,20,0,Completed,07/24/2017 12:23,Local PPO
PA,Northampton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,35,0,Completed,07/24/2017 12:23,Local PPO
SD,Marshall,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wabasha,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,White,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
FL,Manatee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Duval,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,1,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TN,Bradley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,De Kalb,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,6,Completed,07/17/2017 11:05,HMO/HMOPOS
CT,Windham,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chippewa,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dodge,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake of the Woods,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Murray,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
AZ,La Paz,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,1,0,Completed,07/25/2017 11:49,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Osceola,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Jackson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
OK,Muskogee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
OH,Clark,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
WI,Green Lake,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MO,Benton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Spotsylvania,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
MN,Mower,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
AL,Shelby,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
KS,Butler,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Antrim,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
PA,Chester,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Crockett,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Knox,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MO,Webster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Dade,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,63,0,Completed,07/18/2017 13:53,HMO/HMOPOS
IN,Adams,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Dane,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
OH,Wayne,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
SC,Abbeville,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
AR,Howard,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
OR,Jackson,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
PA,Huntingdon,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Fluvanna,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,1,0,Completed,07/28/2017 11:24,HMO/HMOPOS
SC,Georgetown,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
MT,Broadwater,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
GA,Cherokee,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
SC,Dillon,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Craig,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,McDowell,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
PR,Catano,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Benton,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IA,Tama,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,Richmond,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
MO,Bates,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
MI,Washtenaw,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,9,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Sevier,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Bristol City,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. Tammany,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,2,Completed,07/28/2017 14:29,HMO/HMOPOS
NC,Johnston,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Nowata,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
WA,Asotin,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,4,0,Completed,07/26/2017 17:12,Local PPO
NY,Tioga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
OH,Pike,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OR,Jackson,ATRIO Health Plans,ATRIO Bronze Rx (Rogue) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,14,0,Completed,06/28/2017 15:06,Local PPO
IN,Wabash,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PR,San Lorenzo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
CO,Pueblo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Lafayette,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Pueblo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,18,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OH,Sandusky,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,Nye,Humana Inc.,Humana Gold Plus SNP-CLD H6622-030 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,5,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
CO,Arapahoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
WA,Yakima,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,9,0,Completed,06/29/2017 11:10,HMO/HMOPOS
GA,McDuffie,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
AR,Benton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Preston,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Halifax,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Yadkin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
MI,Ottawa,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,4,0,Completed,07/26/2017 16:54,HMO/HMOPOS
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,1,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Faulkner,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,1,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,York,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Hillsborough,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
AZ,Cochise,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,44,2,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Armstrong,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Carroll,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
OK,Blaine,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Bannock,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,21,0,Completed,06/15/2017 15:55,HMO/HMOPOS
TN,Tipton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,28,0,Completed,07/06/2017 14:45,HMO/HMOPOS
MO,Osage,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
IA,Greene,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Le Sueur,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
AL,Autauga,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,4,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,3,Completed,07/24/2017 7:36,HMO/HMOPOS
TX,Orange,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Grant,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Broome,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,Arapahoe,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CA,Napa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Berrien,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
CT,Hartford,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,Decatur,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Randolph,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
WI,Grant,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,1,0,Completed,06/12/2017 11:28,1876 Cost
FL,Broward,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,61,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Campbell,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OK,Okmulgee,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Hyde,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,Stevens,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
MS,Warren,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Giles,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hickman,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Essex,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TN,Fayette,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,154,0,Completed,07/12/2017 15:39,Local PPO
NY,Albany,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Wyandot,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
PA,Potter,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Harrison,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Tarrant,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
SD,McCook,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
AR,Faulkner,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MS,Humphreys,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
CT,Hartford,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Richmond,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Richmond,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Montgomery,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
FL,St. Johns,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Madison,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,San Bernardino,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,567,567,284,284,H5810,1,0,Completed,06/06/2017 15:33,HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
CA,San Bernardino,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,52,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
MT,Yellowstone,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,8,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Greene,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
MO,Lawrence,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Forsyth,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,Lewis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
LA,East Feliciana,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Lincoln,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Pickaway,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NY,Tioga,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
WI,Crawford,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Rains,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Caswell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,73,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Rutland,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
WI,Pepin,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Bucks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Conway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Elmore,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
ND,Sioux,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Red Lake,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
WI,Langlade,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Champaign,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AL,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Allen,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Clay,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,El Paso,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7678,1,0,Completed,06/07/2017 11:54,HMO/HMOPOS
NY,Wayne,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NY,Cayuga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
NY,Queens,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,137,2,Completed,07/28/2017 11:13,HMO/HMOPOS
SD,Lake,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Davison,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bryan,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Rockdale,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Willacy,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Hardin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Florida,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Leavenworth,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Sumner,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Newton,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,2,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Shawnee,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Panola,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Lincoln,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Otter Tail,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Todd,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carver,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Rhea,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Antrim,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,St. Clair,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
CO,Chaffee,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
VA,Bedford,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,Fulton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Unicoi,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Marion,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Box Elder,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
WI,Adams,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,San Juan,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TX,Gregg,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
TX,San Jacinto,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
HI,Hawaii,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,7,0,Completed,07/20/2017 22:08,Local PPO
NY,Dutchess,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
KY,Carroll,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
GA,Fulton,Anthem Inc.,BCBSHP MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PR,Jayuya,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OR,Benton,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,2,Completed,07/06/2017 14:24,Local PPO
WA,Thurston,Humana Inc.,Humana Gold Plus H5619-064 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,64,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Hardin,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Hancock,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Botetourt,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Vinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Lee,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
KY,Elliott,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
CA,Tulare,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,3,Completed,07/06/2017 14:24,HMO/HMOPOS
NC,Cabarrus,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Red Lake,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
WI,Brown,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
WI,Dodge,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
IN,Morgan,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Lancaster,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Catawba,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Falls Church City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,St. Clair,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Union,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Bradley,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hancock,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KS,Grant,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
TX,Waller,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Geauga,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
AZ,Mohave,Humana Inc.,Humana Gold Plus H2649-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MN,Otter Tail,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Kittson,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
ID,Kootenai,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
PR,Canovanas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Lincoln,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
PA,Columbia,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
VA,Giles,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Clermont,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
OK,Canadian,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Clay,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Crittenden,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,McLean,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Grant,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Placer,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,45,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Cattaraugus,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Manatee,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,119,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Fairfield,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
WI,Calumet,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
IN,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Burt,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Brown,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,35,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
NC,Cabarrus,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Cameron,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OR,Yamhill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
IN,St. Joseph,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,2,0,Completed,07/06/2017 14:24,Local PPO
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Blue Earth,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nicollet,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Coweta,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Cameron,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
TX,Marion,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PA,Tioga,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
IL,Kankakee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
AL,Clay,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
MI,Monroe,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
TX,Terry,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Jefferson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Trousdale,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Delaware,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MN,Clay,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,11,0,Completed,07/27/2017 13:34,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Blount,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Obion,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
FL,Duval,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,Lamar,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
MT,Powell,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
AR,Randolph,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Hempstead,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Saline,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
PA,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Mercer,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
FL,Polk,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SD,Turner,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
IA,Buchanan,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
AR,Cleburne,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Macomb,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
SC,Richland,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,Y,N,Y,N,,,0,455,0,228,H8170,2,0,Completed,07/06/2017 10:58,HMO/HMOPOS
OH,Harrison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Lake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Pendleton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
AR,Cleburne,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,2,Completed,07/13/2017 12:29,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Moore,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Todd,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Boone,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,54,0,Completed,06/26/2017 13:34,Local PPO
PA,Potter,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
VA,Winchester City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Richmond City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Surry,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Monroe,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TN,Perry,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NJ,Somerset,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
GA,Chatham,"Clover Health Holdings, Inc.",Clover Health GA Green (PPO),Y,N,Y,Y,N,,,0,455,0,228,H5141,26,0,Completed,07/25/2017 8:01,Local PPO
LA,Calcasieu,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,1,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Casey,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AR,Perry,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Fresno,Humana Inc.,Humana Gold Plus H5619-012 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Belknap,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NC,Halifax,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Durham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Armstrong,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Marshall,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Alfalfa,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MS,George,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Acadia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Cabarrus,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Harrison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Bucks,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,43,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Calloway,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Bergen,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,30,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Wood,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Lake,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
KY,Leslie,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Osage,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,McLeod,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
MN,St. Louis,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NM,Lincoln,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NC,Henderson,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,10,0,Completed,07/31/2017 15:04,HMO/HMOPOS
VA,Lancaster,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Arlington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,El Paso,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Hamblen,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Cocke,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Madison,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
AR,Pope,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
PA,Perry,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Alleghany,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Tazewell,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
NY,Albany,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,Pierce,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Dual Coverage (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,24,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Greenbrier,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Marion,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,2,Completed,07/27/2017 12:35,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
FL,Palm Beach,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
AR,Sebastian,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
SD,Pennington,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
WV,Wirt,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Webster,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Adams,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,St. Joseph,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
PR,Carolina,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
NY,Onondaga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Lewis,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
WV,Wayne,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
GA,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
SD,Sanborn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
AR,Yell,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
MT,Lincoln,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Fond du Lac,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Marshall,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
OK,Adair,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
AR,Garland,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Will,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Clark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
TX,Nueces,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Martin,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lincoln,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
TN,Jefferson,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Charlevoix,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Oceana,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
MS,Hinds,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
NY,Schenectady,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
MS,Perry,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,Nye,Humana Inc.,Humana Kidney Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,31,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Gold Plus SNP-CLD H6622-030 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,186,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Knox,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
MO,Dade,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
GA,Cobb,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Douglas,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Redwood,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Winona,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Swift,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
SC,Jasper,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
IA,Dickinson,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
IN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NY,Greene,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Mercer,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Macon,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Pittsburg,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Red Lake,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
IA,Black Hawk,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Baltimore City,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
NC,Iredell,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Benton,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
OH,Montgomery,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
IN,Jackson,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,San Diego,"UnitedHealth Group, Inc.",Sharp SecureHorizons Plan by UnitedHealthcare (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,145,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Washington,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Claiborne,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Jackson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,2,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Cheatham,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Mifflin,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,Onondaga,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OK,Oklahoma,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
ME,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
UT,Davis,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Isle of Wight,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
MO,St. Louis City,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
OR,Clackamas,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,1,Completed,07/06/2017 14:24,Local PPO
OR,Douglas,Centene Corporation,Health Net Violet 3 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,15,0,Completed,07/06/2017 14:24,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
OR,Wallowa,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
MO,St. Clair,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MO,Bollinger,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,Ozark,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,St. Clair,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
SD,Union,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WI,Rock,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Williamsburg City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
PR,Coamo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Loup,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NE,Scotts Bluff,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OH,Muskingum,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
CO,Broomfield,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
GA,Clay,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Liberty,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Hancock,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,Onondaga,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TN,Roane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Sumner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Monroe,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Montgomery,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,8,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,Dade,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SD,Potter,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bleckley,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Tarrant,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,Outagamie,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
MO,Dallas,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Jefferson,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Nassau,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Union,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Pennington,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Polk,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
TN,Grainger,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WI,Kenosha,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,McLeod,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
VA,Loudoun,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Forsyth,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
VA,Falls Church City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
WI,Waukesha,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2879,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
GA,Twiggs,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Cleburne,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
CT,New London,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,Westchester,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Pike,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Pettis,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
NJ,Atlantic,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
NJ,Essex,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
VA,Grayson,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Cherokee,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,86,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
NH,Strafford,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OH,Miami,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Greenbrier,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,3,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PA,Fayette,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Crawford,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Woodruff,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
SC,Fairfield,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
CA,Tulare,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,2,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Fauquier,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IN,Jay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Tipton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
NY,Herkimer,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
WI,Clark,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Fayette,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hill,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lee,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sutton,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
VA,Manassas Park City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Bremer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,74,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OH,Mahoning,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
GA,Stewart,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
DC,District of Columbia,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,15,0,Completed,07/12/2017 15:39,Local PPO
PA,Monroe,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Mahoning,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Lucas,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,49,0,Completed,07/17/2017 11:30,HMO/HMOPOS
TX,Carson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Deaf Smith,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Gregg,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OR,Lincoln,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
WV,Raleigh,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
KY,Jessamine,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
PA,Lehigh,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
CA,Stanislaus,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,27,0,Completed,07/27/2017 13:34,HMO/HMOPOS
PA,Lackawanna,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
IA,Wright,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Lake,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
AL,Washington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
MA,Worcester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PR,Culebra,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Jefferson,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Medina,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,Ray,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Niagara,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
MN,Le Sueur,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
NY,Franklin,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
SC,Williamsburg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PA,Juniata,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
CA,Riverside,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,39,1,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Bourbon,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Calcasieu,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
FL,Citrus,"ULTIMATE HEALTH PLAN, INC.",Ultimate Elite (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,3,0,Completed,07/17/2017 9:31,HMO/HMOPOS
OH,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Yancey,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Orange,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OK,Haskell,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
WA,Skagit,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TN,Union,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
ME,Knox,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Marshall,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
NE,Douglas,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Carroll,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Harford,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
SC,Anderson,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
WA,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
KS,Sumner,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
GA,Elbert,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Harmony Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,32,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Monroe,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Butler,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
WA,Spokane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,2,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Manatee,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,265,2,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
FL,Brevard,Guidewell Mutual Holding Corporation,FHCP s Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,10,0,Completed,07/28/2017 10:27,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Maverick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
WA,Snohomish,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,128,0,Completed,07/12/2017 15:39,Local PPO
GA,Towns,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Fulton,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
MN,Kanabec,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TX,Austin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Wayne,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
PA,Warren,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MO,Phelps,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Dallas,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
AR,Montgomery,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Ohio,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
FL,Holmes,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
CO,Adams,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Ottawa,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,1,Completed,07/24/2017 10:22,Local PPO
TX,Jefferson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,1,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
CA,San Mateo,Health Plan of San Mateo,CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H7885,1,0,Completed,06/05/2017 14:57,Medicare-Medicaid Plan HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Columbiana,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NY,Hamilton,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Adams,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
PR,Manati,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Putnam,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Shelby,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IL,Stark,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Story,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,7,0,Completed,07/12/2017 15:39,Local PPO
VA,Russell,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,York,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AZ,Cochise,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,30,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KS,Neosho,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
TX,Webb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Blair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Mercer,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WA,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Campbell,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
MN,Pope,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Weakley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,McMinn,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Niagara,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
MN,Sherburne,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
FL,St. Johns,Guidewell Mutual Holding Corporation,FHCP s Premier Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,11,0,Completed,07/28/2017 10:27,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
MD,Frederick,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
SD,Sully,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,Corson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bryan,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Lucas,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WA,Pierce,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,126,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Prince William,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Presque Isle,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Jackson,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AR,Conway,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MO,Boone,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PA,Huntingdon,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
FL,Hernando,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
GA,Barrow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
WA,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,30,0,Completed,07/24/2017 12:23,Local PPO
PR,Fajardo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NC,Mecklenburg,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
TX,Kenedy,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
MS,Attala,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,151,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Alexandria City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Fairfax City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Nelson,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Polk,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,White,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
NY,Wyoming,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Queens,"WellCare Health Plans, Inc.",WellCare Preferred (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,135,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Cass,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bell,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Leon,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
LA,St. Bernard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,265,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Washington,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Delaware,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
CO,Teller,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,7,Completed,07/17/2017 11:05,HMO/HMOPOS
OH,Cuyahoga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Stark,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Alameda,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MN,Chisago,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
TX,Comal,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,3,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,Marion,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,2,Completed,07/06/2017 14:24,HMO/HMOPOS
OR,Lane,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,1,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Rockland,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
GA,Fulton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,Porter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,75,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Black Hawk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Bronx,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
AL,Cherokee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
OR,Clatsop,FamilyCare Incorporated,FamilyCare Community (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H3818,2,0,Completed,06/14/2017 13:43,HMO/HMOPOS
NY,Erie,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3227,1,0,Completed,07/27/2017 16:53,HMO/HMOPOS
PA,Sullivan,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Orleans,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Sevier,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
IA,Jasper,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Franklin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
PA,Clearfield,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PR,Guanica,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Phillips,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
GA,Cobb,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,St. Tammany,Humana Inc.,Humana Gold Plus H1951-028 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Wadena,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
LA,Avoyelles,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,135,0,Completed,07/25/2017 10:12,Local PPO
ID,Gem,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
AL,Winston,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
MS,Madison,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
IL,Will,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Warren,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Palm Beach,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Guthrie,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Utuado,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
PR,Anasco,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Arroyo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
PR,Patillas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
FL,St. Lucie,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,Orange,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
MO,Dunklin,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,1,Completed,07/24/2017 7:36,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Queens,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
TX,Brazoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Seminole,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
TX,Waller,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
SD,McCook,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
CO,Chaffee,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
FL,Orange,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
FL,Pinellas,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Montgomery,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,3,0,Completed,07/27/2017 13:34,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
MO,Lincoln,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
VA,Southampton,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
FL,Flagler,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
TX,Wise,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,43,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,10,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
IN,Clark,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
KY,Bullitt,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Boone,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Shelby,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
ID,Nez Perce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,N,,,429,429,215,215,H1304,2,0,Completed,07/26/2017 17:12,Local PPO
NY,Orleans,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NH,Grafton,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Rowan,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Person,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,King George,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Cole,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Richland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Chemung,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,Schuyler,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
TX,Coleman,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Burleson,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
GA,DeKalb,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
IA,Hamilton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Benton,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
CO,Custer,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
OR,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
NC,Harnett,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
MO,St. Louis,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
PR,Jayuya,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Karnes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,McMullen,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NJ,Ocean,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
AL,Mobile,Aetna Inc.,Aetna Medicare Liberty Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,116,0,Completed,07/12/2017 15:39,Local PPO
OH,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,56,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Caldwell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Cortland,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
UT,Utah,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,131,0,Completed,07/25/2017 10:12,Local PPO
AR,Yell,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
WV,Tyler,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
OH,Erie,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
IN,Washington,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
OR,Jefferson,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
PA,Crawford,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Martin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
IN,Hancock,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
FL,Marion,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,74,0,Completed,07/25/2017 10:12,Local PPO
GA,Columbia,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
SC,Beaufort,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
WA,Thurston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
NY,Ulster,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Peach,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
FL,Miami-Dade,Humana Inc.,CareFree PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,76,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
NY,Schuyler,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
AL,Talladega,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Baldwin,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
WI,Wood,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PA,Montgomery,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
MN,Rice,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
KS,Rice,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
GA,Quitman,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,1,Completed,07/20/2017 15:47,HMO/HMOPOS
NC,Surry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
ND,Billings,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Todd,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clay,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Norman,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Wilcox,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Brown,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
WV,Wood,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Clinton,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
VA,Radford City,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,2,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Mitchell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Swain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Mahoning,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Wolfe,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day In Control Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,27,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Grady,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ND,Rolette,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
VA,Portsmouth City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MN,Cass,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Posey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lincoln,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
IN,Hamilton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Graves,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Chenango,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Avery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Richmond,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
MO,Cedar,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
AR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
OR,Yamhill,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,29,0,Completed,07/24/2017 12:23,Local PPO
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
CA,Los Angeles,Anthem Inc.,CareMore Cal MediConnect Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,567,0,284,H6229,5,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
GA,Fayette,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Rusk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
NM,San Miguel,Humana Inc.,Humana Gold Plus H2649-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Clinton,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,7,Completed,07/17/2017 11:05,HMO/HMOPOS
VA,Manassas City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
IL,Scott,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
PA,Union,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Sullivan,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Parke,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Hardin,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
LA,Claiborne,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
WI,Lafayette,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,2,0,Completed,06/12/2017 11:28,1876 Cost
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Northampton,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,2,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Bureau,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
IA,Shelby,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
PA,Dauphin,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,8,0,Completed,07/26/2017 17:12,Local PPO
KS,Cherokee,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Powell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Summit,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Polk,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
AR,Lonoke,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,4,Completed,07/13/2017 12:29,PFFS
AL,Calhoun,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
IL,Cook,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,3,0,Completed,07/26/2017 16:56,HMO/HMOPOS
CA,Yolo,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,103,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Fulton,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NH,Cheshire,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,231,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Wise,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
IN,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Bureau,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
TN,Fentress,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MI,Kalamazoo,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
GA,Gwinnett,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Grant,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
AR,Logan,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
CO,Pueblo,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Lake,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
MI,Clare,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Wyoming,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Roanoke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Washington,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
IN,Huntington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Waupaca,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Chippewa,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Red Lake,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,Allegheny,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,Lancaster,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
GA,Hall,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
NY,Bronx,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,07/25/2017 11:55,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,62,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OR,Linn,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Warren,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
NE,Lancaster,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
IA,Grundy,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OR,Jackson,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,3,0,Completed,06/30/2017 19:02,HMO/HMOPOS
TN,Moore,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Brazoria,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Waseca,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Banks,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Alpena,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
GA,Jefferson,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Gilmer,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
WV,Summers,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
PA,Centre,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
VA,Virginia Beach City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
FL,Orange,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Weber,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
WA,Kitsap,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Loudon,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
MO,Cass,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Marion,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
PA,Carbon,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
IN,Putnam,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Chester,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,5,0,Completed,07/10/2017 11:38,HMO/HMOPOS
IA,Monona,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Martin,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
CA,Orange,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H9104,6,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
TX,Denton,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
MI,Genesee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
GA,Clayton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,Perry,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Casey,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Lackawanna,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
TX,Rockwall,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Washington,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Brown,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,Delaware,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
CO,Costilla,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
CO,Jefferson,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
OH,Coshocton,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
IA,Wayne,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
VA,Tazewell,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
IN,Crawford,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WV,Mason,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IL,Washington,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
VA,Lancaster,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
VA,Prince Edward,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
VA,York,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
PA,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
NC,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,San Sebastian,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CA,Modoc,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
GA,Hart,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
CO,Broomfield,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
MI,Kent,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Mower,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
TX,Comal,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Bay,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Kenosha,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Cass,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Guadalupe,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wadena,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
KY,Marshall,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Portsmouth City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Hubbard,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Anoka,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Roberts,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MS,Madison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Brown,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WI,Calumet,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KY,Harlan,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
MO,Butler,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
AL,Calhoun,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NH,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
MI,Isabella,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
TX,El Paso,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,5,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Iron,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,2,0,Completed,07/26/2017 9:21,HMO/HMOPOS
UT,Box Elder,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Franklin,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Perry,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
PA,Fulton,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
IN,Vigo,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Gallatin,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Barnwell,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
SC,Hampton,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
LA,Cameron,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,7,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Independence,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Dorchester,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
SC,Bamberg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Powhatan,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WA,King,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,8,0,Completed,07/26/2017 17:12,Local PPO
GA,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hardin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Madison,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
AL,Fayette,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OH,Greene,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,268,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Los Angeles,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,1,0,Completed,06/26/2017 11:39,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
WI,Adams,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rusk,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
VA,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Wheeler,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,39,0,Completed,07/07/2017 13:42,HMO/HMOPOS
PA,Beaver,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Sabana Grande,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Roanoke City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,102,0,Completed,07/12/2017 15:39,Local PPO
NC,Catawba,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
GA,Marion,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
OH,Franklin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
KY,Knott,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
SD,Clark,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Guadalupe,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Upshur,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
GA,Madison,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
GA,Talbot,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
PA,Franklin,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Wyoming,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,9,0,Completed,07/24/2017 14:11,HMO/HMOPOS
IA,Warren,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Riley,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Russell,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
SD,Hughes,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MO,Barry,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
PA,Berks,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
OK,Garvin,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,El Paso,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NC,Polk,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Wayne,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
OR,Washington,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
PA,Centre,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
AZ,Maricopa,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/19/2017 17:09,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Loudon,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
TN,Monroe,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
IL,Sangamon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
IL,Kendall,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lehigh,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
OH,Knox,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
ME,Waldo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
VA,New Kent,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
OR,Lane,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,1,Completed,07/06/2017 14:24,Local PPO
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
IL,Jo Daviess,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
VA,Tazewell,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Tulare,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Pamlico,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Jefferson,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Johnson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
SC,Lexington,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
OK,Okfuskee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
ID,Blaine,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,269,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Okeechobee,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,226,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Morgan,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
MN,Chippewa,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Roseau,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Madison,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Taylor,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WV,Nicholas,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
TX,Cooke,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
IL,Gallatin,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
OK,Wagoner,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,Wexford,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CA,Alameda,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,32,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Clinton,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
TX,Harris,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,1,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Lea,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
AR,Pulaski,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,2,Completed,07/13/2017 12:29,HMO/HMOPOS
VA,Southampton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
MO,St. Francois,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AL,Clarke,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,20,0,Completed,07/25/2017 10:12,Local PPO
PA,Centre,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
SC,Orangeburg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NJ,Monmouth,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. James,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Potter,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
SC,Marion,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Petersburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KY,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
MS,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NH,Strafford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,2,0,Completed,07/18/2017 9:33,Local PPO
NY,Westchester,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
PA,Lehigh,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life Options (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H3907,32,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Union,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
AR,Bradley,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Lawrence,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Clackamas,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Ford,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NC,Granville,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Washington,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Union,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
PA,Northumberland,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
NE,Dodge,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
SC,Greenville,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Cowley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Plymouth,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Orangeburg,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
AL,Marengo,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
AL,Washington,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
GA,Walton,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
VA,Charlotte,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Hill,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bell,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
OH,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,20,0,Completed,07/24/2017 12:23,Local PPO
SD,Sully,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Jackson,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MD,Anne Arundel,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
GA,Dodge,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Gwinnett,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Freeborn,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
OR,Multnomah,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,1,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Sullivan,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
NM,Colfax,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
WA,Snohomish,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Cumberland,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NY,Richmond,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Smith,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,1,0,Completed,07/28/2017 11:13,Local PPO
GA,Lincoln,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
PA,Washington,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,17,0,Completed,07/25/2017 10:12,Local PPO
MT,Silver Bow,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
GA,Forsyth,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
VA,Loudoun,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
ME,Sagadahoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
PA,Crawford,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AR,Benton,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
GA,Marion,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Alleghany,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Ouachita,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Iberia,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,Snohomish,Humana Inc.,Humana Gold Plus H5619-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,59,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,King,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,2,0,Completed,07/26/2017 17:12,HMO/HMOPOS
NC,Avery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
PA,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,Baxter,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
TN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,East Baton Rouge,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,146,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Stokes,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Winona,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Daviess,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Madison,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Oconto,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Washington,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Concho,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Westchester,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Oneida,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
HI,Honolulu,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,43,0,Completed,07/24/2017 12:23,Local PPO
MN,Cass,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Marshall,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Redwood,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Monroe,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Morgan,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Putnam,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TN,Perry,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Brown,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Hubbard,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sherburne,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
GA,Paulding,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IA,Carroll,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
MO,Platte,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Sarasota,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
GA,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NY,Ontario,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Arroyo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,5,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
WV,Brooke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
VA,Norfolk City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,East Baton Rouge,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
KY,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Todd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
AL,Pike,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
LA,Grant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Rains,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Lavaca,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
VA,Hampton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Loudon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Norfolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Kings,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NC,Rockingham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
IL,Kane,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
SC,Laurens,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
TX,Hill,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
IN,Spencer,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
HI,Maui,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,41,0,Completed,07/25/2017 10:12,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Ritchie,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
OK,Stephens,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Jasper,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
KS,Labette,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Boulder,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
CT,Tolland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
OK,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Chowan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Russell,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
NY,Otsego,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Bledsoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Maury,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Wythe,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
IN,Starke,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Grimes,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Irion,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Louisa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,13,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
TN,Grundy,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,St. Clair,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,13,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Monroe,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MO,St. Louis,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
PR,Mayaguez,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Seneca,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
GA,Elbert,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Dodge,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MI,Cass,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
AR,Pope,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OH,Pike,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
NY,Herkimer,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
WI,Sheboygan,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
NJ,Camden,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Cape May,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Lee,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
NJ,Hudson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
GA,Gwinnett,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Harrison,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
MO,Marion,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
AL,Cleburne,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Cullman,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
WI,Lincoln,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MD,Queen Anne s,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
PA,Chester,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,37,0,Completed,07/24/2017 12:23,Local PPO
IN,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Pennington,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
GA,Pickens,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Pike,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Chambers,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,Limestone,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Roane,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Polk,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Crockett,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
OH,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Richmond,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
ND,Richland,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
IN,Lawrence,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
VA,Cumberland,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
AR,Washington,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
FL,St. Johns,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
CO,Fremont,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
CO,Gilpin,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IL,Rock Island,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
WA,Walla Walla,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
OH,Morrow,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
VA,Russell,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
IA,Winneshiek,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
FL,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
CO,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
MD,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
NC,Wake,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Trujillo Alto,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
OK,Latimer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Seneca,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
NY,Richmond,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
NY,Saratoga,Humana Inc.,HumanaChoice H5970-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,8,0,Completed,07/25/2017 10:12,Local PPO
CA,Stanislaus,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,21,0,Completed,07/27/2017 13:34,HMO/HMOPOS
IL,Madison,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Washington,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Martin,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Holt,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
KS,Barber,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MO,Clinton,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
SD,Miner,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Morrison,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,Gregory,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
PA,Lancaster,Capital BlueCross,BlueJourney Alliance Heart and Diabetes Care (HMO SNP),Y,N,N,Y,Y,100,0,0,511,0,256,H3962,19,0,Completed,07/27/2017 12:53,HMO/HMOPOS
OH,Mercer,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
WV,Pocahontas,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,San Patricio,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Erath,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,San Jacinto,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
IN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Vigo,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,53,0,Completed,07/24/2017 10:45,HMO/HMOPOS
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
PA,Butler,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,138,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Menard,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Gregg,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
IA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ND,Billings,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
AL,Chilton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Broward,"UnitedHealth Group, Inc.",Preferred Choice Broward (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,1,Completed,07/17/2017 11:05,HMO/HMOPOS
NY,Kings,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Newport News City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Ventura,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Ventura (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,34,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,38,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,38,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,Lynn,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
PA,Cameron,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Hoke,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
VA,Portsmouth City,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
TN,Weakley,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,Kings,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
MN,Lake,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
SC,Greenville,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
ND,Burleigh,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OK,Stephens,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
SD,Custer,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Mercer,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Grimes,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,Wood,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
KY,McCracken,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
AR,Boone,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MS,Kemper,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
AL,Barbour,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,96,0,Completed,07/25/2017 10:12,Local PPO
CO,Custer,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
IA,Butler,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
PA,Lebanon,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,4,0,Completed,06/12/2017 11:28,1876 Cost
NY,Dutchess,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Camden,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,14,0,Completed,07/12/2017 15:39,Local PPO
FL,Pasco,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
AL,Talladega,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,5,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Greene,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,Poweshiek,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Passaic,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,80,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Elbert,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,Orange,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,60,0,Completed,07/12/2017 15:39,HMO/HMOPOS
SD,Aurora,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Grant,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Mellette,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Taylor,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WA,Douglas,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Bayamon,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Pope,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
PA,Potter,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Freeborn,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Tipton,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Kleberg,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Hays,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,Pima,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,6,0,Completed,07/25/2017 11:49,HMO/HMOPOS
IL,Moultrie,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
VA,Buckingham,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
AL,Limestone,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
MI,Ontonagon,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MS,Harrison,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
NC,Polk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,8,0,Completed,06/26/2017 14:13,HMO/HMOPOS
PA,Perry,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
IL,Ogle,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
OK,Canadian,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Lane,PacificSource Health Plans,PacificSource Medicare Explorer Rx 4 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,4,0,Completed,06/15/2017 15:55,Local PPO
OR,Coos,PacificSource Health Plans,PacificSource Medicare Explorer Rx 7 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,7,0,Completed,06/15/2017 15:55,Local PPO
KY,Floyd,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
OH,Coshocton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
ID,Ada,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,9,0,Completed,06/07/2017 12:34,HMO/HMOPOS
SC,Saluda,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
FL,Dade,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
VA,Lexington City,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Washington,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Fulton,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Iredell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Clinton,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
VA,Henrico,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Clarendon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
SC,Kershaw,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
KS,Miami,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
FL,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
MO,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NY,Saratoga,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,112,0,Completed,07/12/2017 15:39,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Schenectady,Humana Inc.,HumanaChoice H5970-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,8,0,Completed,07/25/2017 10:12,Local PPO
TX,Coleman,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Crockett,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
NY,Ulster,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,10,0,Completed,06/28/2017 12:35,Local PPO
VT,Addison,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
PA,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
WV,Marshall,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
NE,Thurston,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
WI,Outagamie,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
NM,Sandoval,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,47,0,Completed,07/24/2017 12:23,Local PPO
WI,Chippewa,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,2,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Personal Choice 65 Medical Only (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,7,0,Completed,07/24/2017 10:45,Local PPO
MD,Howard,"Medstar Health, Inc.",MedStar Medicare Choice Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,9,0,Completed,07/11/2017 8:53,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
FL,Sumter,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WV,Gilmer,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Vieques,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Cumberland,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Watauga,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
IL,Cass,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
TX,Williamson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,6,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Loudon,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
TX,Hidalgo,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NC,Cleveland,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Giles,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Will,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/25/2017 10:12,Medicare-Medicaid Plan HMO/HMOPOS
MN,Pennington,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
GA,Pickens,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
WV,Jefferson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
KS,Johnson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
WV,Barbour,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
WV,Braxton,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MO,St. Louis City,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
ME,Kennebec,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
TX,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
PR,Juncos,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Banner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Presidio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NC,Davie,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
ME,Waldo,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
NJ,Somerset,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
OH,Butler,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,87,0,Completed,07/12/2017 15:39,Local PPO
VA,Manassas City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
MO,St. Louis City,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
AR,Carroll,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
VA,Bland,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
PA,McKean,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OK,McClain,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MI,Kent,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
SD,Marshall,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Panola,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
NY,Queens,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/07/2017 14:53,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
LA,Jefferson,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,Jefferson,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
NC,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Clinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
OH,Delaware,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
OH,Franklin,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
CO,Broomfield,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Fillmore,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
GA,Chattooga,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Kent,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,13,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Jackson,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
CA,Ventura,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Mille Lacs,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,2,Completed,06/29/2017 13:12,HMO/HMOPOS
TN,Crockett,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,DeKalb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,McLeod,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
WI,Columbia,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MT,Lewis and Clark,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
GA,Gwinnett,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Yabucoa,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H2171,1,0,Completed,06/22/2017 12:46,HMO/HMOPOS
OR,Polk,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
AL,Mobile,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,Baldwin,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
NJ,Union,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
GA,Twiggs,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Riley,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
KS,Sheridan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
WV,Morgan,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Arlington,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Butler,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
KY,Logan,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MT,Mineral,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MT,Mineral,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
UT,Cache,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
MA,Hampden,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Josephine,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
FL,Duval,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
SC,Hampton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
GA,Stephens,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Carroll,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Johnston,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Clermont,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Taos,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Tillman,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OR,Washington,PacificSource Health Plans,PacificSource Medicare MyCare Rx 31 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,31,1,Completed,06/15/2017 15:55,HMO/HMOPOS
MS,Stone,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
OH,Hamilton,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
TN,Pickett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Essex,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Columbia,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Faribault,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pennington,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stearns,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Cocke,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,Madison,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WV,Logan,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
MI,Osceola,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PA,Montour,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
PR,San German,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Nemaha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Gregg,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
GA,Cherokee,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,177,0,Completed,07/12/2017 15:39,Local PPO
NJ,Camden,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,123,0,Completed,07/12/2017 15:39,Local PPO
TX,Gillespie,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,Jefferson,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
IN,Orange,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
VA,Powhatan,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
MO,Callaway,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
VA,James City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
TX,Walker,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
SD,Lake,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
WI,Portage,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Clay,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TX,Brooks,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,Pipestone,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Murray,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
SC,Chester,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
PR,Mayaguez,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Cleveland,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,59,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MT,Rosebud,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Fauquier,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
ME,Kennebec,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
AR,Pope,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Queens,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Pender,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AR,Franklin,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IA,Jackson,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
HI,Kauai,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Caldwell,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus SNP-DE H1036-241 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,241,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Parke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Kosciusko,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
KY,Cumberland,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Uvalde,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Lawrence,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
TX,Jones,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
AR,Baxter,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
NC,Henderson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
IN,Allen,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
NY,Chenango,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WI,Green,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Fayette,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
UT,Weber,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
IL,Kane,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6080,1,0,Completed,07/26/2017 16:58,Medicare-Medicaid Plan HMO/HMOPOS
AL,Shelby,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Tippecanoe,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
WI,St. Croix,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Madison,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
OH,Cuyahoga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Prince William,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Schenectady,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NY,Albany,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
AL,Colbert,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Jackson,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
MI,Osceola,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
TN,Anderson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
PA,Somerset,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,Fairfax,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,White,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Macon,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
VA,Goochland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Henrico,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
OH,Hamilton,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,2,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,186,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Madison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Macon,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NY,Kings,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,8,7,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Garland,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
MS,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,1,Completed,07/27/2017 12:35,HMO/HMOPOS
OR,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
NM,Luna,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
ND,Stark,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
NY,Westchester,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Russell,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Kenton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Pendleton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Jefferson,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Winston,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
GA,Newton,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NY,Montgomery,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
RI,Newport,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,06/05/2017 13:34,Medicare-Medicaid Plan HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,213,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Floyd,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Westmoreland,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OR,Jackson,ATRIO Health Plans,ATRIO Silver Rx (Rogue) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,16,0,Completed,06/28/2017 15:06,Local PPO
OH,Geauga,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
OH,Lake,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
PA,Juniata,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
IA,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Stephens,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Screven,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Roane,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Columbia,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Hamilton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,118,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,36,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Schuylkill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan Heart & Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,10,0,Completed,07/27/2017 20:51,HMO/HMOPOS
GA,Barrow,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,Beckham,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
GA,Lowndes,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Queens,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,1,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,Washington,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
PA,Chester,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
WA,King,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
MI,Montcalm,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
TN,Dyer,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Haywood,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Warren,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Clinton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Miami,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Winona,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst AssuredCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,35,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
FL,Osceola,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,56,0,Completed,07/18/2017 13:53,HMO/HMOPOS
WI,Racine,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
PR,Ciales,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,San Juan,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
SC,Berkeley,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
AR,Clay,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Union,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
UT,Davis,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2486,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Patrick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Stark,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,McDowell,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
AL,Walker,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Silver - NY (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,19,0,Completed,07/26/2017 18:49,HMO/HMOPOS
OH,Lucas,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
KS,Jackson,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
GA,Floyd,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OK,Pittsburg,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
TN,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Livingston,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,Oxford,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
ME,Somerset,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,Onondaga,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
VA,Frederick,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Muskingum,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IN,Tipton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
IN,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
MN,Lincoln,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Watonwan,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
WA,King,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1894,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Bronx,"Village Care of New York, Inc.",VillageCareMAX Full Advantage FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9345,1,0,Completed,07/25/2017 10:44,Medicare-Medicaid Plan HMO/HMOPOS
MN,Mower,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Todd,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TX,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Dubois,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
SD,Yankton,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MS,Clay,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
MS,Lawrence,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
AR,Lincoln,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,56,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,New Kent,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Weld,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
WI,Sheboygan,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Pitt,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Vance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
MN,Beltrami,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Pike,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
TX,Bexar,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
WV,Doddridge,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
MS,Covington,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Curry,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
MN,Dakota,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
IL,Kendall,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
WI,Lafayette,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
TX,Bandera,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Berkeley,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
MN,Olmsted,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
NC,Wilkes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NY,Niagara,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Jack,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CT,Middlesex,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
PA,Delaware,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Callaway,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
KS,Leavenworth,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
CO,Teller,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,2,Completed,07/25/2017 10:12,Local PPO
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Morrison,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
GA,Coweta,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Ontonagon,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
PR,San German,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Lake,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
KY,Jackson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
FL,Martin,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,62,0,Completed,07/25/2017 10:12,Local PPO
IA,Jefferson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Red Lake,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
IL,Cook,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
AR,Marion,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
KY,Boone,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
VA,Appomattox,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
CO,Park,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MN,Stearns,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
OH,Clark,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Franklin,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Allen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
VA,Chesapeake City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,8,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
OR,Marion,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H5995,1,0,Completed,06/28/2017 15:06,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Hardeman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MS,DeSoto,Humana Inc.,Humana Gold Plus H1036-223 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,223,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Adams,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
GA,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Montour,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
MD,Carroll,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,29,0,Completed,07/25/2017 10:12,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
NY,Westchester,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NE,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
UT,Salt Lake,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,101,0,Completed,07/12/2017 15:39,Local PPO
FL,Duval,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Forsyth,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
TX,Bexar,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,4,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Rockwall,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KS,Bourbon,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
NE,Knox,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Caswell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Richmond,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Northampton,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,1,Completed,07/20/2017 14:11,Local PPO
AR,Lonoke,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Denton,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
IA,Muscatine,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Pope,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MT,Yellowstone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Somerset,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
CA,Stanislaus,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,31,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Callaway,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Bates,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lebanon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
NJ,Essex,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Todd,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
CA,Orange,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,15,0,Completed,07/21/2017 17:33,HMO/HMOPOS
KY,Breckinridge,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,Caroline,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Pulaski,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
VA,Powhatan,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Weber,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
VA,Hanover,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Madison,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
MT,Lewis and Clark,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
KS,Johnson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6550,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
PA,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Humacao,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CT,Hartford,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
CT,Middlesex,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
MI,Ottawa,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
GA,Appling,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Spalding,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AR,Faulkner,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
PA,Northampton,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
OH,Erie,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
TX,Nueces,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Dallas,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,San Patricio,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
VA,Colonial Heights City,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
CT,Middlesex,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Orange,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Suffolk,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,Cambria,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,Gwinnett,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,4,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4868,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
KS,Lane,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
MO,Bollinger,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Florence,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Placer,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,38,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,2,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,35,0,Completed,07/06/2017 14:45,HMO/HMOPOS
NY,Albany,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
AL,Autauga,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
IL,Greene,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Hickory,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,3,0,Completed,07/24/2017 14:11,HMO/HMOPOS
IA,Jackson,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Conway,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
KS,Sumner,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
TN,White,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
IN,Adams,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
IA,Crawford,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
FL,Polk,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,Somerset,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
OH,Stark,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
NE,Garfield,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
KS,Decatur,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
WI,Marathon,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
PR,Hatillo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,61,0,Completed,07/18/2017 13:53,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AL,Mobile,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,20,0,Completed,07/25/2017 10:12,Local PPO
GA,Barrow,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Flex (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3251,21,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NY,Richmond,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
ME,Androscoggin,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Saginaw,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
GA,Ben Hill,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Hart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Fairfax City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Powell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Perry,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
TN,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Pointe Coupee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Carroll,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MO,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Kern,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Stanislaus,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,147,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
WI,Pierce,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Crockett,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
VA,Hanover,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Burke,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
AL,Chilton,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
WI,Winnebago,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NH,Hillsborough,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,5,0,Completed,07/25/2017 8:54,HMO/HMOPOS
SD,Spink,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nicollet,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Oglethorpe,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Walton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,Autauga,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,San Patricio,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
IN,Jennings,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
TX,Blanco,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Smyth,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
TX,Terry,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Adams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Cass,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MN,Marshall,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MO,Laclede,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
VA,Roanoke City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Adams,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Wilson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Warren,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
IN,Tippecanoe,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,Steuben,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
KY,Hickman,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
OH,Adams,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
AR,Cross,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
SC,York,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Rockland,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,3,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,Clark,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
MO,Caldwell,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
MO,Cedar,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
WV,Logan,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
NC,Tyrrell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
LA,St. Charles,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Fulton,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
NC,Halifax,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,Philadelphia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,Butler,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,Glascock,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
NY,Greene,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Broward,Humana Inc.,Humana Gold Plus SNP-DE H1036-103A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,103,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,51,0,Completed,07/24/2017 10:45,HMO/HMOPOS
NY,Nassau,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,109,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Swain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
MN,Benton,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kittson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clay,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
PR,Vega Alta,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
GA,Coweta,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IN,Huntington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
NY,Warren,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Columbia,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Rusk,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lincoln,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Cass,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
MN,Mower,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Grainger,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,DeKalb,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,Wichita,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Blount,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
SC,Newberry,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MO,St. Louis City,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
MN,Houston,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pope,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
LA,Iberia,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
VT,Windham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Osceola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,St. Johns,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
TN,Rhea,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
WA,Snohomish,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,3,0,Completed,07/10/2017 17:32,HMO/HMOPOS
IL,Jasper,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Henry,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
WV,McDowell,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
NM,Luna,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
MS,Chickasaw,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
TN,Sequatchie,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Davis,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Bucks,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,Denver,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MN,Hubbard,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
LA,Bienville,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
ME,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,8,Completed,07/17/2017 11:05,HMO/HMOPOS
PA,Clarion,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,Meigs,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Hancock,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
NM,Los Alamos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
PA,Lehigh,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,4,Completed,06/29/2017 13:12,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Johnson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TN,White,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
AR,Chicot,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Liberty,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Gloucester,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Mercer,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
GA,DeKalb,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
NC,Surry,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Morgan,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MN,Morrison,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
AL,Etowah,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
MO,Lincoln,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Northampton,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AL,Houston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
AL,Lee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
WV,Wirt,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MI,Marquette,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
WI,Iowa,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,2,0,Completed,06/12/2017 11:28,1876 Cost
FL,Osceola,Anthem Inc.,Simply Level (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H5471,42,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,2,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
KS,Butler,Aetna Inc.,Coventry Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,17,0,Completed,07/12/2017 15:39,Local PPO
KS,Lyon,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Somerset,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,Armstrong,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
ME,Waldo,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Craig,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Tammany,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
PR,Anasco,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
FL,Indian River,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,Marion,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
MN,Benton,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wright,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
SD,Beadle,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
FL,Hernando,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Warren,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IL,Ogle,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
IL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Montgomery,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
KS,Butler,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Clay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KS,Sedgwick,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
PR,Comerio,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Brewster,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
CA,Mendocino,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Daniels,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Fort Bend,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
GA,Macon,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
MN,Brown,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mower,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,Winona,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Winona,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
PA,Bucks,"Independence Health Group, Inc.",Personal Choice 65 Medical Only (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,7,0,Completed,07/24/2017 10:45,Local PPO
PA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Champaign,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
IA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
KS,Jefferson,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,Bandera,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sequatchie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Crow Wing,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Sherburne,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Chisago,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
GA,Rockdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,16,0,Completed,06/26/2017 13:34,HMO/HMOPOS
GA,Taliaferro,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
WV,Tyler,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
KY,Woodford,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
CO,Costilla,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,All,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
MT,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NE,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
MD,All,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,129,0,Completed,07/25/2017 10:12,Local PPO
UT,All,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,131,0,Completed,07/25/2017 10:12,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,75,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,81,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,90,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,97,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,07/20/2017 14:41,HMO/HMOPOS
OH,All,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5280,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,CIGNA,Leon Medical Centers Health Plans - Leon Cares (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Classic offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,5,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,33,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,60,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,87,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,24,0,Completed,07/24/2017 12:23,PFFS
WY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OR,All,Centene Corporation,Health Net Violet 3 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,15,0,Completed,07/06/2017 14:24,Local PPO
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H5471,42,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,51,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,52,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,59,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,61,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,63,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,3,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,11,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IN,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,18,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OK,Noble,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
IA,Wapello,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Greene,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
TX,Kimble,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NE,Merrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NE,Wheeler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
UT,Utah,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,101,0,Completed,07/12/2017 15:39,Local PPO
ME,Oxford,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
FL,Polk,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MA,Norfolk,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/ Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,4,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Lake,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
WV,Upshur,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
MO,Wright,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
VA,Loudoun,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
TX,Taylor,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Jim Wells,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
CO,Douglas,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IN,Brown,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
IL,Sangamon,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
PR,Hormigueros,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PA,Bradford,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Floyd,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
MN,Carver,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
GA,Fulton,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,1,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,Dickson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Williamson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
IN,Elkhart,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
PR,Toa Alta,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
AR,Crittenden,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Arkansas,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
TX,Cameron,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OH,Wood,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Clarke,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,Parker,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
FL,Walton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Madison,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NC,Anson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
WV,Mineral,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-084 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,84,0,Completed,07/25/2017 10:12,Local PPO
PA,Perry,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
PA,Clinton,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
TX,Willacy,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,14,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MO,Polk,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,Essex,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Northumberland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Coffee,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
CA,San Francisco,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,45,0,Completed,06/26/2017 14:13,HMO/HMOPOS
IN,Dearborn,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Perry,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
IL,Knox,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
PA,Erie,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
PR,Manati,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
OH,Lake,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3251,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,5,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Jasper,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,Pike,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,Tazewell,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
MO,Ste. Genevieve,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
OK,Kay,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Cabell,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
AR,Boone,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Manassas City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Spartanburg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
VA,Buckingham,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,West Feliciana,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Duplin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Dale,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
MS,George,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,Chester,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MD,Anne Arundel,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,San Lorenzo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
GA,Gwinnett,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Jasper,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Clay,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Warren,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
MO,Pulaski,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
NM,McKinley,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
VA,Virginia Beach City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Ontario,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
TX,Williamson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,103,0,Completed,07/12/2017 15:39,Local PPO
VA,Manassas Park City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Hart,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Jasper,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,Henderson,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
KS,Crawford,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
FL,Collier,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,9,0,Completed,07/24/2017 12:23,Local PPO
NY,Bronx,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,1,0,Completed,07/25/2017 10:44,HMO/HMOPOS
AR,Searcy,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Huntington,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Buchanan,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
KY,Bourbon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Woodford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Bedford,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
OK,Oklahoma,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Payette,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
IL,McHenry,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,3,0,Completed,07/26/2017 16:56,HMO/HMOPOS
NE,Douglas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Stewart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Sheboygan,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
CA,Placer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,146,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
KY,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,27,0,Completed,07/12/2017 15:39,Local PPO
NJ,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,37,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,59,0,Completed,07/12/2017 15:39,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,100,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,118,0,Completed,07/12/2017 15:39,Local PPO
WA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,127,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,148,0,Completed,07/12/2017 15:39,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,149,0,Completed,07/12/2017 15:39,Local PPO
MA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,158,0,Completed,07/12/2017 15:39,Local PPO
LA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,178,0,Completed,07/12/2017 15:39,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,186,0,Completed,07/12/2017 15:39,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Premium Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,190,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,4,0,Completed,07/12/2017 15:39,Local PPO
KY,All,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,5,0,Completed,07/26/2017 8:03,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,7,0,Completed,07/26/2017 8:03,Local PPO
NY,All,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Classic (HMO),Y,Y,N,N,N,,,,,,,H5549,8,0,Completed,07/19/2017 13:57,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,3,Completed,07/25/2017 8:54,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,8,0,Completed,07/25/2017 8:54,HMO/HMOPOS
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,13,0,Completed,07/25/2017 8:54,HMO/HMOPOS
CO,All,Denver Health and Hospital Authority,Denver Health Medicare Select (HMO),Y,N,Y,N,N,,,,,,,H5608,2,0,Completed,07/31/2017 15:53,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-080 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,80,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-102 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,All,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,9,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,2,0,Completed,07/28/2017 18:46,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5656,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WA,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
OR,All,"CareOregon, Inc.",CareOregon Advantage Star (HMO),Y,Y,Y,Y,N,,,0,402,0,201,H5859,3,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,5,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,5,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,2,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/26/2017 13:05,HMO/HMOPOS
NY,All,Humana Inc.,HumanaChoice H5970-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,8,0,Completed,07/25/2017 10:12,Local PPO
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,3,0,Completed,07/25/2017 14:48,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H5995,1,0,Completed,06/28/2017 15:06,HMO/HMOPOS
TN,Obion,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IA,Henry,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NC,Alamance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Prince William,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Pointe Coupee,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,2,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
DE,Kent,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Butts,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Rockdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Alexander,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
LA,Washington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Herkimer,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
OH,Hamilton,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Hampton,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bibb,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Crawford,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Forsyth,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TN,Sullivan,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Hall,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,DeKalb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
OK,Grady,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
OH,Fayette,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
AR,Van Buren,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WI,Sheboygan,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
TX,Hardin,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
TX,San Jacinto,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
VA,Portsmouth City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
PR,San German,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Jim Wells,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
OH,Brown,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,20,0,Completed,07/12/2017 15:39,Local PPO
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Rabun,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
VA,Franklin,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
WV,Lincoln,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
WV,Berkeley,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MN,Cass,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Buena Vista,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,1,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
PA,Lawrence,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
NC,Person,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Ray,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
GA,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
MN,Hennepin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
SD,Fall River,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Scott,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Big Stone,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
LA,St. John the Baptist,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,Greene,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
TN,Hamblen,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Warrick,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
OH,Franklin,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
WI,Lincoln,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
NJ,Passaic,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
NY,Niagara,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/ Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,4,0,Completed,07/26/2017 10:13,HMO/HMOPOS
FL,Lee,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
AR,Franklin,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
AR,Fulton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OH,Darke,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
VA,King George,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
SD,Deuel,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Denton,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
OH,Pickaway,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
GA,Irwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,72,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,61,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Rensselaer,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
NJ,Essex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,30,0,Completed,07/26/2017 10:13,HMO/HMOPOS
OH,Lucas,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
MO,Jefferson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
MN,Faribault,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Owsley,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,Tioga,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
OK,Kingfisher,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
KY,Morgan,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
LA,St. Bernard,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
MS,DeSoto,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
SD,Hamlin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WI,Douglas,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
AL,Russell,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
AL,Etowah,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
FL,Pinellas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
FL,Seminole,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
PR,Guanica,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KS,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
FL,Sarasota,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
TX,Bastrop,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,103,0,Completed,07/12/2017 15:39,Local PPO
PR,Moca,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Bryan,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
TN,Madison,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
PR,Dorado,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Chambers,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
NY,Livingston,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Paulding,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
MO,Johnson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NC,Rockingham,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,17,0,Completed,07/25/2017 10:12,Local PPO
IA,Ida,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Jasper,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
CO,Grand,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6526,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,2,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,All,Humana Inc.,Humana Gold Plus H6622-028 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,All,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,All,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Silver (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,2,0,Completed,06/28/2017 15:06,Local PPO
NH,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,1,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,All,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6947,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,2,0,Completed,07/25/2017 13:22,HMO/HMOPOS
NE,All,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,N,Y,Y,N,,,25,455,0,228,H7165,2,0,Completed,07/31/2017 13:54,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,1,0,Completed,07/10/2017 17:32,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,1,0,Completed,07/28/2017 11:13,Local PPO
SC,All,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
TX,All,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
GA,All,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
VA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CO,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,8,0,Completed,06/27/2017 16:06,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,3,0,Completed,07/31/2017 13:54,Local PPO
NY,All,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,445,0,228,H8029,1,0,Completed,07/18/2017 12:59,Medicare-Medicaid Plan HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,12,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,All,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
FL,All,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
VA,All,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,91,0,Completed,07/25/2017 10:12,PFFS
IL,All,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MO,All,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
WV,All,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,3,0,Completed,06/14/2017 16:42,Local PPO
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Montage Health,Aspire Health Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8764,3,0,Completed,07/26/2017 12:33,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
MI,All,Humana Inc.,Humana Gold Plus H8908-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,All,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Standard Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,15,0,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,2,Completed,07/27/2017 12:35,HMO/HMOPOS
IN,Dearborn,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
PR,Manati,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
GA,Fulton,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,4,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,Stevens,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
VA,Hanover,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
TN,DeKalb,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Stewart,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,Allen,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
SC,Hampton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,Sebastian,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
MT,Missoula,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,8,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Bucks,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Smith,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IA,Woodbury,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
ID,Kootenai,Humana Inc.,Humana Gold Plus H5619-078 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,78,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Charlottesville City,Humana Inc.,Humana Gold Plus H5619-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Nelson,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NH,Hillsborough,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,2,0,Completed,07/06/2017 14:10,HMO/HMOPOS
GA,Clarke,"UNICO Premier, LLC",PruittHealth Premier D-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,McCreary,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Vinton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Clark,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
OK,Okmulgee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
ID,Camas,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,1,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,112,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,Santa Clara,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,2,0,Completed,06/06/2017 3:07,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,Schuyler,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
LA,Ascension,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Travis,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
OH,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,68,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,73,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Cortland,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
MN,Wabasha,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
CO,Las Animas,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
FL,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Bath,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Rhea,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Crow Wing,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Houston,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
WV,Pocahontas,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
GA,Jackson,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
TX,Nueces,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
OH,Morrow,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NM,Dona Ana,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
WA,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,2,Completed,06/26/2017 13:58,HMO/HMOPOS
FL,Dade,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,60,0,Completed,07/18/2017 13:53,HMO/HMOPOS
PA,Dauphin,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
PR,Fajardo,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
OH,Trumbull,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Hamilton,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,St. Charles,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
FL,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,176,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
IL,Warren,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
MO,Webster,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,King,Humana Inc.,Humana Gold Plus H5619-097 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,97,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,Beaufort,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
KY,Meade,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NH,Carroll,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
NC,Hyde,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
OH,Belmont,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,Seminole,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
MS,Forrest,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Chautauqua,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NY,Sullivan,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NY,Wyoming,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NE,Lancaster,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,Roanoke City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
OH,Defiance,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
IA,Dallas,Humana Inc.,HumanaChoice H5216-104 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,104,0,Completed,07/25/2017 10:12,Local PPO
TX,Callahan,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
PA,Carbon,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Hood,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
SD,Kingsbury,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
AZ,Pima,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,5,0,Completed,07/24/2017 12:23,Local PPO
PA,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Rincon,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
CA,Alpine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VT,Caledonia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Cameron,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,167,0,Completed,07/12/2017 15:39,Local PPO
WA,Pierce,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,128,0,Completed,07/12/2017 15:39,Local PPO
GA,Clarke,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TX,Harris,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
GA,DeKalb,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
PA,Washington,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AR,Conway,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
OK,Lincoln,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
GA,Crawford,Anthem Inc.,BCBSGa MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,5,0,Completed,07/18/2017 9:33,Local PPO
KY,Gallatin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
MS,Perry,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,Highland,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Johnson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
FL,Calhoun,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
TX,Wharton,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OK,Nowata,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
KY,Powell,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
AR,Pope,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Freeborn,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
IA,Delaware,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,1,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,1,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,5,Completed,07/27/2017 12:35,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Prime + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,37,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,39,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Enrich + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,45,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Summit + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,47,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NM,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
NM,All,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,8,0,Completed,06/07/2017 12:19,HMO/HMOPOS
OH,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,All,Catholic Health Initiatives,Classic Plus Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,1,0,Completed,07/27/2017 18:54,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,8,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,12,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,11,0,Completed,07/27/2017 18:54,HMO/HMOPOS
SC,All,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
MO,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,4,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,3,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,6,Completed,07/26/2017 11:41,Local PPO
RI,All,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,06/05/2017 13:34,Medicare-Medicaid Plan HMO/HMOPOS
GA,All,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,All,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
AR,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,2,Completed,07/13/2017 12:29,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Midwest MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9712,1,0,Completed,07/26/2017 14:26,Medicare-Medicaid Plan HMO/HMOPOS
NC,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9811,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,All,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
MD,All,"Medstar Health, Inc.",MedStar Medicare Choice (HMO),Y,N,Y,Y,N,,,455,455,228,228,H9915,8,0,Completed,07/11/2017 8:53,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
LA,All,Humana Inc.,HumanaChoice R0110-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0110,2,0,Completed,07/25/2017 10:12,Regional PPO
LA,All,Humana Inc.,HumanaChoice R0110-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0110,3,0,Completed,07/25/2017 10:12,Regional PPO
PA,All,Humana Inc.,HumanaChoice R0923-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,R0923,1,0,Completed,07/25/2017 10:12,Regional PPO
WV,All,Humana Inc.,HumanaChoice R0923-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0923,1,0,Completed,07/25/2017 10:12,Regional PPO
AR,All,Humana Inc.,HumanaChoice R1532-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1532,2,0,Completed,07/25/2017 10:12,Regional PPO
TX,All,Humana Inc.,HumanaChoice R4182-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R4182,1,0,Completed,07/25/2017 10:12,Regional PPO
TX,All,Humana Inc.,HumanaChoice R4182-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R4182,3,0,Completed,07/25/2017 10:12,Regional PPO
KS,All,Humana Inc.,HumanaChoice R4845-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R4845,1,0,Completed,07/25/2017 10:12,Regional PPO
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5329,1,0,Completed,07/24/2017 12:23,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 3 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5342,5,0,Completed,07/24/2017 12:23,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 4 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5342,6,0,Completed,07/24/2017 12:23,Regional PPO
WI,Iowa,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
SD,Roberts,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Kandiyohi,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Isanti,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MD,Somerset,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
LA,Ascension,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
FL,Hernando,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Henry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sequatchie,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,105,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
GA,Lumpkin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Branch,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Kent,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,1,Completed,07/24/2017 10:22,HMO/HMOPOS
AR,Pulaski,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Mason,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
GA,Muscogee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,4,Completed,06/29/2017 13:12,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PA,Centre,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
WA,King,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,128,0,Completed,07/12/2017 15:39,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MO,Warren,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
KY,Logan,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
MO,Wright,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
WV,Wood,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
IA,Davis,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NY,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Webster,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,St. Charles,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Lehigh,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,Sullivan,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
IN,Wells,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Northampton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Pottawatomie,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MS,Perry,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Norman,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
TN,Dyer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MN,Marshall,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
CA,Mendocino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,140,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,Franklin,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,Travis,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
VA,Suffolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Carroll,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,138,0,Completed,07/25/2017 10:12,Local PPO
TX,Erath,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
SD,Marshall,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
TN,Smith,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
SC,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Paulding,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
PA,Northampton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
NY,Dutchess,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Wayne,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Chenango,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,36,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,Kenosha,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
GA,Gilmer,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
IL,Brown,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
VA,Rockingham,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
PA,Adams,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Branch,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NC,McDowell,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,10,0,Completed,07/31/2017 15:04,HMO/HMOPOS
MO,Lincoln,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MO,Taney,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CO,Crowley,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
CO,Broomfield,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
WA,Cowlitz,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Banner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MO,Ralls,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KY,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NY,Suffolk,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
TX,Waller,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
PA,Lehigh,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
WV,Monroe,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
WV,Wirt,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
IN,Brown,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
IN,Ripley,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
TX,Edwards,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
GA,Clayton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
WV,Wetzel,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
OK,Johnston,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Grundy,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Adams,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
NY,Cayuga,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Schuyler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
MT,Prairie,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Chatham,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
SD,Gregory,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
TX,Atascosa,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
AL,DeKalb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
AZ,Pinal,Humana Inc.,Humana Gold Plus H2649-063 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,63,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,All,Humana Inc.,HumanaChoice R5361-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5361,2,0,Completed,07/25/2017 10:12,Regional PPO
FL,All,Humana Inc.,HumanaChoice R5826-074 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5826,74,0,Completed,07/25/2017 10:12,Regional PPO
OH,All,Anthem Inc.,Anthem MediBlue Access Core (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5941,13,0,Completed,07/18/2017 9:33,Regional PPO
AZ,All,Humana Inc.,HumanaChoice R7220-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7220,1,0,Completed,07/25/2017 10:12,Regional PPO
AZ,All,Humana Inc.,HumanaChoice R7220-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7220,2,0,Completed,07/25/2017 10:12,Regional PPO
TN,All,Humana Inc.,HumanaChoice R7315-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7315,2,0,Completed,07/25/2017 10:12,Regional PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Essential (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,4,0,Completed,07/24/2017 12:23,Regional PPO
SC,All,"UnitedHealth Group, Inc.",Care Improvement Plus Silver Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,9,0,Completed,07/24/2017 12:23,Regional PPO
OH,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,20,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MS,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CO,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,28,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OR,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,30,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MO,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,37,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KS,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,41,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CT,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,79,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TN,All,Tennessee Rural Health Improvement Association,Farm Bureau Select Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,6,0,Completed,07/31/2017 9:49,Medicare Prescription Drug Plan
WV,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,8,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
MT,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,20,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
NM,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,21,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
AL,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,71,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
VT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,76,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NY,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,77,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
ND,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,89,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NH,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,98,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
DC,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,102,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MD,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,102,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
VA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,104,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
IL,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,113,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,121,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NM,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,122,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NY,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5552,3,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Prescription Blue Option B (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5584,2,0,Completed,07/26/2017 11:41,Medicare Prescription Drug Plan
NH,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,3,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
VA,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,6,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
OH,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,13,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
KY,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,17,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,34,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
NV,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,62,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
NV,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,64,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
MA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,4,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
RI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,5,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NJ,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,8,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MD,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,10,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
DC,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,11,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
DE,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,11,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OH,Henry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Licking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Rockcastle,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
MA,Worcester,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
WV,McDowell,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
NM,Rio Arriba,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,Pawnee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NE,Sarpy,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Hancock,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Vigo,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,Marshall,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Iberville,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
NC,Gaston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Cass,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Benton,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Clearwater,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cottonwood,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MD,Montgomery,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
GA,Hart,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,White,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,1,Completed,07/24/2017 10:22,Local PPO
MI,Livingston,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Culpeper,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,DeKalb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
VA,Buena Vista City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
FL,Glades,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Nassau,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IA,Ringgold,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
TX,Gregg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Bronx,Jewish Guild for the Blind,GuildNet Gold Plus FIDA Plan POS (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H0811,1,0,Completed,07/26/2017 13:17,Medicare-Medicaid Plan HMO/HMOPOS
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Henderson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
NV,Lyon,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,8,0,Completed,06/27/2017 19:00,Local PPO
IL,Peoria,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
OH,Lake,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
LA,Red River,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
SC,Lee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,Clarendon,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Kennebec,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
SC,Orangeburg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
FL,Hardee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,Hanover,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,2,0,Completed,07/28/2017 9:42,HMO/HMOPOS
WI,Milwaukee,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Norfolk City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Ravalli,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
OR,Lincoln,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
TX,Collin,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
PR,San Juan,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
IL,Ogle,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
VA,Washington,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Harrisonburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Premium - LI (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,22,0,Completed,07/26/2017 18:49,HMO/HMOPOS
OH,Brown,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Fulton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Oldham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
VA,Appomattox,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
AR,White,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,6,Completed,07/13/2017 12:29,PFFS
SC,Richland,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
OK,Murray,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
AL,Lowndes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Adams,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
PA,Allegheny,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,46,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,6,Completed,07/17/2017 11:05,HMO/HMOPOS
VA,York,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lac qui Parle,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
WI,Washburn,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
KS,Harvey,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
AR,Craighead,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CA,Amador,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
PA,Wayne,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
NJ,Passaic,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Monroe,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
AR,Grant,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
VA,Lexington City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
VA,Portsmouth City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Ponce,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),N,N,N,N,N,,,,,,,H5826,10,0,Completed,06/29/2017 11:10,HMO/HMOPOS
NY,Westchester,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Stanly,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,Pierce,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
PA,Cumberland,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Fulton,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
AL,Madison,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Shenandoah,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
NY,Nassau,"QHP Financial Group, Inc.",Advantage Silver - NY (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,19,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NH,Rockingham,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KS,Bourbon,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
KY,Menifee,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
GA,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Marion,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Robertson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Yamhill,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
ND,Wells,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Cass,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Renville,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
SD,Faulk,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pennington,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
GA,Wilcox,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Macon,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Portage,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KY,Henderson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,Cobb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MD,Baltimore,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Greene,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MI,Ionia,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
SC,Anderson,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
KS,Republic,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
UT,Duchesne,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,131,0,Completed,07/12/2017 15:39,Local PPO
PR,San Juan,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MI,Oakland,Humana Inc.,Humana Value Plus H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,133,0,Completed,07/25/2017 10:12,Local PPO
PA,Juniata,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
WV,Doddridge,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
MN,Swift,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
WI,Dane,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
MN,Pennington,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mower,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Big Stone,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
TN,Wilson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Scott,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Forsyth,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Mecosta,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
OK,Pottawatomie,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MI,Allegan,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
OK,Muskogee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OK,Seminole,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
FL,Calhoun,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,61,0,Completed,07/25/2017 10:12,PFFS
NY,Rensselaer,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
KY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Fulton,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Stark,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
KY,Martin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,Morgan,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
MN,Marshall,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WA,Kittitas,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
AR,Johnson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Palo Alto,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IL,Pike,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
AL,Jefferson,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
IA,Mills,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
CT,New London,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Floyd,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,St. Bernard,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,2,0,Completed,07/26/2017 17:12,HMO/HMOPOS
TX,McLennan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
AL,Lauderdale,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
NY,Oneida,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
NY,Schuyler,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
VA,Charles City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Boone,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
TN,Polk,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
MO,Douglas,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
WV,Monongalia,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Wilson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
AR,Clark,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OK,Lincoln,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,McPherson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
NY,Sullivan,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
TX,Smith,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
GA,Houston,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
GA,Johnson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Loudon,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,3,0,Completed,07/25/2017 10:12,PFFS
MI,Monroe,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
TN,Moore,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
CA,Riverside,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,1,Completed,10/17/2017 0:50,HMO/HMOPOS
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
CA,Riverside,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,1,0,Completed,07/28/2017 18:46,HMO/HMOPOS
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
VA,Surry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
PA,Carbon,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
MN,Ramsey,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
OK,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Fairfield,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
OH,Highland,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
VA,Manassas City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
AR,White,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,4,Completed,07/13/2017 12:29,PFFS
LA,St. Tammany,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MD,Garrett,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
NY,Sullivan,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
FL,Duval,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
IN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Posey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Belmont,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
IA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Nassau,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,6,0,Completed,07/24/2017 12:23,Local PPO
NC,Burke,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
MD,Baltimore City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
NY,Columbia,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Brunswick,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
NC,Duplin,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VT,Windsor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Macon,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TX,Ector,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Panola,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TN,Bledsoe,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
AR,Dallas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Decatur,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Marion,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
CO,Crowley,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
MT,Stillwater,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Effingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Houston,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Norman,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
TX,San Patricio,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Mingo,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WV,Upshur,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
KS,Cherokee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
SC,York,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
AR,Cross,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
CA,Orange,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,61,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,Barton,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lehigh,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
NJ,Salem,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
MI,Gogebic,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
GA,Laurens,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
MD,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
SD,Potter,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
GA,Schley,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
GA,Twiggs,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
CO,Custer,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
PR,Isabela,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KS,Douglas,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Clayton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
IL,Monroe,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,41,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,Middlesex,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,122,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
GA,Pickens,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Davidson,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
OH,Fairfield,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
VA,Wythe,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
KY,Scott,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Ada,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,3,Completed,06/29/2017 13:12,Local PPO
PA,Sullivan,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
NC,Scotland,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Carter,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
OH,Fayette,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,Clermont,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
CO,Jefferson,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
MO,Ste. Genevieve,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Hickman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,97,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
SC,Pickens,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,Tripp,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Wabasha,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Roseau,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Bleckley,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
UT,Salt Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
PA,Jefferson,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,4,Completed,06/29/2017 13:12,HMO/HMOPOS
NC,Davie,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Cannon,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Chester,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Essex,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Chester,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Rockland,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IA,Story,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
MO,Ray,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
AR,Pulaski,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
WV,Wayne,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Fayette,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Houston,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Josephine,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,51,0,Completed,06/26/2017 13:34,Local PPO
CO,Arapahoe,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,Larimer,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,21,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MT,Cascade,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,5,Completed,07/27/2017 13:39,HMO/HMOPOS
TN,Hancock,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
IL,Fulton,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
ME,Cumberland,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Bradford,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
AL,Etowah,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Scott,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Oakland,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
OH,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Halifax,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,7,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Geauga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Logan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Hocking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Robertson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
AR,Izard,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NY,Essex,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
MO,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
KY,Campbell,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Concho,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Washington,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,81,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Virginia Beach City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,88,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WI,Trempealeau,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
ND,Ransom,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Freeborn,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Houston,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MA,Essex,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
KY,Boyle,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
TX,Orange,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Salem City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,102,0,Completed,07/12/2017 15:39,Local PPO
VA,Chesterfield,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
NC,Rowan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
ME,York,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,142,0,Completed,07/12/2017 15:39,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Hays,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Sussex,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
MN,Chippewa,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Van Zandt,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Lubbock,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MS,Clarke,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
FL,Santa Rosa,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
TN,Shelby,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
MN,Kittson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SD,Fall River,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
GA,Cobb,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,71,0,Completed,07/25/2017 10:12,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
OH,Carroll,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
TN,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
CA,San Luis Obispo,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,28,0,Completed,07/18/2017 9:33,Local PPO
NY,Fulton,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
VA,Middlesex,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
GA,Cobb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,130,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WI,Monroe,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
WI,Walworth,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Burleson,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Somervell,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
NC,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
NC,Randolph,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
IL,Champaign,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
FL,Palm Beach,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IA,Carroll,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
VA,Bland,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
AL,Fayette,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
TN,Maury,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
UT,Wasatch,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,2,Completed,06/29/2017 13:12,HMO/HMOPOS
NJ,Mercer,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Warren,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Overton,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
PA,Crawford,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7326,2,0,Completed,07/28/2017 11:13,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
AR,Desha,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Grant,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Mississippi,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
OH,Miami,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Charlotte,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
TX,El Paso,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8786,1,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
OR,Hood River,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,Washington,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
IL,Livingston,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
KY,Jefferson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,Forest,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
WA,King,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Wright,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MS,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,Montgomery,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
OK,Tillman,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NY,Madison,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
TN,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Guilford,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,5,0,Completed,06/21/2017 11:26,Local PPO
ID,Nez Perce,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,1,0,Completed,07/26/2017 17:12,Local PPO
NC,Scotland,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
PR,Barranquitas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Kearney,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VT,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
NE,Gosper,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Culberson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
MO,Ray,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Palo Pinto,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
WA,Kitsap,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
KS,Sedgwick,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MN,Le Sueur,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
IA,Polk,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
AL,Houston,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,96,0,Completed,07/25/2017 10:12,Local PPO
CO,Costilla,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
PR,Humacao,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Sabana Grande,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
PR,Rio Grande,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,2,Completed,07/26/2017 16:51,HMO/HMOPOS
MN,Dodge,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
PA,Berks,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
VA,Dickenson,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
SC,Greenville,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,2,0,Completed,07/26/2017 17:12,HMO/HMOPOS
OH,Williams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Dual Coverage (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,24,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day In Control Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,27,0,Completed,07/17/2017 20:44,HMO/HMOPOS
IA,Cherokee,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Moore,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
FL,Highlands,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,253,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Richmond,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IL,Jersey,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Franklin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
FL,Hillsborough,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
PA,Lehigh,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Madison,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TX,Rusk,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
MO,Webster,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
KS,Leavenworth,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IN,Madison,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
WV,Roane,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
GA,Floyd,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
MN,Red Lake,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
NY,Schoharie,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
MO,Shannon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Stoddard,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Oglethorpe,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Taylor,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
NC,Cabarrus,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Montgomery,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
MO,Stone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Washington,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Tom Green,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Schleicher,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,Llano,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
IA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Chesterfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Jackson,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
MN,Clay,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lake of the Woods,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,Brown,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
SD,Potter,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MD,Washington,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
AL,Morgan,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
OR,Lane,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,1,Completed,07/26/2017 17:12,Local PPO
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
MN,Clearwater,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Washington,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
MN,Lincoln,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
KY,Powell,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
PA,Huntingdon,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
TX,Wilson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
GA,Dawson,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
OK,Pittsburg,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Jefferson,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
NY,Nassau,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
LA,Union,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Greenville,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NH,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Ohio,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Randolph,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OK,Cherokee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
NY,Queens,Jewish Guild for the Blind,GuildNet Gold (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6864,1,0,Completed,07/26/2017 13:17,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,265,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Jay,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
KY,Anderson,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Colorado,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
IA,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Chickasaw,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,Santa Fe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,49,0,Completed,07/24/2017 12:23,Local PPO
ND,Sargent,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Nobles,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
KY,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dakota,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Swift,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Renville,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Grant,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,Beltrami,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
NY,Dutchess,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,99,0,Completed,07/27/2017 10:38,Local PPO
FL,Glades,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,226,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,Douglas,ATRIO Health Plans,ATRIO Silver Rx (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,3,0,Completed,06/28/2017 15:06,Local PPO
WI,Walworth,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
OH,Allen,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
IN,Owen,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Union,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Anderson,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
AZ,Santa Cruz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Defiance,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
AR,Sebastian,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OK,Pittsburg,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
PA,York,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
MO,Dade,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
NM,Los Alamos,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IN,Steuben,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
IL,St. Clair,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
OH,Perry,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
NC,Graham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
TN,Lewis,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
CO,Arapahoe,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
PA,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
PR,Arroyo,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VT,Grand Isle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NC,Lincoln,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
NC,Union,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
PR,Moca,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AR,Faulkner,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
AR,Scott,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
VA,Hanover,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Marathon,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,Richmond,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
WV,Hampshire,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NC,Caswell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
PA,Bedford,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,Erie,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
IN,Hendricks,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,Claiborne,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,West Baton Rouge,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
OH,Ashtabula,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Boyd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,61,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Cayuga,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
MA,Norfolk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
MA,Plymouth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
MA,Worcester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
MN,Renville,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,Hennepin,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Mahnomen,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,Polk,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
PR,Loiza,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
UT,Wasatch,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Pennington,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
NM,Hidalgo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
PA,Snyder,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Wayne,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,Campbell,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Loudon,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,Monroe,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,14,0,Completed,06/27/2017 16:06,Local PPO
AR,Lonoke,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
WA,Skagit,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
SD,McCook,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,4,0,Completed,07/12/2017 15:39,Local PPO
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
IL,Lake,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0281,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
TN,Roane,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,1,Completed,07/26/2017 17:12,Local PPO
TX,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
WV,Ohio,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
MO,Stone,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NY,Albany,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Wheeler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Irwin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Medina,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
TN,Bradley,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Grundy,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Jefferson,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/28/2017 15:20,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
WV,Mercer,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
PA,Luzerne,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
IA,Monona,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
WV,Gilmer,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
NY,Westchester,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
GA,Grady,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Johnson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Heard,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
ID,Gem,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
AR,Boone,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
WV,Nicholas,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
WV,Jefferson,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,22,0,Completed,07/25/2017 10:12,Local PPO
MI,Wayne,Humana Inc.,Humana Value Plus H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,133,0,Completed,07/25/2017 10:12,Local PPO
TX,Grimes,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MO,Miller,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
TX,El Paso,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,Victoria,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
PA,Blair,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
NC,Stokes,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,3,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,1,0,Completed,07/14/2017 10:43,HMO/HMOPOS
TN,Sumner,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MN,Brown,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
SC,McCormick,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
MO,Taney,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,5,Completed,07/27/2017 13:39,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,1,Completed,07/26/2017 16:51,HMO/HMOPOS
TX,Denton,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
WA,Whatcom,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,9,0,Completed,06/29/2017 11:10,HMO/HMOPOS
IL,Sangamon,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
OH,Lake,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
MI,Livingston,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,8,0,Completed,07/26/2017 16:54,HMO/HMOPOS
AR,Randolph,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,Dane,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
WI,Grant,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
TN,Scott,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,McDowell,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WI,Waupaca,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
IL,Iroquois,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
MI,Keweenaw,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
GA,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PA,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
CA,Colusa,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,Baker,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
VA,Chesapeake City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,1,Completed,07/25/2017 10:12,Local PPO
FL,Union,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
TX,Armstrong,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Benton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
TN,Loudon,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
WI,Dane,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
CO,Conejos,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
IA,Audubon,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
MT,Carbon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Bastrop,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Sterling,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
IL,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Broome,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,2,0,Completed,06/12/2017 11:28,1876 Cost
PR,Moca,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Kendall,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
SC,Spartanburg,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,140,0,Completed,07/12/2017 15:39,Local PPO
GA,Morgan,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
OR,Deschutes,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
TX,Aransas,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Dawson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OH,Miami,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
WV,Wirt,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
WV,Pocahontas,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
SD,Lawrence,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OH,Darke,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,12,0,Completed,07/24/2017 16:56,HMO/HMOPOS
WV,Tucker,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
SD,Minnehaha,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IA,Worth,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,9,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,Waldo,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NC,Alamance,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Isle of Wight,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
IN,Vanderburgh,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
OH,Mahoning,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Wake,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,74,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Humphreys,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Beltrami,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carver,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Red Lake,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
MI,Allegan,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,15,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Lee,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
AR,Independence,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
VA,Orange,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
NY,Orleans,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
TX,Montgomery,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
GA,Chatham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
TX,El Paso,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,146,0,Completed,07/12/2017 15:39,Local PPO
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Fayette,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
OH,Carroll,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
NC,Orange,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
MI,Calhoun,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
MO,Cooper,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
WV,Hardy,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
TX,Webb,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,167,0,Completed,07/12/2017 15:39,Local PPO
VA,Pittsylvania,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,83,0,Completed,07/12/2017 15:39,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
IN,Elkhart,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
TX,Grayson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Van Zandt,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OK,Kingfisher,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,Lincoln,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MO,Morgan,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Chambers,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Shackelford,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Grant,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
MN,Rock,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
ID,Gooding,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
ID,Boundary,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,11,0,Completed,06/15/2017 15:55,Local PPO
MI,Oakland,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,2,Completed,07/27/2017 13:39,HMO/HMOPOS
OR,Marion,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
PA,Union,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
VA,Portsmouth City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
LA,Bossier,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Jefferson Davis,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
SC,Fairfield,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,1,0,Completed,07/17/2017 13:33,HMO/HMOPOS
VA,Henrico,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Hocking,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Sampson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Transylvania,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Boyd,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
TN,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MO,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Santa Rosa,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5434,2,0,Completed,07/25/2017 15:06,Local PPO
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Mathews,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,7,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Montcalm,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
MI,Oakland,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
TN,White,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
NY,Queens,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,130,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Fayette,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MA,Suffolk,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
KY,Meade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
KY,Spencer,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
TN,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
LA,Ascension,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Attala,Humana Inc.,Humana Gold Plus H1036-274 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,274,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Jefferson,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,234,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Norman,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
AR,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,Callaway,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
WI,Racine,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Van Zandt,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,Menard,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
MD,Prince George s,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
SD,Haakon,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,Douglas,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
GA,Taliaferro,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MD,Somerset,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Schoharie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Clay,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Steele,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
TX,Taylor,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
MN,Dodge,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MS,Scott,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
TX,Kendall,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,Cass,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
NE,Colfax,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
NC,Brunswick,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
NJ,Mercer,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
OH,Medina,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
KS,Cowley,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
NC,Yancey,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
ND,Stutsman,Humana Inc.,HumanaChoice H5216-087 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,87,0,Completed,07/25/2017 10:12,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
MN,Morrison,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
AL,Colbert,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
GA,Tift,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
TX,Ellis,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,Johnson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
PA,Huntingdon,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
IA,Jones,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
FL,Okaloosa,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,70,0,Completed,07/25/2017 10:12,Local PPO
IN,Spencer,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
PR,Bayamon,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WY,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Somervell,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
KY,Boone,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,85,0,Completed,07/12/2017 15:39,Local PPO
TX,Lubbock,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,147,0,Completed,07/12/2017 15:39,Local PPO
WI,Kenosha,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
TX,Wharton,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Delaware,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Hamilton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Botetourt,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,Adams,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,9,0,Completed,06/29/2017 11:10,HMO/HMOPOS
IL,Stark,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,Vermilion,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
VA,Norfolk City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
IN,Whitley,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,Sevier,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,Rockingham,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,2,Completed,07/25/2017 10:12,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
LA,Red River,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,Lafayette,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,St. James,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
KS,Wabaunsee,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
OH,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WV,Fayette,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
SD,Union,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OH,Stark,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
OH,Wayne,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
VA,Alleghany,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
GA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Ashtabula,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
WV,Jackson,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,23,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Sandoval,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5746,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Rhea,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
ME,Franklin,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
NC,Iredell,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Ozaukee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
IN,Delaware,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
PA,Fulton,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Adams,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Montour,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,Snyder,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
IA,Muscatine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Person,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
MD,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
ND,Nelson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Murray,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Faribault,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
AL,Lauderdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
OR,Clatsop,FamilyCare Incorporated,FamilyCare Advantage Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H3818,3,0,Completed,06/14/2017 13:43,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
MD,Anne Arundel,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
TN,Weakley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Dutchess,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,35,0,Completed,07/12/2017 15:39,HMO/HMOPOS
LA,St. Tammany,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,Marion,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,Mason,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Gilchrist,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,DeSoto,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,25,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Franklin,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Juniata,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,2,Completed,07/20/2017 14:11,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SD,McPherson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
MN,Steele,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
TX,Atascosa,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
MD,Wicomico,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Perry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Sumner,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
LA,St. Tammany,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,Fayette,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Fulton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,Grand Traverse,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IN,Blackford,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
WV,Pocahontas,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
CO,Mesa,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
NC,Stokes,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
MO,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,Webb,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NV,Clark,Humana Inc.,HumanaChoice H5216-036 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,36,0,Completed,07/25/2017 10:12,Local PPO
OK,Nowata,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
OR,Washington,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
MN,St. Louis,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
NJ,Ocean,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
KY,Allen,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
NE,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Clearwater,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Pierce,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Todd,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
SD,Clay,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MS,Newton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,Fairfax City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NY,Dutchess,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,2,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
OR,Curry,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Lyon,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Wabasha,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Anoka,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MN,Hubbard,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Claiborne,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Crawford,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
WI,Adams,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
MI,Arenac,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Las Marias,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,Patrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
MN,Goodhue,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
OH,Licking,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
OH,Montgomery,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
OK,Adair,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
KY,Jessamine,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
AL,Fayette,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
MS,Jones,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,Lamar,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,St. Lawrence,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
OH,Warren,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
MO,Platte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,61,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Cleveland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
KY,Barren,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
WV,Calhoun,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
PA,Montour,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
MN,Jackson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Waseca,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,Scott,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
TX,Smith,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
SC,Pickens,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,Fulton,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
VT,Bennington,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,Wyoming,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
VA,Emporia City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
OH,Fairfield,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
GA,Meriwether,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
GA,Wayne,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,115,0,Completed,07/12/2017 15:39,Local PPO
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
HI,All,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MT,All,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
GA,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
AL,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,2,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,14,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,1,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,15,2,Completed,07/26/2017 12:05,HMO/HMOPOS
IL,All,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0281,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/07/2017 14:53,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,15,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Trio Medicare (HMO),Y,Y,N,Y,Y,100,100,0,510,,,H0504,37,0,Completed,07/21/2017 17:33,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
IL,Wayne,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
OK,Ottawa,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
MO,Polk,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
VA,Gloucester,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
MI,Bay,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
TN,Fentress,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,455,0,228,H3018,1,0,Completed,07/25/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
CA,Los Angeles,AHMC Central Health LLC,Central Health Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,2,0,Completed,07/28/2017 18:46,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,27,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Smith,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
GA,Laurens,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
PR,Vega Alta,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NY,Kings,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,113,0,Completed,07/12/2017 15:39,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
IN,St. Joseph,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
AR,Phillips,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
SD,Codington,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
OK,Haskell,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
IN,Marion,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
TX,Colorado,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Lake,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
GA,Putnam,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
WI,Taylor,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,Wayne,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,1,Completed,07/17/2017 11:05,HMO/HMOPOS
TX,Denton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,2,Completed,07/18/2017 9:33,HMO/HMOPOS
UT,Utah,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
PA,Lebanon,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Ozark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,27,0,Completed,07/14/2017 10:43,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ND,Cass,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
TX,Coleman,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
IA,Woodbury,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
SC,Colleton,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,75,0,Completed,07/25/2017 10:12,Local PPO
IA,O Brien,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
GA,Telfair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Upson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Monroe,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,Hardin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Ohio,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Wayne,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Greenup,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,160,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
IN,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Oconto,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Hart,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Austin,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,McLennan,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,Grimes,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NY,Herkimer,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
OH,Lucas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,5,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Trumbull,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NC,Iredell,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Perry,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,13,0,Completed,06/21/2017 11:09,HMO/HMOPOS
CA,Los Angeles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MI,Newaygo,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,1,Completed,07/24/2017 10:22,Local PPO
TX,Dallas,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,2,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Wood,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
FL,Hamilton,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
PA,Mercer,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
MO,Howell,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
TX,Kleberg,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
CO,El Paso,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
PA,York,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
PA,Carbon,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
NE,Washington,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
MS,Coahoma,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
MS,Greene,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
GA,McDuffie,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
IN,Warrick,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
SC,Dorchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,Payette,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
OH,Franklin,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,4,Completed,07/26/2017 11:41,Local PPO
CO,Teller,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,Greene,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
MT,Fergus,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
IA,O Brien,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,Chatham,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
MO,McDonald,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
PA,Clinton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,Tioga,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
CA,Tulare,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
VA,Lynchburg City,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
PA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
KY,Livingston,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
TN,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,Coffee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NC,Randolph,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,4,0,Completed,06/21/2017 11:26,Local PPO
NY,Herkimer,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
ME,Knox,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,44,0,Completed,07/24/2017 10:45,HMO/HMOPOS
IN,Marion,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,Elkhart,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
TX,Menard,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
KS,Atchison,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Santa Clara (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,39,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,41,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,146,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,151,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,24,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,37,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,64,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,69,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,68,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,90,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,103,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,1,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,07/18/2017 14:51,1876 Cost
CO,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,31,0,Completed,07/24/2017 12:23,Local PPO
NC,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,25,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,Jewish Guild for the Blind,GuildNet Gold Plus FIDA Plan POS (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H0811,1,0,Completed,07/26/2017 13:17,Medicare-Medicaid Plan HMO/HMOPOS
NJ,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,13,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,24,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,85,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,40,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,60,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,66,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,174,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP s Premier Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,11,0,Completed,07/28/2017 10:27,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,68,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,119,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,137,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,146,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-199 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,199,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,214,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Value Plus H1036-264 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,264,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Choice Broward (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Classic Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,1,0,Completed,07/24/2017 14:05,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,3,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
NY,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Brown,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MN,Lincoln,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MO,Christian,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
NC,Johnston,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
NC,Pender,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
GA,McDuffie,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,Ouachita,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,49,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Westchester,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,3,0,Completed,07/25/2017 14:48,HMO/HMOPOS
OH,Harrison,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
WV,Wirt,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
FL,Santa Rosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,8,0,Completed,07/24/2017 12:23,Local PPO
VA,Bristol City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
PA,Columbia,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
AR,Carroll,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
WV,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
VA,Newport News City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
OH,Jefferson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Martin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Jackson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Dauphin,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,2,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,Indiana,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MS,Stone,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,247,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Wayne,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
IN,Hendricks,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
OR,Wheeler,"Moda, Inc.",Moda Health HMO (HMO),Y,N,N,Y,N,,,360,360,180,180,H8506,1,0,Completed,06/07/2017 10:53,HMO/HMOPOS
TX,Rockwall,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,1,0,Completed,07/16/2017 17:10,Local PPO
TX,Falls,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,Irion,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,97,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,91,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Lamoille,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
AL,Barbour,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8133,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Clay,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Crockett,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MT,Carbon,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MT,Stillwater,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Portage,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,Nassau,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Dual Coverage (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,24,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
SD,Marshall,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Washington,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dakota,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
GA,Pickens,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
MO,Jackson,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,Putnam,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
NC,Stokes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Maury,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,Maricopa,Anthem Inc.,CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,19,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Queens,"Village Care of New York, Inc.",VillageCareMAX Full Advantage FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9345,1,0,Completed,07/25/2017 10:44,Medicare-Medicaid Plan HMO/HMOPOS
MN,Blue Earth,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nicollet,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dodge,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Polk,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
GA,Franklin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,Randolph,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
NV,Clark,"UnitedHealth Group, Inc.",Senior Dimensions Southern Nevada (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2931,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,Harrisonburg City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
IL,Cook,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,16,0,Completed,07/12/2017 15:39,Local PPO
OH,Hamilton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,87,0,Completed,07/12/2017 15:39,Local PPO
GA,Liberty,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,Isanti,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
WV,Nicholas,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
GA,Fayette,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
KS,Atchison,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
GA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,Benton,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
DE,Kent,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,127,0,Completed,07/25/2017 10:12,Local PPO
IN,Vanderburgh,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
MS,Copiah,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
PA,Northampton,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
CO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
NY,Essex,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MO,Stoddard,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,Aransas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,105,0,Completed,07/12/2017 15:39,Local PPO
NC,Wake,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,183,0,Completed,07/12/2017 15:39,Local PPO
NV,Clark,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,55,0,Completed,07/12/2017 15:39,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Baldwin,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
OK,Custer,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MN,Kandiyohi,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Cottonwood,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
WV,Harrison,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
IA,Marshall,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
TN,Bedford,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
OH,Jefferson,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
SC,Berkeley,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,75,0,Completed,07/25/2017 10:12,Local PPO
OH,Tuscarawas,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
VA,Buchanan,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
IN,Knox,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
IA,Calhoun,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
IA,Worth,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
SC,Sumter,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
MN,Carlton,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
MN,Meeker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
WI,Waukesha,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,Winnebago,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
MI,Chippewa,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
IN,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
SD,Meade,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1286,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,8,0,Completed,07/26/2017 17:12,Local PPO
IL,All,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1343,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,2,Completed,07/27/2017 11:11,HMO/HMOPOS
MO,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
IL,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,19,0,Completed,07/26/2017 12:48,HMO/HMOPOS
AR,All,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
KS,All,Aetna Inc.,Coventry Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,17,0,Completed,07/12/2017 15:39,Local PPO
GA,All,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
KS,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,36,0,Completed,07/12/2017 15:39,Local PPO
IA,All,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,All,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,9,0,Completed,06/12/2017 11:28,1876 Cost
MO,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
LA,All,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,1,0,Completed,07/26/2017 9:21,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
ME,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,1,0,Completed,07/24/2017 12:23,Local PPO
DC,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,22,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High DC (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2172,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,1,0,Completed,07/24/2017 12:23,Local PPO
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,16,0,Completed,07/24/2017 12:23,Local PPO
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,33,0,Completed,07/24/2017 12:23,Local PPO
DC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,45,0,Completed,07/24/2017 12:23,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
CA,All,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,2,Completed,10/17/2017 0:50,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,34,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,41,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,7,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2322,4,0,Completed,07/30/2017 14:55,Local PPO
MI,All,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,18,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,22,0,Completed,07/30/2017 14:55,HMO/HMOPOS
SD,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,39,0,Completed,07/13/2017 15:08,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,41,0,Completed,07/13/2017 15:08,1876 Cost
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
MN,Benton,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Dakota,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MN,Otter Tail,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
MI,Gladwin,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
WV,Greenbrier,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
MI,Antrim,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
AL,Talladega,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
NJ,Morris,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
NE,Loup,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KS,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TN,Shelby,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,154,0,Completed,07/12/2017 15:39,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,Taylor,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
OK,Kiowa,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MN,Sibley,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IA,Linn,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
NY,Oneida,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IA,Black Hawk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
MN,Dakota,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
TX,Lubbock,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
PA,Clinton,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
MO,Lawrence,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Suffolk City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Greene,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
CA,Kings,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3822,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
SC,Barnwell,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
GA,Lamar,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Clark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Hancock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,De Kalb,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Shelby,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,6,0,Completed,07/26/2017 13:02,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
NE,Sarpy,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
IA,Story,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
FL,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,Morgan,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,121,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Tioga,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,McCulloch,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
NC,Iredell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,97,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,Jefferson,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,39,0,Completed,07/07/2017 13:42,HMO/HMOPOS
MO,Montgomery,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,70,0,Completed,07/06/2017 14:36,HMO/HMOPOS
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
ND,Morton,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Pennington,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
MN,Stearns,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
GA,Dooly,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
WI,Marinette,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
OH,Trumbull,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
NM,San Juan,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H9082,7,0,Completed,06/07/2017 12:19,HMO/HMOPOS
TN,Carter,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Polk,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Nobles,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
MN,Chippewa,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,Dodge,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,Lac qui Parle,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
TX,El Paso,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Pope,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dakota,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wright,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
TN,Marion,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,Crawford,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Jo Daviess,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
TX,Lee,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
WV,Monroe,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
VA,Nottoway,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
VA,Suffolk City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
FL,Palm Beach,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
PR,Dorado,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
UT,Wasatch,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,131,0,Completed,07/12/2017 15:39,Local PPO
NY,Cayuga,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
CA,Los Angeles,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,125,0,Completed,07/12/2017 15:39,Local PPO
CO,Jefferson,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
OH,Fairfield,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OR,Klamath,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
TX,Caldwell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,Union,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
OK,Le Flore,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MO,Greene,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
NM,Cibola,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
PA,Monroe,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,Pope,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,Cleburne,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,Webster,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
MN,All,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2456,2,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2458,2,0,Completed,07/13/2017 15:08,HMO/HMOPOS
MN,All,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,All,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,8,0,Completed,07/12/2017 15:25,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
LA,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,All,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H2649-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,53,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-064 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,64,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,1,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,All,Humana Inc.,Humana Value Plus H2649-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,All,Aetna Inc.,Coventry Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OK,All,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,All,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,All,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred HMO (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,7,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,18,0,Completed,07/26/2017 18:49,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
PA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OK,All,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NV,All,Renown Health,Senior Care Plus: Value Rx Enhanced Plan (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,4,0,Completed,06/27/2017 19:00,HMO/HMOPOS
NV,All,Renown Health,Senior Care Plus: Value Basic Plan (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,9,0,Completed,06/27/2017 19:00,HMO/HMOPOS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,2,0,Completed,07/17/2017 9:31,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
DE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,21,0,Completed,06/28/2017 12:35,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,Rich,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,Columbia,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,3,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
NJ,Middlesex,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Medina,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,11,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Davidson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,2,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Schoharie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
TX,Bee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Wilkin,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Allegan,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,1,Completed,07/24/2017 10:22,HMO/HMOPOS
NC,Moore,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8064,2,0,Completed,07/31/2017 15:04,Local PPO
MO,Greene,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
TX,Kleberg,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PA,Cumberland,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
MI,Cass,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
CO,Denver,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
CO,Weld,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
PR,Adjuntas,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WI,Walworth,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,22,0,Completed,07/26/2017 10:13,HMO/HMOPOS
IN,Jennings,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
MO,Clay,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
OH,Monroe,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,1,Completed,07/25/2017 10:12,Local PPO
MS,Lawrence,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
SC,Allendale,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,75,0,Completed,07/25/2017 10:12,Local PPO
GA,Telfair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,Bryan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,Traverse,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
LA,Winn,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
OH,Warren,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Olmsted,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
MO,St. Francois,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
KY,Carter,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OK,Seminole,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
PA,Lackawanna,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
KY,Allen,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
TN,Marion,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
AR,Randolph,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
GA,Gordon,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Carroll,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
FL,Indian River,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
OH,Licking,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NY,Monroe,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Catano,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
CT,Windham,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,Watonwan,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
WV,Tyler,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
IN,Perry,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
IL,Lawrence,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
PA,Mifflin,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MI,Charlevoix,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
TN,Hardin,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TN,Sumner,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Pickaway,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
ID,Elmore,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,3,0,Completed,07/26/2017 9:21,HMO/HMOPOS
UT,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
VA,Emporia City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Floyd,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
MO,Cole,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
WI,Trempealeau,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
IA,Scott,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
CO,Arapahoe,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
NY,Columbia,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Dakota,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,Kandiyohi,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
AR,Crittenden,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
TX,Coleman,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
WV,Doddridge,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
IN,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
NC,Transylvania,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
TX,Jim Hogg,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,145,0,Completed,07/12/2017 15:39,Local PPO
PA,Blair,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
ME,Sagadahoc,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,142,0,Completed,07/12/2017 15:39,Local PPO
TX,Orange,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
NC,Alleghany,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,139,0,Completed,07/12/2017 15:39,Local PPO
GA,Oconee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
OH,Miami,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
IN,Monroe,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
PA,Luzerne,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
WA,Clark,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
CO,Logan,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
TN,Jackson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
TN,Macon,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
ID,Canyon,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
SC,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
VA,King and Queen,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
OH,Jefferson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
FL,Charlotte,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
OH,Brown,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,87,0,Completed,07/12/2017 15:39,Local PPO
GA,Sumter,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,28,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
OH,Putnam,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
NC,Gaston,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
MI,Macomb,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
WV,Cabell,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
OH,Lucas,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
KY,Crittenden,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,2,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,3,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,43,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,17,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,13,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,62,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,1,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,14,0,Completed,07/27/2017 17:38,HMO/HMOPOS
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,5,Completed,07/27/2017 11:16,Local PPO
WA,All,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,2,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Pioneer Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,7,0,Completed,07/26/2017 12:58,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,10,0,Completed,07/26/2017 16:51,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,2,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,All,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
MI,All,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,44,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,14,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,20,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,All,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,11,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,17,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,All,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,14,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,All,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan smartHMO (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,13,0,Completed,07/27/2017 20:51,HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3822,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,2,0,Completed,06/15/2017 15:55,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,43,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,15,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,4,Completed,06/29/2017 13:12,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,9,Completed,06/29/2017 13:12,Local PPO
NY,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,87,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,110,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,16,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,53,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,3,Completed,06/29/2017 13:12,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,McMinn,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Polk,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Humphreys,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,42,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,Cabarrus,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,Litchfield,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MN,Renville,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
OH,Marion,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
IL,DuPage,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,Washington,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
AR,Lee,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Prince George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
NJ,Passaic,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,Fairfield,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,1,0,Completed,07/28/2017 11:13,Local PPO
PR,Juncos,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
IL,Cumberland,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
IA,Buena Vista,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
GA,McIntosh,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
GA,Paulding,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,28,0,Completed,07/12/2017 15:39,Local PPO
VA,James City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,Montgomery,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
OH,Clinton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,Madison,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,8,0,Completed,07/24/2017 16:56,HMO/HMOPOS
OK,McClain,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,405,405,203,203,H3706,9,0,Completed,07/26/2017 17:19,HMO/HMOPOS
MN,Kandiyohi,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
PA,York,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
AR,Columbia,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
MT,Deer Lodge,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,Forrest,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,St. Clair,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
MT,Cascade,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,4,0,Completed,06/14/2017 16:42,Local PPO
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,St. Landry,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Fauquier,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,Alleghany,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,Swain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Owsley,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,Nelson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
WV,Jefferson,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
AL,Greene,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
NY,Genesee,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
FL,Santa Rosa,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,271,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,Chesterfield,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
VA,Lynchburg City,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
AL,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,Cumberland,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NY,Queens,New York City Health and Hospitals Corporation,MetroPlus FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9115,1,0,Completed,06/07/2017 14:53,Medicare-Medicaid Plan HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,Clayton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
OH,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
NC,Richmond,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
PR,Ciales,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WA,Snohomish,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,127,0,Completed,07/12/2017 15:39,Local PPO
PR,Dorado,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
GA,McIntosh,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9589,1,0,Completed,07/17/2017 13:40,Local PPO
GA,Butts,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9589,3,0,Completed,07/17/2017 13:40,Local PPO
NM,Sierra,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
TX,McLennan,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
TX,Tarrant,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
OK,Dewey,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,Jackson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
VA,Franklin City,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
TX,Delta,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
TX,Ector,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
NC,Cherokee,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
PR,Juana Diaz,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,23,0,Completed,07/19/2017 16:44,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MA,Barnstable,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,N,N,,,,,,,H9585,1,0,Completed,07/26/2017 18:10,HMO/HMOPOS
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
TN,Henry,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
PA,Westmoreland,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
MO,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
MN,Stevens,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
ND,Cavalier,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
OH,Carroll,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,33,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,Goochland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,07/18/2017 14:51,1876 Cost
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MT,Flathead,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,8,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,Wadena,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
ME,Knox,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SC,Greenville,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
MS,Hancock,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,31,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
WI,Outagamie,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
MN,Cottonwood,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,Murray,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,7,0,Completed,07/12/2017 15:25,1876 Cost
MN,Houston,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
MN,Scott,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,4,0,Completed,07/21/2017 13:36,1876 Cost
MI,Hillsdale,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
IL,Douglas,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
MO,Crawford,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,125,0,Completed,07/25/2017 10:12,PFFS
AR,Fulton,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
SD,Deuel,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
MO,Greene,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
TX,Kendall,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
PA,All,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,21,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,37,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,39,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Centre County (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Diamante Excel Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,33,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,4,0,Completed,07/19/2017 16:44,Local PPO
OH,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,1,Completed,07/18/2017 9:33,Local PPO
OH,All,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,1,Completed,07/18/2017 9:33,Local PPO
LA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,511,0,256,H4093,1,0,Completed,07/27/2017 5:13,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,4,Completed,07/25/2017 10:12,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,18,0,Completed,06/21/2017 11:09,HMO/HMOPOS
PA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,3,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,3,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,1,Completed,06/26/2017 13:58,Local PPO
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,1,2,Completed,06/26/2017 13:58,Local PPO
TX,All,"WellCare Health Plans, Inc.",TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,29,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Premium - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,4,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,4,0,Completed,07/26/2017 17:12,Local PPO
IL,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AZ,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,4,Completed,07/24/2017 10:22,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,2,Completed,07/24/2017 10:22,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,1,Completed,07/20/2017 15:47,HMO/HMOPOS
AZ,All,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,13,0,Completed,07/25/2017 11:49,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,2,0,Completed,07/26/2017 17:12,Local PPO
CA,All,"WellCare Health Plans, Inc.",Easy Choice Freedom Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,1,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NJ,All,"Clover Health Holdings, Inc.",Clover Health NJ CarePoint Green (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,1,0,Completed,07/25/2017 8:01,Local PPO
WI,All,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,9,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,455,162,228,H5211,10,0,Completed,07/17/2017 12:25,HMO/HMOPOS
VA,All,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,2,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,2,Completed,07/25/2017 10:12,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
AZ,All,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,35,0,Completed,07/25/2017 10:12,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-037 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,37,0,Completed,07/25/2017 10:12,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-039 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,39,0,Completed,07/25/2017 10:12,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,50,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,55,0,Completed,07/25/2017 10:12,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,58,0,Completed,07/25/2017 10:12,Local PPO
WA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,135,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
OH,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,15,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
IN,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,17,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
KY,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,18,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
WI,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,56,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
WI,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,57,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
WI,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,58,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
NH,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,3,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WV,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,13,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,32,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
TX,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,44,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WY,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,50,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
IA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,51,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NM,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,53,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OR,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,60,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OR,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,1,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
OR,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,2,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
WV,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,215,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AL,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,220,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
IN,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,222,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MS,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,226,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AK,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,227,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,247,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,247,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
VT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,247,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NY,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,248,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
GA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,255,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AL,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,257,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,270,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
WA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,275,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,105,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
GA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,112,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AL,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,114,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
KY,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,117,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,118,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NM,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,128,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
ID,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,133,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
GA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,180,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
KS,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,194,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WY,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,195,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NV,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,199,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MO,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,211,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OR,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,215,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
FL,All,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,230,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-233 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,233,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-261 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,261,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-262 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,262,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-266 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,266,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1100,1,0,Completed,07/11/2017 18:06,Local PPO
GA,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,4,0,Completed,07/14/2017 12:55,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,2,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,2,Completed,07/27/2017 11:11,HMO/HMOPOS
IL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,9,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,33,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,9,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
KS,All,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,24,0,Completed,07/12/2017 15:39,Local PPO
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,18,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,19,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,All,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,1,0,Completed,06/12/2017 11:28,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,2,0,Completed,06/12/2017 11:28,1876 Cost
IL,All,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,3,0,Completed,06/12/2017 11:28,1876 Cost
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,1,0,Completed,06/14/2017 16:42,Local PPO
WV,All,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Choices Select (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,7,0,Completed,07/28/2017 14:29,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,11,0,Completed,07/28/2017 14:29,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1969,2,0,Completed,07/26/2017 17:12,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,5,0,Completed,07/26/2017 9:21,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,17,0,Completed,07/24/2017 12:23,Local PPO
MD,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
NC,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,81,0,Completed,07/12/2017 15:39,HMO/HMOPOS
DC,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,95,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MD,All,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,97,0,Completed,07/12/2017 15:39,HMO/HMOPOS
DE,All,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,104,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,107,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,112,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,120,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,123,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,124,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WA,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,127,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,130,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Preferred Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,56,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,97,0,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO Deluxe (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,20,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,25,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,1,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Washington Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,46,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Supremo (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,9,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus H4141-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,17,3,Completed,07/25/2017 10:12,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,19,1,Completed,06/21/2017 11:09,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,4,Completed,07/13/2017 12:29,PFFS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,6,Completed,07/13/2017 12:29,PFFS
PA,All,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H4279,1,0,Completed,07/26/2017 8:03,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,8,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,10,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CO,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AR,All,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,33,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,1,Completed,06/26/2017 13:58,Local PPO
TX,All,"WellCare Health Plans, Inc.",TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,3,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,10,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4514,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Preferred - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,2,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 7 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,7,0,Completed,06/15/2017 15:55,Local PPO
OR,All,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,8,0,Completed,06/15/2017 15:55,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,4,Completed,07/24/2017 10:22,Local PPO
MN,All,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,455,455,,,H4882,1,0,Completed,07/21/2017 13:36,Local PPO
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Bronze Rx (Umpqua) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,7,0,Completed,06/28/2017 15:06,Local PPO
TX,All,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H7115,1,0,Completed,07/28/2017 11:53,HMO/HMOPOS
GA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,4,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,3,Completed,07/27/2017 10:00,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,6,0,Completed,07/12/2017 15:39,Local PPO
TX,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7678,1,0,Completed,06/07/2017 11:54,HMO/HMOPOS
KY,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,2,Completed,07/18/2017 9:33,Local PPO
CA,All,SANTA CLARA COUNTY HEALTH AUTHORITY,Santa Clara Family Health Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H7890,1,0,Completed,07/27/2017 14:41,Medicare-Medicaid Plan HMO/HMOPOS
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,1,0,Completed,07/31/2017 13:54,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,4,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,6,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,11,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,14,0,Completed,06/14/2017 16:42,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,6,0,Completed,07/25/2017 10:12,PFFS
WV,All,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
GA,All,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
ND,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,2,0,Completed,07/24/2017 12:23,Local PPO
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,4,0,Completed,07/24/2017 12:23,Local PPO
ME,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,8,7,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8552,20,0,Completed,07/18/2017 9:33,Local PPO
MA,All,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,3,0,Completed,07/24/2017 14:11,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,11,0,Completed,07/05/2017 14:27,Local PPO
WV,All,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,13,0,Completed,07/05/2017 14:27,Local PPO
UT,All,Aetna Inc.,Altius Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,1,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,4,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,2,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,5,Completed,07/27/2017 12:35,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,1,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,13,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,35,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OH,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,18,0,Completed,07/26/2017 13:02,HMO/HMOPOS
ID,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,216,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OH,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,230,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
LA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,237,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,241,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
ND,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,241,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WY,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,241,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,246,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
HI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,249,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NM,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,3,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
NM,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,4,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
KS,All,Blue Cross Blue Shield of Kansas,Blue MedicareRx Plus (PDP),Y,Y,Y,N,N,,,,,0,0,S5726,14,0,Completed,07/25/2017 12:15,Medicare Prescription Drug Plan
KS,All,Blue Cross Blue Shield of Kansas,Blue MedicareRx Premier (PDP),Y,Y,Y,N,N,,,,,0,0,S5726,15,0,Completed,07/25/2017 12:15,Medicare Prescription Drug Plan
ND,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,N,Y,Y,Y,25,0,0,72,0,36,S5743,1,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
SD,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,63,0,36,S5743,1,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
NJ,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,127,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
SC,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,132,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MN,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,148,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
CO,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,150,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
SD,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,190,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,36,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
VA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,41,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MS,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,54,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NE,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,59,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NM,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,60,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
UT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,65,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
TX,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,293,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,1,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
PA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,5,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,18,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,31,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OR,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,28,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NC,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,66,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IN,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,73,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MS,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,78,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
HI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,93,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
LA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,108,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
KS,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,109,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NV,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,112,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,114,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
GA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,135,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,136,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,139,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
TX,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,143,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,18,0,Completed,07/24/2017 12:23,Local PPO
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,31,0,Completed,07/24/2017 12:23,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,35,0,Completed,07/24/2017 12:23,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,36,0,Completed,07/24/2017 12:23,Local PPO
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,46,0,Completed,07/24/2017 12:23,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,2,Completed,07/24/2017 9:40,Local PPO
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,6,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,6,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,1,Completed,07/24/2017 9:40,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,11,0,Completed,07/24/2017 10:22,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,9,0,Completed,07/24/2017 12:23,Local PPO
WI,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,16,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,22,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
ND,All,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,38,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,18,0,Completed,07/21/2017 13:36,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Active with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,21,0,Completed,07/21/2017 13:36,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
AZ,All,Anthem Inc.,CareMore COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,5,0,Completed,07/27/2017 13:34,HMO/HMOPOS
AZ,All,Anthem Inc.,CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,19,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NM,All,Humana Inc.,Humana Gold Plus H2649-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,All,Humana Inc.,Humana Kidney Care (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,All,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,1,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H2649-063 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,63,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,All,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,4,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Silver - NY (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,19,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,83,0,Completed,07/27/2017 10:38,Local PPO
NY,All,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MS,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5010,4,0,Completed,07/26/2017 17:12,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Columbia (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,19,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NJ,All,"Clover Health Holdings, Inc.",Clover Health NJ Classic Aqua (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,4,0,Completed,07/25/2017 8:01,Local PPO
NJ,All,"Clover Health Holdings, Inc.",Clover Health NJ Premier Orange (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,7,0,Completed,07/25/2017 8:01,Local PPO
CA,All,Community Health Group,CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5172,2,0,Completed,07/27/2017 17:42,Medicare-Medicaid Plan HMO/HMOPOS
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,All,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5209,4,0,Completed,07/24/2017 8:41,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,1,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,455,132,228,H5211,3,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,7,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,2,0,Completed,07/28/2017 12:26,Local PPO
WI,All,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,N,Y,N,,,455,455,228,228,H5215,7,0,Completed,07/28/2017 12:26,Local PPO
WI,All,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,10,0,Completed,07/28/2017 12:26,Local PPO
WI,All,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,6,0,Completed,07/25/2017 10:12,Local PPO
WI,All,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,27,0,Completed,07/25/2017 10:12,Local PPO
AZ,All,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,34,0,Completed,07/25/2017 10:12,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-036 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,36,0,Completed,07/25/2017 10:12,Local PPO
HI,All,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,41,0,Completed,07/25/2017 10:12,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,42,0,Completed,07/25/2017 10:12,Local PPO
UT,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,1,Completed,07/25/2017 10:12,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,61,0,Completed,07/25/2017 10:12,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,62,0,Completed,07/25/2017 10:12,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,73,0,Completed,07/25/2017 10:12,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,1,Completed,07/25/2017 10:12,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,2,Completed,07/25/2017 10:12,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,88,0,Completed,07/25/2017 10:12,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,94,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,108,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,122,0,Completed,07/25/2017 10:12,Local PPO
MI,All,Humana Inc.,Humana Value Plus H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,133,0,Completed,07/25/2017 10:12,Local PPO
NM,All,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,137,0,Completed,07/25/2017 10:12,Local PPO
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,47,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 8 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,57,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,1,0,Completed,06/12/2017 11:28,1876 Cost
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,07/20/2017 14:41,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,5,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,10,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,4,0,Completed,07/27/2017 18:54,HMO/HMOPOS
CA,All,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H9312,2,0,Completed,06/30/2017 16:42,Local PPO
SC,All,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9403,4,0,Completed,07/17/2017 13:33,HMO/HMOPOS
KS,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,2,Completed,07/26/2017 11:41,Local PPO
VT,All,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
NY,All,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,12,0,Completed,06/28/2017 12:35,Local PPO
AR,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,All,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,5,0,Completed,06/21/2017 11:26,Local PPO
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
KY,All,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/28/2017 15:20,HMO/HMOPOS
VA,All,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,3,0,Completed,07/28/2017 9:42,HMO/HMOPOS
MD,All,"Medstar Health, Inc.",MedStar Medicare Choice Care Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,10,0,Completed,07/11/2017 8:53,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9954,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
LA,All,Humana Inc.,HumanaChoice R0110-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0110,1,0,Completed,07/25/2017 10:12,Regional PPO
HI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3175,3,0,Completed,07/24/2017 12:23,Regional PPO
GA,All,Humana Inc.,HumanaChoice R3392-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3392,2,0,Completed,07/25/2017 10:12,Regional PPO
AR,All,"UnitedHealth Group, Inc.",Care Improvement Plus Silver Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,8,0,Completed,07/24/2017 12:23,Regional PPO
MO,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,12,0,Completed,07/24/2017 12:23,Regional PPO
MI,All,Humana Inc.,HumanaChoice R3887-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3887,1,0,Completed,07/25/2017 10:12,Regional PPO
OK,All,Humana Inc.,HumanaChoice R4845-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R4845,1,0,Completed,07/25/2017 10:12,Regional PPO
OK,All,Humana Inc.,HumanaChoice R4845-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R4845,2,0,Completed,07/25/2017 10:12,Regional PPO
OH,All,Humana Inc.,HumanaChoice R5495-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5495,1,0,Completed,07/25/2017 10:12,Regional PPO
OH,All,Anthem Inc.,Anthem MediBlue Access Basic (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5941,14,0,Completed,07/18/2017 9:33,Regional PPO
KY,All,Anthem Inc.,Anthem MediBlue Access Basic (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5941,15,0,Completed,07/18/2017 9:33,Regional PPO
NJ,All,Aetna Inc.,Aetna Medicare NJ Silver Plan (Regional PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,R6694,6,0,Completed,07/12/2017 15:39,Regional PPO
TX,All,"UnitedHealth Group, Inc.",Care Improvement Plus Silver Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R6801,8,0,Completed,07/24/2017 12:23,Regional PPO
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,1,0,Completed,07/24/2017 12:23,Regional PPO
IL,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,1,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
DC,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,6,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KY,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,22,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AZ,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,44,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TN,All,BlueCross BlueShield of Alabama,BlueRx Option II (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S1030,1,0,Completed,07/23/2017 19:38,Medicare Prescription Drug Plan
PR,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S2874,1,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
VT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,N,Y,N,N,,,,,,,S2893,1,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
DC,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,3,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
AL,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,12,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
TN,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,12,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
MI,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,13,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
IL,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,15,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
TX,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,19,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
OK,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,14,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
OR,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,20,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WY,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,145,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
LA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,167,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OK,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,169,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ND,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,171,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CO,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,173,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,176,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,178,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
UT,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,1,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
ID,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,2,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
SC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,354,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,358,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,361,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TX,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,367,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,370,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,370,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,372,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,385,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,387,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,396,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,397,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,411,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Rx Value (PDP),Y,N,Y,Y,N,,,10,72,0,36,S5953,1,0,Completed,07/31/2017 13:54,Medicare Prescription Drug Plan
RI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,2,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NJ,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,4,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
DE,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,5,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
GA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,10,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MN,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,25,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
CA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,32,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
WV,All,Capital BlueCross,SecureRx - Option 3 (PDP),Y,Y,Y,N,N,,,,,,,S8067,1,0,Completed,07/27/2017 12:53,Medicare Prescription Drug Plan
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0174,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,2,0,Completed,07/24/2017 12:23,Local PPO
WI,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,4,0,Completed,07/24/2017 12:23,Local PPO
WI,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,11,0,Completed,07/24/2017 12:23,Local PPO
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,17,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,536,,,H0504,31,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,N,,,0,138,,,H0504,39,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,10,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,30,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,1,0,Completed,06/06/2017 3:07,HMO/HMOPOS
IL,All,Family Health Network,Community Flex-Plan (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3071,3,0,Completed,07/11/2017 17:39,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,85,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,31,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,20,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,62,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,2,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,3,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,1,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,4,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,5,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,14,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,41,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,44,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,13,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,21,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,27,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,65,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,132,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,137,2,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,17,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3387,10,0,Completed,07/27/2017 13:22,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,4,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Pioneer HMO (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,9,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,10,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,14,0,Completed,07/26/2017 12:58,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,2,Completed,07/26/2017 16:51,HMO/HMOPOS
MI,All,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,All,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,All,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,1,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,408,408,204,204,H3811,1,0,Completed,07/31/2017 19:26,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,8,0,Completed,07/27/2017 20:51,HMO/HMOPOS
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,7,0,Completed,07/20/2017 22:08,Local PPO
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,Y,N,Y,N,,,455,455,228,228,H3832,11,0,Completed,07/20/2017 22:08,Local PPO
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,14,0,Completed,06/15/2017 15:55,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,415,415,208,208,H3864,24,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,37,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,45,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,48,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,61,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,82,0,Completed,07/06/2017 14:36,HMO/HMOPOS
AZ,All,"WellCare Health Plans, Inc.",Care1st+ (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5430,1,0,Completed,07/27/2017 15:24,HMO/HMOPOS
MT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
KY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OK,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
WA,All,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,16,1,Completed,07/06/2017 14:24,Local PPO
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,21,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,4,0,Completed,07/26/2017 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,7,0,Completed,07/26/2017 16:54,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Traditional Plus-SF (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,9,0,Completed,07/28/2017 16:14,HMO/HMOPOS
NV,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,55,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,76,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,104,0,Completed,07/12/2017 15:39,Local PPO
SC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,140,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,147,0,Completed,07/12/2017 15:39,Local PPO
IL,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,153,0,Completed,07/12/2017 15:39,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,194,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,199,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,13,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,14,0,Completed,07/12/2017 15:39,Local PPO
NC,All,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,26,0,Completed,07/25/2017 10:12,Local PPO
MT,All,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,27,0,Completed,07/25/2017 10:12,Local PPO
NY,All,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Preferred (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,2,0,Completed,07/19/2017 13:57,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H5576,8,0,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino Original (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,26,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AZ,All,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/19/2017 17:09,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5590,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Focus DC (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,7,0,Completed,07/25/2017 8:54,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,29,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CO,All,Denver Health and Hospital Authority,Denver Health Medicare Choice (HMO SNP),Y,N,Y,N,N,,,,,,,H5608,1,0,Completed,07/31/2017 15:53,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-012 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-013 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,2,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,62,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,All,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,1,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,All,Humana Inc.,Humana Gold Plus H5619-078 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,78,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-097 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,97,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,72,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NH,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,75,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,84,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
KS,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,88,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MN,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,89,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
SD,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,89,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NM,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,90,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
HI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,95,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,97,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
RI,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,99,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AR,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,115,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
OK,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,119,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
IA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,121,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
CO,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,123,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
UT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,127,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
VA,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,5,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
VA,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,7,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
OH,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,14,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
VT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,5,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
PA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,13,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
VA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,14,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
KY,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,31,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
AR,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,38,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MS,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,40,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
TX,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,45,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
KS,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,49,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
ND,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,50,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NV,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,58,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
ID,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,63,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
AK,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,68,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WA,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,2,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
OH,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,68,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
LA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,103,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
KS,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,118,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
UT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,153,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
KY,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,222,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
RI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,247,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NJ,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,249,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
PA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,251,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NC,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,253,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
TN,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,257,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
WI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,261,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,105,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
RI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,105,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NJ,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,106,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,121,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,158,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,167,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,12,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,12,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,45,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,84,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,92,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,113,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Chinese Hospital Association,CCHP Senior Select Program (HMO SNP),Y,N,Y,N,N,,,,,,,H0571,5,0,Completed,07/26/2017 11:49,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,18,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,21,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Platinum Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,10,0,Completed,07/28/2017 17:35,1876 Cost
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,6,0,Completed,07/24/2017 12:23,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,33,0,Completed,07/24/2017 12:23,Local PPO
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,34,0,Completed,07/24/2017 12:23,Local PPO
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,36,0,Completed,07/24/2017 12:23,Local PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,38,0,Completed,07/24/2017 12:23,Local PPO
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,62,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,61,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,184,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,187,2,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-067 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-104A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,104,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,143,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,156,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-157 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,157,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,160,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H1036-223 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,223,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-241 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,241,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,2,0,Completed,07/31/2017 15:05,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,24,1,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,N,,,429,429,215,215,H1304,2,0,Completed,07/26/2017 17:12,Local PPO
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,9,0,Completed,07/26/2017 17:12,Local PPO
IL,All,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,26,2,Completed,06/15/2017 15:55,HMO/HMOPOS
MT,All,PacificSource Health Plans,PacificSource Medicare MyCare 30 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,30,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,2,0,Completed,07/31/2017 15:05,Local PPO
OH,All,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,2,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life Options (HMO SNP),Y,N,N,Y,N,,,200,511,100,256,H3907,32,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,39,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,40,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,46,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,48,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,5,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,18,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,33,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,1,Completed,07/20/2017 14:11,Local PPO
PA,All,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,17,0,Completed,07/27/2017 12:53,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,7,Completed,06/29/2017 13:12,Local PPO
PA,All,Aetna Inc.,Aetna Medicare PinnacleHealth Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,91,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CO,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,93,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NV,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,94,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,98,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,100,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,118,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO Basic (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,24,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,31,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,39,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,2,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Diamante Choice Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,41,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,10,2,Completed,07/18/2017 9:33,Local PPO
WI,All,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,16,0,Completed,07/18/2017 9:33,Local PPO
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,4,0,Completed,06/21/2017 11:09,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,13,0,Completed,06/21/2017 11:09,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,17,0,Completed,06/21/2017 11:09,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,11,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CO,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MS,All,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,2,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,35,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4506,10,0,Completed,07/27/2017 10:38,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,6,0,Completed,07/28/2017 18:46,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Ventura Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,8,0,Completed,07/28/2017 18:46,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Ventura Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,9,0,Completed,07/28/2017 18:46,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,6,0,Completed,07/26/2017 16:56,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,1,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,All,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CA,All,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5852,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,9,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,567,0,284,H5928,9,0,Completed,07/24/2017 20:49,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,16,0,Completed,07/24/2017 20:49,HMO/HMOPOS
CA,All,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5943,2,0,Completed,06/26/2017 14:13,HMO/HMOPOS
NV,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
NV,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,2,0,Completed,06/22/2017 17:15,HMO/HMOPOS
NY,All,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,07/25/2017 11:55,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,10,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NY,All,"ParkerCare New York, LLC",AgeWell New York FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,100,455,0,228,H6308,1,0,Completed,07/20/2017 15:54,Medicare-Medicaid Plan HMO/HMOPOS
TX,All,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,3,0,Completed,06/22/2017 12:50,Local PPO
TX,All,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,5,0,Completed,06/22/2017 12:50,Local PPO
IN,All,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,3,0,Completed,07/06/2017 14:24,Local PPO
OH,All,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,4,0,Completed,07/26/2017 8:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,19,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-020 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,20,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,All,Humana Inc.,Humana Gold Plus SNP-CLD H6622-030 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,All,Humana Inc.,Humana Kidney Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,31,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,42,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Silver Rx (Rogue) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,16,0,Completed,06/28/2017 15:06,Local PPO
ME,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6786,2,0,Completed,07/18/2017 9:33,Local PPO
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,4,0,Completed,07/25/2017 13:22,HMO/HMOPOS
SC,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7020,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
GA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,7,0,Completed,07/12/2017 15:39,Local PPO
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7445,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TX,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,1,0,Completed,06/22/2017 17:15,HMO/HMOPOS
TX,All,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
VA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,10,0,Completed,06/27/2017 16:06,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,15,0,Completed,06/27/2017 16:06,Local PPO
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,N,Y,Y,N,,,25,455,0,228,H8003,2,0,Completed,07/31/2017 13:54,Local PPO
OK,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,125,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
KS,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,126,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NV,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,131,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
PR,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,137,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
ME,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,172,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NH,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,172,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OH,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,184,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IN,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,185,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
ND,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,195,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
SD,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,195,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NM,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,196,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CO,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,197,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,202,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
DE,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,208,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
VA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,217,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
DE,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,221,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NC,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,224,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IL,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,233,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MS,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,236,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AK,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,250,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TX,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,5,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
OK,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,10,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
TX,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,14,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
MN,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,Y,15,0,24,72,0,36,S5743,4,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
NE,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,71,0,36,S5743,4,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
WY,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,N,Y,N,Y,25,0,,,0,0,S5743,4,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
PA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,129,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AR,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,142,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NE,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,190,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ID,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,193,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NY,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,200,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Rx Basic (PDP),Y,Y,Y,Y,N,,,72,72,36,36,S5795,3,0,Completed,07/13/2017 12:29,Medicare Prescription Drug Plan
VT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,36,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
GA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,44,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
FL,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,45,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
TN,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,46,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
KY,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,49,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
LA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,55,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OK,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,57,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OR,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,64,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,64,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
PA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,280,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IL,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,34,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,35,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,44,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,1,0,Completed,07/21/2017 9:45,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1607,12,0,Completed,07/18/2017 9:33,Local PPO
IA,All,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,8,0,Completed,07/12/2017 15:39,Local PPO
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,All,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,5,0,Completed,06/12/2017 11:28,1876 Cost
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,12,0,Completed,07/06/2017 14:10,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,6,0,Completed,06/14/2017 16:42,Local PPO
WV,All,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-024 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,24,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,3,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,6,0,Completed,07/26/2017 17:12,HMO/HMOPOS
PR,All,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H2029,1,0,Completed,07/25/2017 10:12,Local PPO
DC,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,29,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
MA,All,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,07/25/2017 11:55,HMO/HMOPOS
DE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
MD,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,13,0,Completed,07/24/2017 12:23,Local PPO
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,17,0,Completed,07/24/2017 12:23,Local PPO
HI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Essential (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,25,0,Completed,07/24/2017 12:23,Local PPO
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,29,0,Completed,07/24/2017 12:23,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,30,0,Completed,07/24/2017 12:23,Local PPO
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,42,0,Completed,07/24/2017 12:23,Local PPO
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,49,0,Completed,07/24/2017 12:23,Local PPO
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,7,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H2256,29,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,,,H2261,22,2,Completed,07/24/2017 9:40,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Premium - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,1,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,Baylor Scott & White Holdings,SeniorCare VIP (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,16,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,12,0,Completed,06/15/2017 15:55,Local PPO
AZ,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4853,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4868,1,0,Completed,07/27/2017 10:38,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,5,Completed,07/24/2017 10:22,Local PPO
PR,All,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,1,0,Completed,07/14/2017 11:46,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,14,0,Completed,07/18/2017 9:33,Local PPO
MO,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4909,15,0,Completed,07/18/2017 9:33,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5009,1,0,Completed,07/26/2017 17:12,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,16,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,17,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,All,"Clover Health Holdings, Inc.",Clover Health PA Green (PPO),Y,N,N,Y,N,,,0,511,0,256,H5141,28,0,Completed,07/25/2017 8:01,Local PPO
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,3,0,Completed,07/28/2017 11:13,Local PPO
WI,All,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,9,0,Completed,07/28/2017 12:26,Local PPO
NC,All,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,1,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,31,1,Completed,07/25/2017 10:12,Local PPO
HI,All,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,40,0,Completed,07/25/2017 10:12,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-056 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,56,0,Completed,07/25/2017 10:12,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,59,0,Completed,07/25/2017 10:12,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,75,0,Completed,07/25/2017 10:12,Local PPO
CO,All,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
TN,All,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,99,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,120,0,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-126 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,126,0,Completed,07/25/2017 10:12,Local PPO
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,62,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,77,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,79,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,13,0,Completed,07/20/2017 14:41,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,1,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,2,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,All,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8067,1,0,Completed,07/27/2017 5:10,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,3,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,5,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage (HMO),Y,N,Y,Y,N,,,228,455,228,228,H8142,1,0,Completed,07/16/2017 17:10,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,42,0,Completed,07/25/2017 10:12,PFFS
PA,All,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,52,0,Completed,07/25/2017 10:12,PFFS
NC,All,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,63,0,Completed,07/25/2017 10:12,PFFS
SC,All,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,69,0,Completed,07/25/2017 10:12,PFFS
MS,All,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,87,0,Completed,07/25/2017 10:12,PFFS
MN,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
SC,All,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,Y,N,Y,N,,,0,455,0,228,H8170,2,0,Completed,07/06/2017 10:58,HMO/HMOPOS
TX,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8197,1,0,Completed,06/07/2017 12:14,Medicare-Medicaid Plan HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,8,5,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,8,6,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),Y,Y,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2017 14:04,Medicare-Medicaid Plan HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,2,0,Completed,06/29/2017 10:16,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,1,0,Completed,07/24/2017 14:11,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8604,10,0,Completed,07/05/2017 14:27,Local PPO
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,3,0,Completed,07/24/2017 12:23,Local PPO
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,4,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,2,Completed,07/27/2017 12:35,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
NC,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,20,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,511,10,256,H9207,4,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,13,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,3,0,Completed,07/27/2017 18:54,HMO/HMOPOS
NY,All,"Village Care of New York, Inc.",VillageCareMAX Full Advantage FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9345,1,0,Completed,07/25/2017 10:44,Medicare-Medicaid Plan HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,1,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,4,Completed,07/26/2017 11:41,Local PPO
MA,All,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,N,N,,,,,,,H9585,1,0,Completed,07/26/2017 18:10,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,10,0,Completed,06/28/2017 12:35,Local PPO
AR,All,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,3,Completed,07/13/2017 12:29,HMO/HMOPOS
NC,All,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,N,,,0,455,0,228,H9808,4,0,Completed,06/21/2017 11:26,Local PPO
NY,All,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,06/27/2017 15:25,Medicare-Medicaid Plan HMO/HMOPOS
MO,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MS,All,Humana Inc.,HumanaChoice R0110-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0110,1,0,Completed,07/25/2017 10:12,Regional PPO
MS,All,Humana Inc.,HumanaChoice R0110-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0110,3,0,Completed,07/25/2017 10:12,Regional PPO
IN,All,Humana Inc.,HumanaChoice R0865-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0865,1,0,Completed,07/25/2017 10:12,Regional PPO
KY,All,Humana Inc.,HumanaChoice R0865-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0865,3,0,Completed,07/25/2017 10:12,Regional PPO
VA,All,Humana Inc.,HumanaChoice R1390-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1390,1,0,Completed,07/25/2017 10:12,Regional PPO
AR,All,Humana Inc.,HumanaChoice R1532-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1532,1,0,Completed,07/25/2017 10:12,Regional PPO
VA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,281,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AZ,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,294,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,3,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,6,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,11,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,14,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,15,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
UT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,30,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
GU,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,35,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,38,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NJ,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,62,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OH,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,72,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NH,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,92,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
DE,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,103,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WV,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,104,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
VA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,132,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
SC,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,134,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MN,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,145,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ND,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,145,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
GA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,156,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MN,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,171,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,171,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AZ,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,174,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AK,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,180,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5904,2,0,Completed,07/25/2017 15:06,Medicare Prescription Drug Plan
NC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,353,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,360,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,363,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NM,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,371,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
HI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,381,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,382,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
DC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,387,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
DE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,387,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
GA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,392,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TX,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,403,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ND,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,406,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Rx Standard (PDP),Y,Y,Y,Y,N,,,50,72,25,36,S5993,1,0,Completed,07/26/2017 10:13,Medicare Prescription Drug Plan
VT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,2,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MD,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,5,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
VA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,7,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
KY,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,15,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
WI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,16,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MO,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,18,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
AR,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,19,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,8,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,18,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,3,Completed,07/24/2017 10:22,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,1,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,17,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,32,0,Completed,07/13/2017 15:08,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,40,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,1,Completed,07/28/2017 14:33,HMO/HMOPOS
WI,All,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,16,0,Completed,07/21/2017 13:36,1876 Cost
WI,All,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,17,0,Completed,07/21/2017 13:36,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2531,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
SC,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2533,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
AZ,All,Anthem Inc.,CareMore Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,1,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus SNP-DE H2649-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,48,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Aetna Inc.,Coventry Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,All,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,17,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OK,All,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
ME,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NY,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,99,0,Completed,07/27/2017 10:38,Local PPO
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
ME,All,"WellCare Health Plans, Inc.",Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,13,0,Completed,07/27/2017 10:38,PFFS
WI,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2879,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
NV,All,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,8,0,Completed,06/27/2017 19:00,Local PPO
CA,All,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,2,0,Completed,06/06/2017 3:07,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,4,0,Completed,06/06/2017 3:07,HMO/HMOPOS
PR,All,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,3,0,Completed,07/14/2017 11:46,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,84,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/ Rx (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,4,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,30,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,32,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,17,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3251,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
GA,All,"UNICO Premier, LLC",PruittHealth Premier D-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,15,0,Completed,06/28/2017 12:35,HMO/HMOPOS
VT,All,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,1,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,10,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,30,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,53,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,54,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Heart First offered by SCAN Health Plan (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,55,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,77,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,78,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,92,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,93,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,HealthSun MediMax (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,6,0,Completed,07/14/2017 16:29,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OR,All,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,2,Completed,07/06/2017 14:24,Local PPO
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,16,2,Completed,07/06/2017 14:24,Local PPO
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,62,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,5,0,Completed,07/26/2017 16:54,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Traditional Plus-LA (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,8,0,Completed,07/28/2017 16:14,HMO/HMOPOS
KY,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,85,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,94,0,Completed,07/12/2017 15:39,Local PPO
DE,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,95,0,Completed,07/12/2017 15:39,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,99,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,108,0,Completed,07/12/2017 15:39,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,114,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,120,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,122,0,Completed,07/12/2017 15:39,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,131,0,Completed,07/12/2017 15:39,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,139,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,146,0,Completed,07/12/2017 15:39,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,152,0,Completed,07/12/2017 15:39,Local PPO
KY,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,156,0,Completed,07/12/2017 15:39,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,169,0,Completed,07/12/2017 15:39,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,170,0,Completed,07/12/2017 15:39,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,177,0,Completed,07/12/2017 15:39,Local PPO
WI,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,195,0,Completed,07/12/2017 15:39,Local PPO
IL,All,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,4,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,5,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,8,0,Completed,07/25/2017 10:12,Local PPO
NY,All,Visiting Nurse Service of New York,VNSNY CHOICE Medicare Maximum (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,6,0,Completed,07/19/2017 13:57,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,5,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,27,0,Completed,06/29/2017 9:06,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,2,Completed,07/25/2017 8:54,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,11,0,Completed,07/25/2017 8:54,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,1,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Plus Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,32,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,35,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-016 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-032 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",Care Improvement Plus Silver Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,8,0,Completed,07/24/2017 12:23,Regional PPO
MO,All,"UnitedHealth Group, Inc.",Care Improvement Plus Dual Advantage (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,11,0,Completed,07/24/2017 12:23,Regional PPO
KS,All,Humana Inc.,HumanaChoice R4845-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R4845,2,0,Completed,07/25/2017 10:12,Regional PPO
IN,All,Anthem Inc.,Anthem MediBlue Access Basic (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5941,15,0,Completed,07/18/2017 9:33,Regional PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,3,0,Completed,07/24/2017 12:23,Regional PPO
GA,All,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,10,0,Completed,07/24/2017 12:23,Regional PPO
NH,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,2,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MD,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,6,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,8,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,34,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ND,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,42,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NV,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,45,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
PA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,78,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,BlueCross BlueShield of Alabama,BlueRx Option I (PDP),Y,Y,Y,Y,N,,,48,72,24,36,S1030,6,0,Completed,07/23/2017 19:38,Medicare Prescription Drug Plan
VT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,N,Y,N,N,,,,,,,S2893,3,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
SD,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,20,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
AZ,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,23,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
MS,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,74,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
RI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,76,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MD,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,79,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
IN,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,86,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,89,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
CA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,94,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
CT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,99,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
PA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,103,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NC,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,105,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
ID,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,127,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare Rx Enhanced (PDP),Y,N,N,Y,N,,,0,72,0,36,S5540,4,0,Completed,07/24/2017 11:58,Medicare Prescription Drug Plan
NY,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5552,4,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ME,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,3,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
GA,All,Anthem Inc.,BCBSGa Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,11,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
IN,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,18,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
IN,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,19,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
MO,All,Anthem Inc.,Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,44,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
NH,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,46,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
CT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,4,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
VT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,4,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
CT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,5,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NY,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,6,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NJ,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,9,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
TN,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,24,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
AL,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,25,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OH,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,29,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
KY,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,30,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,50,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
IA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,25,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NM,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,26,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
CO,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,27,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
ID,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,31,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
UT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,31,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-007 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,567,0,284,H0148,1,0,Completed,07/28/2017 13:53,Medicare-Medicaid Plan HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,8,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,12,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0321,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/07/2017 12:31,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,43,1,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,44,2,Completed,07/06/2017 14:24,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,29,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,70,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,138,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,144,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,148,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,5,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,10,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,27,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,41,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,52,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,63,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,14,0,Completed,06/26/2017 11:39,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,101,1,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,114,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Chinese Hospital Association,CCHP Senior Program (HMO),Y,N,Y,N,N,,,,,,,H0571,1,0,Completed,07/26/2017 11:49,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,07/18/2017 14:51,1876 Cost
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,07/18/2017 14:51,1876 Cost
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,1,0,Completed,07/24/2017 12:23,Local PPO
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,5,0,Completed,07/24/2017 12:23,Local PPO
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,9,0,Completed,07/24/2017 12:23,Local PPO
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
PA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,18,0,Completed,07/24/2017 12:23,Local PPO
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,35,0,Completed,07/24/2017 12:23,Local PPO
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,37,0,Completed,07/24/2017 12:23,Local PPO
CT,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,1,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,1,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,21,4,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,15,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,3,0,Completed,07/18/2017 12:54,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst AssuredCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,35,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,43,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,138,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,16,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueShield Senior Blue 650 (HMO-POS),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,59,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueShield BlueSaver (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,63,0,Completed,07/25/2017 12:50,HMO/HMOPOS
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,All,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,5,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,All,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,13,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,18,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,All,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,21,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,3,0,Completed,06/30/2017 19:02,HMO/HMOPOS
OR,All,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,20,0,Completed,06/30/2017 19:02,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Special Needs Plan (Rogue) (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3814,29,0,Completed,06/28/2017 15:06,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,1,0,Completed,07/27/2017 20:51,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan AllCare Preferred Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,11,0,Completed,07/27/2017 20:51,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,1,Completed,07/26/2017 17:12,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Complete (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,9,0,Completed,07/20/2017 22:08,Local PPO
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,27,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 31 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,31,1,Completed,06/15/2017 15:55,HMO/HMOPOS
WA,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 31 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,31,2,Completed,06/15/2017 15:55,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,1,0,Completed,07/24/2017 10:45,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,1,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,4,Completed,07/20/2017 14:11,Local PPO
PA,All,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3923,13,0,Completed,07/27/2017 12:53,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,9,Completed,06/29/2017 13:12,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,3,Completed,06/29/2017 13:12,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,6,Completed,06/29/2017 13:12,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,8,Completed,06/29/2017 13:12,Local PPO
PA,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,44,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,49,0,Completed,07/24/2017 10:45,HMO/HMOPOS
CA,All,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,2,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,3,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-057 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,75,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
UT,All,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,6,0,Completed,06/07/2017 12:34,HMO/HMOPOS
ID,All,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,10,0,Completed,06/07/2017 12:34,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,19,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,4,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,2,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),N,N,N,N,N,,,,,,,H5826,6,0,Completed,06/29/2017 11:10,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OR,All,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,402,0,201,H5859,1,0,Completed,06/30/2017 20:32,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5926,1,0,Completed,06/07/2017 11:46,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,10,0,Completed,07/24/2017 20:49,HMO/HMOPOS
TX,All,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5928,38,0,Completed,07/24/2017 20:49,HMO/HMOPOS
PA,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,1,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NV,All,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,5,0,Completed,06/22/2017 17:15,HMO/HMOPOS
NY,All,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,1,0,Completed,07/25/2017 10:12,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,15,0,Completed,07/25/2017 10:12,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,16,0,Completed,07/25/2017 10:12,Local PPO
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct smartHMO (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6306,5,0,Completed,07/31/2017 15:04,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,4,0,Completed,07/25/2017 9:56,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,35,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,All,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6672,4,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,2,Completed,06/26/2017 13:58,HMO/HMOPOS
NH,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,N,Y,Y,N,,,25,455,0,228,H7165,1,0,Completed,07/31/2017 13:54,HMO/HMOPOS
OH,All,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
KS,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,147,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,148,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WY,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,148,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,153,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AR,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,176,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ME,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,185,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WA,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,192,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AK,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,196,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
DE,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,39,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MD,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,39,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IN,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,49,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MO,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,52,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AR,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,53,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AZ,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,62,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NC,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,282,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
FL,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,285,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MI,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,287,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IN,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,289,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
DE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,4,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,5,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
FL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,10,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,14,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,19,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,23,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SC,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,8,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,71,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,74,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ND,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,83,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NV,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,87,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NH,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,101,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NM,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,110,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AR,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,141,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OK,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,144,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NH,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,148,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,149,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
VA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,153,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,162,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
KS,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,170,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
UT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,177,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
FL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,356,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,357,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,362,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
LA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,366,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,368,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ND,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,370,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CA,All,"Universal Care, Inc",Brand New Day Dual Coverage (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,24,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Embrace Care Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,35,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,37,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NJ,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,12,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,N,Y,100,100,,,,,H1016,21,0,Completed,07/17/2017 18:14,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,1,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,59,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,170,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP s Medvantage Savings Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,14,0,Completed,07/28/2017 10:27,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,25,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-054C (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,130,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-140 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,140,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,171,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Special Care Miami-Dade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Secure Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,9,0,Completed,07/24/2017 14:05,HMO/HMOPOS
GA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
GA,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
NM,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,1,0,Completed,07/14/2017 12:55,HMO/HMOPOS
TX,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,3,0,Completed,07/14/2017 12:55,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Maui (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,13,0,Completed,07/19/2017 22:51,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Hawaii Island (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,14,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1286,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1286,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",Secure Blue No Rx (PPO),Y,N,N,Y,N,,,455,455,228,228,H1302,4,0,Completed,07/27/2017 11:11,Local PPO
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,4,0,Completed,07/26/2017 17:12,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,4,0,Completed,07/26/2017 17:12,Local PPO
KS,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
MO,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,2,0,Completed,07/29/2017 8:36,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,51,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,2,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS 10 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,18,0,Completed,07/26/2017 12:48,HMO/HMOPOS
AR,All,"Select Founders, LLC",Horizons (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1587,2,0,Completed,07/21/2017 9:45,HMO/HMOPOS
IA,All,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
SD,All,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,4,0,Completed,07/12/2017 15:39,Local PPO
KS,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
KS,All,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
WV,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,26,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,6,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,6,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,6,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,33,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Beaver Valley Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,51,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Unico (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4003,19,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,InnovaCare Inc.,PMC - Premier Preferred Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,48,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,InnovaCare Inc.,PMC - Max Extra (HMO),Y,Y,Y,Y,N,,,312,312,156,156,H4004,56,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,All,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,1,0,Completed,07/27/2017 18:58,Local PPO
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,7,0,Completed,06/21/2017 11:09,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,228,455,228,228,H4152,19,2,Completed,06/21/2017 11:09,HMO/HMOPOS
MO,All,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,3,Completed,07/13/2017 12:29,PFFS
NV,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,5,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MS,All,CIGNA,Cigna-HealthSpring TotalCare SMS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,All,CIGNA,Cigna-HealthSpring Advantage SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,11,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,2,Completed,06/26/2017 13:58,Local PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Preferred - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,5,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,Baylor Scott & White Holdings,SeniorCare VIP - Basic Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,17,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 4 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,4,0,Completed,06/15/2017 15:55,Local PPO
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,6,0,Completed,06/15/2017 15:55,Local PPO
IL,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,3,Completed,07/24/2017 10:22,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,3,Completed,07/24/2017 10:22,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York BeWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,2,0,Completed,07/20/2017 15:47,HMO/HMOPOS
AZ,All,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,15,0,Completed,07/25/2017 11:49,HMO/HMOPOS
AZ,All,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,16,0,Completed,07/25/2017 11:49,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Asuris TruAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H5010,1,0,Completed,07/26/2017 17:12,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,17,0,Completed,07/19/2017 22:51,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,1,0,Completed,07/28/2017 11:13,Local PPO
WI,All,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,4,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,1,0,Completed,07/28/2017 12:26,Local PPO
WI,All,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,5,0,Completed,07/28/2017 12:26,Local PPO
WI,All,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,8,0,Completed,07/28/2017 12:26,Local PPO
WI,All,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,1,0,Completed,07/25/2017 10:12,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,1,Completed,07/25/2017 10:12,Local PPO
WA,All,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
FL,All,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,65,0,Completed,07/25/2017 10:12,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,72,0,Completed,07/25/2017 10:12,Local PPO
WA,All,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,3,0,Completed,07/10/2017 17:32,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage Total Health (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,5,0,Completed,07/10/2017 17:32,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H7419,1,0,Completed,07/06/2017 10:17,Medicare-Medicaid Plan HMO/HMOPOS
TX,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H7680,2,0,Completed,06/22/2017 17:15,HMO/HMOPOS
VA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
CA,All,Health Plan of San Mateo,CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H7885,1,0,Completed,06/05/2017 14:57,Medicare-Medicaid Plan HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,13,0,Completed,06/27/2017 16:06,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,32,0,Completed,06/27/2017 16:06,Local PPO
CA,All,Orange County Health Authority,OneCare Connect (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H8016,1,0,Completed,07/25/2017 13:36,Medicare-Medicaid Plan HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,7,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H8133,13,0,Completed,06/14/2017 16:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,4,0,Completed,07/25/2017 10:12,PFFS
SD,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
AZ,All,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,103,0,Completed,07/25/2017 10:12,PFFS
AR,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
CO,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MO,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
OK,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
KS,All,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
NM,All,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
NY,All,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,15,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,All,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,07/26/2017 8:42,Medicare-Medicaid Plan HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,4,0,Completed,07/24/2017 14:11,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,9,0,Completed,07/24/2017 14:11,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,1,0,Completed,07/24/2017 12:23,Local PPO
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,7,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,7,Completed,07/27/2017 12:35,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,2,0,Completed,07/31/2017 16:05,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Gold Complete (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,5,0,Completed,07/31/2017 16:05,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H9104,6,0,Completed,06/26/2017 14:13,HMO/HMOPOS
NY,All,New York City Health and Hospitals Corporation,MetroPlus FIDA (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9115,1,0,Completed,06/07/2017 14:53,Medicare-Medicaid Plan HMO/HMOPOS
KY,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,13,0,Completed,07/26/2017 13:02,HMO/HMOPOS
OH,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,19,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Basic (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,1,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,6,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,7,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,9,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9287,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
SC,All,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9403,3,0,Completed,07/17/2017 13:33,HMO/HMOPOS
PA,All,Capital BlueCross,Vibra Health Plan Enhanced Coverage (PPO),Y,Y,N,Y,Y,100,0,0,511,0,256,H9408,2,0,Completed,07/27/2017 12:53,Local PPO
KY,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,1,Completed,07/26/2017 11:41,Local PPO
ME,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,378,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
FL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,383,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,390,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,396,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,401,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
LA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,402,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,408,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
HI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,414,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AZ,All,Blue Cross Blue Shield of Arizona,Blue MedicareRx Enhanced (PDP),Y,N,N,Y,Y,25,25,72,72,36,36,S6506,2,0,Completed,06/19/2017 16:51,Medicare Prescription Drug Plan
NC,All,"Aware Integrated, Inc.",Basic Blue Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S6986,2,0,Completed,07/25/2017 12:09,Medicare Prescription Drug Plan
DC,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,5,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
IL,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,17,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NE,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,25,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
SD,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,25,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
PA,All,Capital BlueCross,SecureRx - Option 1 (PDP),Y,Y,Y,N,N,,,,,,,S8067,3,0,Completed,07/27/2017 12:53,Medicare Prescription Drug Plan
CA,All,California Physicians  Service,Care1st Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,567,0,284,H0148,2,0,Completed,07/28/2017 13:53,Medicare-Medicaid Plan HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,2,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,30,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell CHF/Diabetes Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,38,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,24,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AZ,All,CIGNA,Cigna-HealthSpring Achieve Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,2,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Solano (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Ventura (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,34,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Kern (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,35,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,38,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,46,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",Sharp SecureHorizons Plan by UnitedHealthcare (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,145,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,147,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,153,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,165,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,20,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,21,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,31,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,36,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,53,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,59,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,60,4,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,61,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,1,0,Completed,06/26/2017 11:39,HMO/HMOPOS
WV,All,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,31,0,Completed,07/12/2017 15:39,Local PPO
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,27,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,5,0,Completed,06/14/2017 16:42,Local PPO
SC,All,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H1723,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
SD,All,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
WA,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1894,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1894,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,38,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,49,1,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1969,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,4,0,Completed,07/26/2017 9:21,HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,7,0,Completed,07/26/2017 9:21,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,1,0,Completed,07/16/2017 17:10,Local PPO
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,228,455,228,228,H2032,2,0,Completed,07/16/2017 17:10,Local PPO
DE,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,20,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DC,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
NY,All,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,2,0,Completed,07/25/2017 10:44,HMO/HMOPOS
MA,All,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/24/2017 18:26,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2226,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
DC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,41,0,Completed,07/24/2017 12:23,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,44,0,Completed,07/24/2017 12:23,Local PPO
WI,All,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,18,8,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,33,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,40,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,13,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,21,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,4,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,15,0,Completed,07/30/2017 14:55,HMO/HMOPOS
KS,All,Kansas Superior Select,Kansas Superior Select Skilled Care Plan (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2392,1,0,Completed,07/27/2017 16:05,HMO/HMOPOS
ND,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
AR,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
NE,All,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
TN,All,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,97,0,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,100,0,Completed,07/25/2017 10:12,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-104 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,104,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,105,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,106,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,112,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,116,0,Completed,07/25/2017 10:12,Local PPO
DE,All,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,127,0,Completed,07/25/2017 10:12,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,136,0,Completed,07/25/2017 10:12,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,64,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,73,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,83,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,4,0,Completed,06/12/2017 11:28,1876 Cost
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,0,0,H5264,2,0,Completed,07/31/2017 16:05,1876 Cost
AL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,6,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,47,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,59,0,Completed,07/06/2017 14:36,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
KS,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OR,All,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,13,0,Completed,07/06/2017 14:24,Local PPO
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,49,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,55,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,57,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,1,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,6,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,13,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,14,0,Completed,07/26/2017 16:54,HMO/HMOPOS
CO,All,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,57,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,60,0,Completed,07/12/2017 15:39,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,82,0,Completed,07/12/2017 15:39,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,83,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,112,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,121,0,Completed,07/12/2017 15:39,Local PPO
NJ,All,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,123,0,Completed,07/12/2017 15:39,Local PPO
TN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,141,0,Completed,07/12/2017 15:39,Local PPO
ME,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,143,0,Completed,07/12/2017 15:39,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,3,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,3,Completed,07/26/2017 11:41,Local PPO
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MD,All,"Medstar Health, Inc.",MedStar Medicare Choice Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H9915,9,0,Completed,07/11/2017 8:53,HMO/HMOPOS
MS,All,Humana Inc.,HumanaChoice R0110-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0110,2,0,Completed,07/25/2017 10:12,Regional PPO
IN,All,Humana Inc.,HumanaChoice R0865-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0865,3,0,Completed,07/25/2017 10:12,Regional PPO
NC,All,Humana Inc.,HumanaChoice R1390-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1390,1,0,Completed,07/25/2017 10:12,Regional PPO
AR,All,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,9,0,Completed,07/24/2017 12:23,Regional PPO
AR,All,"UnitedHealth Group, Inc.",Care Improvement Plus Dual Advantage (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,11,0,Completed,07/24/2017 12:23,Regional PPO
FL,All,Humana Inc.,HumanaChoice R5826-018 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5826,18,0,Completed,07/25/2017 10:12,Regional PPO
GA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,14,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
UT,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,32,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MN,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,42,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WV,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,78,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CA,All,California Physicians  Service,Blue Shield Rx Plus (PDP),Y,Y,N,Y,N,,,0,72,,,S2468,3,0,Completed,07/21/2017 17:33,Medicare Prescription Drug Plan
TN,All,Tennessee Rural Health Improvement Association,Farm Bureau Essential Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,5,0,Completed,07/31/2017 9:49,Medicare Prescription Drug Plan
PR,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S2874,4,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S2893,3,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
RI,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,N,Y,Y,N,,,36,72,36,36,S2893,3,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
NV,All,Renown Health,Senior Care Plus: Medicare Rx Standard (PDP),Y,N,Y,N,Y,25,25,,,36,36,S4054,1,0,Completed,06/27/2017 19:00,Medicare Prescription Drug Plan
PA,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,8,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
NC,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,10,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
KY,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,14,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
UT,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,24,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
UT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,21,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
SC,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,70,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AR,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,73,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,76,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WV,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,80,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NC,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,81,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
FL,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,83,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
OH,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,85,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NE,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,89,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NV,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,93,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NJ,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,101,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AL,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,109,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
KS,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,120,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
HI,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,129,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AK,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,130,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AZ,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,134,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NY,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5552,5,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
PA,All,Highmark Health,Blue Rx PDP Complete (PDP),Y,N,N,Y,N,,,72,72,36,36,S5593,3,0,Completed,07/20/2017 14:11,Medicare Prescription Drug Plan
WV,All,Highmark Health,Blue Rx PDP Complete (PDP),Y,N,N,Y,N,,,72,72,36,36,S5593,3,0,Completed,07/20/2017 14:11,Medicare Prescription Drug Plan
MO,All,Anthem Inc.,Blue MedicareRx Value (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,43,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
CO,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,60,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,9,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,79,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,1,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,2,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,2,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,07/18/2017 14:51,1876 Cost
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Platinum SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,7,0,Completed,07/28/2017 17:35,1876 Cost
AL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,4,0,Completed,07/24/2017 12:23,Local PPO
CO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,8,0,Completed,07/24/2017 12:23,Local PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,10,0,Completed,07/24/2017 12:23,Local PPO
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0710,26,0,Completed,07/24/2017 12:23,Local PPO
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,27,0,Completed,07/24/2017 12:23,Local PPO
MN,All,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,1,0,Completed,07/28/2017 14:33,Local PPO
CA,All,"Universal Care, Inc",Brand New Day Bridges Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,29,0,Completed,07/17/2017 20:44,HMO/HMOPOS
OH,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0908,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,38,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,57,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,63,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,64,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,65,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,2,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-062C (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,62,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-065C (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,65,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,74,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,151,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,168,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,229,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,237,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,243,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,247,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,249,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-255 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,255,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,269,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,270,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Choice Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,37,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1112,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NM,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,N,Y,N,,,100,455,100,228,H1189,2,0,Completed,07/14/2017 12:55,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,1,0,Completed,07/26/2017 17:12,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H1304,1,0,Completed,07/26/2017 17:12,Local PPO
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue No Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,6,0,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,15,1,Completed,07/27/2017 11:11,HMO/HMOPOS
OR,All,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,27,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,32,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ND,All,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
ND,All,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,7,0,Completed,07/21/2017 13:36,1876 Cost
VA,All,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,3,0,Completed,07/07/2017 9:15,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,15,0,Completed,07/24/2017 17:36,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H2649-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,30,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-055 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-065 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,65,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,All,Aetna Inc.,Coventry Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,6,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Health NYC - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,17,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Silver - NY City (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,20,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,100,0,Completed,07/27/2017 10:38,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,45,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,7,0,Completed,07/27/2017 10:38,PFFS
NY,All,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
ME,All,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
NY,All,"WellCare Health Plans, Inc.",Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,19,0,Completed,07/27/2017 10:38,PFFS
PA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2915,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NV,All,Renown Health,Senior Care Plus: Value Rx Plan (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,12,0,Completed,06/27/2017 19:00,HMO/HMOPOS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,1,0,Completed,07/17/2017 9:31,HMO/HMOPOS
TX,All,Memorial Hermann Health System,Memorial Hermann Advantage (PPO),Y,N,Y,Y,N,,,455,455,228,228,H2968,1,0,Completed,07/28/2017 11:53,Local PPO
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,455,0,228,H3018,1,0,Completed,07/25/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
PR,All,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3113,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,13,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,N,,,175,567,75,284,H3154,29,0,Completed,07/26/2017 10:13,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,7,0,Completed,07/24/2017 16:56,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,567,0,284,H3237,1,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3240,21,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,All,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,7,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,30,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,17,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,37,0,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,6,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,38,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,51,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,54,0,Completed,06/26/2017 13:34,Local PPO
NY,All,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3342,19,0,Completed,07/18/2017 9:33,Local PPO
WI,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,150,0,Completed,07/12/2017 15:39,Local PPO
MS,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,154,0,Completed,07/12/2017 15:39,Local PPO
CT,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,157,0,Completed,07/12/2017 15:39,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,171,0,Completed,07/12/2017 15:39,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,184,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,2,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,18,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,17,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NY,All,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,4,0,Completed,07/25/2017 12:50,Local PPO
NY,All,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Focus (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,19,0,Completed,07/25/2017 12:50,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,8,0,Completed,07/26/2017 8:03,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,17,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,2,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,14,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,16,0,Completed,06/29/2017 9:06,HMO/HMOPOS
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,5,0,Completed,07/25/2017 8:54,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,22,0,Completed,07/06/2017 14:45,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
NH,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,40,1,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,55,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-063 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,63,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-076 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,76,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-081 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,82,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,88,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,93,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-100 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,100,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-104 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,104,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NM,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5746,16,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,24,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,26,0,Completed,07/19/2017 16:44,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,1,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,5,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,25,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,3,3,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,7,0,Completed,07/27/2017 13:39,HMO/HMOPOS
CO,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,61,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
NH,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,2,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
VA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,15,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
SC,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,18,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
GA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,21,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
TN,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,25,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MO,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,36,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MS,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,41,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
KS,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,48,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NM,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,52,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
CO,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,55,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,61,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
UT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,62,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
CA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,65,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
HI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,67,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WA,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,1,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
NJ,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,18,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
FL,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,53,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MO,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,88,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NE,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,123,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
SD,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,123,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
WY,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,123,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,158,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NC,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,217,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
IL,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,224,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
DE,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,250,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
TX,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,267,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
IA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,270,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AK,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,279,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NC,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,110,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
FL,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,113,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OH,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,116,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
LA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,123,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
SD,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,127,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WY,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,127,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AZ,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,130,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OR,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,132,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
HI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,135,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
KY,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,185,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MN,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,195,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,195,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NH,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,218,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
VA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,223,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
SC,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,14,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,All,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,20,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1537,4,0,Completed,07/24/2017 12:23,Local PPO
IL,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
AR,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
OK,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,21,0,Completed,07/12/2017 15:39,Local PPO
OH,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,29,0,Completed,07/12/2017 15:39,Local PPO
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,All,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,8,0,Completed,06/12/2017 11:28,1876 Cost
ME,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,13,0,Completed,07/06/2017 14:10,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,4,0,Completed,06/14/2017 16:42,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,8,0,Completed,06/14/2017 16:42,Local PPO
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,13,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,1,Completed,07/28/2017 14:29,HMO/HMOPOS
WI,All,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,06/16/2017 12:43,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,9,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,30,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard DC (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2172,3,0,Completed,07/19/2017 22:51,HMO/HMOPOS
MA,All,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,07/25/2017 11:55,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,22,0,Completed,07/24/2017 12:23,Local PPO
HI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,43,0,Completed,07/24/2017 12:23,Local PPO
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,47,0,Completed,07/24/2017 12:23,Local PPO
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,48,0,Completed,07/24/2017 12:23,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,,,H2230,17,0,Completed,07/24/2017 9:40,Local PPO
CA,All,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,1,Completed,10/17/2017 0:50,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2247,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,7,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,28,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,2,Completed,07/24/2017 9:40,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,5,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,21,0,Completed,07/30/2017 14:55,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2422,2,0,Completed,07/21/2017 13:36,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",SecureBlue (HMO) SNP (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/12/2017 15:25,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,33,0,Completed,07/13/2017 15:08,1876 Cost
NY,All,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,N,,,0,455,0,228,H3344,5,0,Completed,07/26/2017 9:18,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,2,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,10,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,12,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst Mount Sinai Select (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,36,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3362,33,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,22,0,Completed,07/25/2017 12:50,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,6,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage POS (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,15,0,Completed,07/26/2017 12:58,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
ND,All,Sanford,Sanford Heart of America Health Plan (Cost),Y,N,Y,N,N,,,,,0,0,H3503,3,0,Completed,07/31/2017 15:29,1876 Cost
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,12,1,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,27,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ME,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,7,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,32,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,29,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,49,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,17,0,Completed,07/28/2017 16:13,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,13,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WV,All,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,24,0,Completed,07/05/2017 14:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3794,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,2,Completed,07/26/2017 17:12,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Complete Plus (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,10,0,Completed,07/20/2017 22:08,Local PPO
ID,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,21,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 28 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,28,1,Completed,06/15/2017 15:55,HMO/HMOPOS
WA,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 28 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,28,2,Completed,06/15/2017 15:55,HMO/HMOPOS
MT,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 29 (HMO),Y,N,N,Y,N,,,455,455,228,228,H3864,29,0,Completed,06/15/2017 15:55,HMO/HMOPOS
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,228,455,228,228,H3890,1,0,Completed,07/31/2017 15:05,Local PPO
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,47,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Personal Choice 65 Medical Only (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,7,0,Completed,07/24/2017 10:45,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,1,Completed,07/20/2017 14:11,Local PPO
LA,All,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,65,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,96,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,106,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,108,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NV,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,115,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AL,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,125,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,26,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3949,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,20,0,Completed,07/24/2017 10:45,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,1,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,567,0,284,H6229,6,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,5,0,Completed,07/26/2017 17:12,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct preferredPLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6306,6,0,Completed,07/31/2017 15:04,HMO/HMOPOS
TX,All,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,1,0,Completed,06/22/2017 12:50,Local PPO
TX,All,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,455,0,228,H6328,2,0,Completed,06/22/2017 12:50,Local PPO
OH,All,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,2,0,Completed,07/26/2017 8:42,HMO/HMOPOS
KS,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
VA,All,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,14,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,All,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,1,0,Completed,07/17/2017 13:28,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,2,Completed,06/26/2017 13:58,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,3,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Silver Rx (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,3,0,Completed,06/28/2017 15:06,Local PPO
OR,All,ATRIO Health Plans,ATRIO Gold Rx (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,4,0,Completed,06/28/2017 15:06,Local PPO
NH,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6750,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,3,2,Completed,07/06/2017 14:24,HMO/HMOPOS
NE,All,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7149,4,0,Completed,07/12/2017 15:39,HMO/HMOPOS
GA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7173,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7853,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,31,0,Completed,06/27/2017 16:06,Local PPO
FL,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8130,1,0,Completed,06/07/2017 12:12,HMO/HMOPOS
WV,All,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,51,0,Completed,07/25/2017 10:12,PFFS
PA,All,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H8145,55,0,Completed,07/25/2017 10:12,PFFS
MT,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
CO,All,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,123,0,Completed,07/25/2017 10:12,PFFS
WI,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8189,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
PR,All,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,4,0,Completed,07/14/2017 11:46,HMO/HMOPOS
AL,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8280,2,0,Completed,07/20/2017 16:26,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring CarePlan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,455,0,228,H8423,1,0,Completed,07/25/2017 17:34,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,11,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,18,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8554,1,0,Completed,06/29/2017 10:16,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H8578,12,0,Completed,07/24/2017 14:11,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,4,0,Completed,06/14/2017 16:42,Local PPO
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,13,0,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,6,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,1,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,1,Completed,07/27/2017 12:35,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,455,100,228,H9096,3,0,Completed,07/31/2017 16:05,HMO/HMOPOS
IN,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,231,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
SD,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,241,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CO,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,243,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OK,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,11,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
NM,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,13,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
KS,All,Blue Cross Blue Shield of Kansas,Blue MedicareRx Value (PDP),Y,Y,Y,N,N,,,,,0,0,S5726,13,0,Completed,07/25/2017 12:15,Medicare Prescription Drug Plan
IA,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,63,0,36,S5743,4,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
SD,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,63,0,36,S5743,4,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
WI,All,Wisconsin Physicians Service Ins Corporation.,WPS MedicareRx Plan 1 (PDP),Y,Y,Y,Y,N,,,56,72,28,36,S5753,6,0,Completed,06/13/2017 10:15,Medicare Prescription Drug Plan
NC,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,131,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
GA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,133,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
TN,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,135,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OH,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,137,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
KY,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,138,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
UT,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,154,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MT,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,190,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NM,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,191,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
HI,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,195,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NH,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,35,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NY,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,37,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
DC,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,39,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
PA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,40,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WV,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,40,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,50,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,59,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,59,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
CO,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,61,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
CT,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,276,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
RI,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,276,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
VT,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,276,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AL,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,286,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
CA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,295,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ME,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,1,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
DC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,4,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,4,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,13,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,29,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MP,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,36,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
PR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,37,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,1,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MD,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,4,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
TX,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,20,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,28,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
RI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,102,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IL,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,107,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MN,All,UCare Minnesota,UCare for Seniors Value (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,UCare Minnesota,UCare for Seniors Value Plus (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,22,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,8,0,Completed,07/21/2017 13:36,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,10,0,Completed,07/21/2017 13:36,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,22,0,Completed,07/21/2017 13:36,1876 Cost
UT,All,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2486,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,All,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,2,Completed,07/07/2017 9:15,HMO/HMOPOS
AZ,All,Anthem Inc.,CareMore Smart Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,18,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,11,0,Completed,07/24/2017 17:36,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,All,Humana Inc.,Humana Gold Plus H2649-043 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,43,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus SNP-DE H2649-050 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,50,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,54,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,All,Humana Inc.,Humana Gold Plus H2649-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,61,2,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Aetna Inc.,Coventry Select (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,25,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,8,0,Completed,07/18/2017 13:53,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,82,0,Completed,07/27/2017 10:38,Local PPO
ME,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
NY,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,89,0,Completed,07/27/2017 10:38,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,23,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,All,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,1,0,Completed,07/27/2017 10:38,PFFS
NY,All,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
ME,All,"WellCare Health Plans, Inc.",Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,8,0,Completed,07/27/2017 10:38,PFFS
NV,All,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,7,0,Completed,06/27/2017 19:00,Local PPO
MN,All,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/08/2017 18:06,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Ultimate Elite (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H2962,3,0,Completed,07/17/2017 9:31,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3113,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare NNJ Prime Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,86,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3328,2,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,455,455,228,228,H3328,3,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,36,0,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,38,0,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,53,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,1,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,6,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,15,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,1,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3359,34,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,134,0,Completed,07/28/2017 11:13,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,50,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,54,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,10,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,43,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,1,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,7,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Alliance Lung Care (HMO SNP),Y,N,N,Y,Y,100,0,0,511,0,256,H3962,18,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Diamante Choice Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4003,17,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Elite Ultra (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,27,0,Completed,07/26/2017 10:26,HMO/HMOPOS
LA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4089,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,228,455,228,228,H4152,5,0,Completed,06/21/2017 11:09,HMO/HMOPOS
OK,All,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/28/2017 9:25,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,16,1,Completed,07/13/2017 12:29,PFFS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,5,Completed,07/13/2017 12:29,PFFS
WI,All,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,455,132,228,H4388,1,0,Completed,07/17/2017 12:25,MSA
AR,All,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,34,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,31,2,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,9,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,25,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,20,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,11,0,Completed,06/15/2017 15:55,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,2,Completed,07/24/2017 10:22,Local PPO
PR,All,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,156,312,150,156,H4876,3,0,Completed,07/14/2017 11:46,Local PPO
AZ,All,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,1,0,Completed,07/25/2017 11:49,HMO/HMOPOS
AZ,All,Banner Health,University Care Advantage  (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,7,0,Completed,07/25/2017 11:49,HMO/HMOPOS
LA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,4,0,Completed,07/28/2017 11:13,Local PPO
NC,All,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,17,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,19,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,20,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,24,0,Completed,07/25/2017 10:12,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,48,0,Completed,07/25/2017 10:12,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,52,2,Completed,07/25/2017 10:12,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,66,0,Completed,07/25/2017 10:12,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,71,0,Completed,07/25/2017 10:12,Local PPO
NM,All,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,77,0,Completed,07/25/2017 10:12,Local PPO
CO,All,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,1,Completed,07/25/2017 10:12,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,81,0,Completed,07/25/2017 10:12,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-082 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,82,0,Completed,07/25/2017 10:12,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-087 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,87,0,Completed,07/25/2017 10:12,Local PPO
WI,All,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,4,0,Completed,07/31/2017 16:05,HMO/HMOPOS
WV,All,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NC,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Prime (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,12,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,All,Catholic Health Initiatives,Classic Plus Rx - N Kentucky (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9208,2,0,Completed,07/27/2017 18:54,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,2,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,6,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,2,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,4,2,Completed,07/26/2017 11:41,Local PPO
NY,All,"MVP Health Care, Inc.",BasiCare with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,8,0,Completed,06/28/2017 12:35,Local PPO
KY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
KY,All,"WellCare Health Plans, Inc.",Wellcare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,3,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,All,Humana Inc.,HumanaChoice R1390-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1390,2,0,Completed,07/25/2017 10:12,Regional PPO
MO,All,Humana Inc.,HumanaChoice R1532-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1532,1,0,Completed,07/25/2017 10:12,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 1 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5342,1,0,Completed,07/24/2017 12:23,Regional PPO
OH,All,Humana Inc.,HumanaChoice R5495-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5495,2,0,Completed,07/25/2017 10:12,Regional PPO
FL,All,Humana Inc.,HumanaChoice R5826-005 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5826,5,0,Completed,07/25/2017 10:12,Regional PPO
TX,All,"UnitedHealth Group, Inc.",Care Improvement Plus Dual Advantage (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R6801,11,0,Completed,07/24/2017 12:23,Regional PPO
VT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,1,0,Completed,07/24/2017 12:23,Regional PPO
SC,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,8,0,Completed,07/24/2017 12:23,Regional PPO
GA,All,"UnitedHealth Group, Inc.",Care Improvement Plus Silver Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,9,0,Completed,07/24/2017 12:23,Regional PPO
SC,All,"UnitedHealth Group, Inc.",Care Improvement Plus Dual Advantage (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,11,0,Completed,07/24/2017 12:23,Regional PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,13,0,Completed,07/24/2017 12:23,Regional PPO
NJ,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,4,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NC,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,10,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,16,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MI,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,18,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,30,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WY,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,42,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,79,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
RI,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,79,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CA,All,California Physicians  Service,Blue Shield Rx Enhanced (PDP),Y,Y,N,Y,N,,,0,72,,,S2468,4,0,Completed,07/21/2017 17:33,Medicare Prescription Drug Plan
AL,All,Tennessee Rural Health Improvement Association,Farm Bureau Essential Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,5,0,Completed,07/31/2017 9:49,Medicare Prescription Drug Plan
CT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S2893,1,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
MA,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,N,Y,N,N,,,,,,,S2893,1,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
NH,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,1,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
MD,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,3,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
NE,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,20,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
ID,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,24,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
ME,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,75,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
PA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,80,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
CO,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,91,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AK,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,96,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
ME,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,98,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WV,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,103,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AK,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,116,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
KY,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,138,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MO,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,140,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,145,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AZ,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,146,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
RI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,149,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
VT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,149,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
DE,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,151,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NC,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,154,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AL,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,158,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
KY,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,161,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WY,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,171,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5904,1,0,Completed,07/25/2017 15:06,Medicare Prescription Drug Plan
ID,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,1,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
RI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,348,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,348,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,349,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,364,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,377,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,393,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,404,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,406,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NM,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,407,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ID,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,412,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WV,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,6,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
SC,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,9,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
OK,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,23,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
KS,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,24,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
OR,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,30,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
WA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,30,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AL,All,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,12,0,Completed,07/23/2017 19:38,Local PPO
MA,All,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/24/2017 18:22,Medicare-Medicaid Plan HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,12,0,Completed,07/24/2017 12:23,Local PPO
AZ,All,"Veritage, LLC",Blue Medicare Advantage Plus (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,1,0,Completed,06/19/2017 17:18,HMO/HMOPOS
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/07/2017 12:31,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,43,4,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Essentials II (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,49,1,Completed,07/06/2017 14:24,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,N,,,0,138,,,H0504,38,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,63,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,32,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,2,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3362,20,0,Completed,07/26/2017 9:16,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,1,Completed,07/24/2017 11:58,Local PPO
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,1,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,5,0,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,1,0,Completed,07/26/2017 12:58,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,2,Completed,07/26/2017 16:51,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,47,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,50,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,15,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,16,0,Completed,06/26/2017 8:52,HMO/HMOPOS
WV,All,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,19,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,All,"American Health Companies, Inc.",Tribute Health Plan of Oklahoma (HMO SNP),Y,Y,Y,N,Y,100,25,,,0,0,H3708,1,0,Completed,06/30/2017 12:19,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3749,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,21,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H3811,3,0,Completed,07/31/2017 19:26,HMO/HMOPOS
OR,All,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,9,0,Completed,07/31/2017 19:26,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,7,0,Completed,07/27/2017 20:51,HMO/HMOPOS
MT,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
OH,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,44,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,2,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,22,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,24,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,35,2,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,36,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,3,Completed,06/29/2017 13:12,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,8,Completed,06/29/2017 13:12,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,1,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,3,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,3,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO Standard (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,6,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,38,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,36,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,41,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Excela Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,49,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,All,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
TN,All,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,98,0,Completed,07/25/2017 10:12,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,107,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,115,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,119,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,121,0,Completed,07/25/2017 10:12,Local PPO
LA,All,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,135,0,Completed,07/25/2017 10:12,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,63,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,68,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,76,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,80,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,87,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,07/20/2017 14:41,HMO/HMOPOS
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,0,0,H5264,3,0,Completed,07/31/2017 16:05,1876 Cost
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,3,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,18,0,Completed,07/25/2017 17:34,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5420,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,31,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,52,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,62,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,91,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,HealthSun SunPlus Advantage Plan (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,1,0,Completed,07/14/2017 16:29,HMO/HMOPOS
FL,All,Anthem Inc.,HealthSun HealthAdvantage Plan (HMO),Y,N,Y,Y,N,,,0,455,0,228,H5431,12,0,Completed,07/14/2017 16:29,HMO/HMOPOS
NE,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
WA,All,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,11,0,Completed,07/06/2017 14:24,Local PPO
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,12,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,9,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,12,0,Completed,07/26/2017 16:54,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,13,0,Completed,07/12/2017 15:39,Local PPO
DC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,15,0,Completed,07/12/2017 15:39,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,56,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,58,0,Completed,07/12/2017 15:39,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,84,0,Completed,07/12/2017 15:39,Local PPO
IL,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,86,0,Completed,07/12/2017 15:39,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,107,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare TX Connect Plus 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,109,0,Completed,07/12/2017 15:39,Local PPO
WA,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,128,0,Completed,07/12/2017 15:39,Local PPO
NV,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,130,0,Completed,07/12/2017 15:39,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,151,0,Completed,07/12/2017 15:39,Local PPO
TN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,154,0,Completed,07/12/2017 15:39,Local PPO
MA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,159,0,Completed,07/12/2017 15:39,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,183,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,1,0,Completed,07/12/2017 15:39,Local PPO
SC,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,106,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
GA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,107,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
TN,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,109,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MI,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,110,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
ND,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,121,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WI,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,132,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare Rx Standard (PDP),Y,N,N,Y,N,,,0,72,0,36,S5540,2,0,Completed,07/24/2017 11:58,Medicare Prescription Drug Plan
PA,All,Highmark Health,Blue Rx PDP Plus (PDP),Y,N,N,Y,N,,,72,72,36,36,S5593,2,0,Completed,07/20/2017 14:11,Medicare Prescription Drug Plan
ME,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,1,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
NH,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,1,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
GA,All,Anthem Inc.,BCBSGa Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,10,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
CO,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,59,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
RI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,4,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NY,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,7,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
DC,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,10,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WV,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,12,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
FL,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,22,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OH,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,28,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
IN,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,30,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
IN,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,31,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
IL,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,34,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MO,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,37,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WY,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,51,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OR,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,61,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
UT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,63,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
AR,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,107,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
ME,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,3,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NY,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,13,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
IA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,123,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
ND,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,123,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
WA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,148,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
ID,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,153,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
HI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,163,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
DC,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,214,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
VA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,216,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
DC,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,250,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
WV,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,251,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
OH,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,259,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
KY,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,260,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MO,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,263,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MS,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,265,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
OK,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,268,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MN,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,270,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
ND,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,270,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CO,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,272,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
HI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,278,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,8,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,38,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,49,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,62,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,72,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,InterValley Health Plan,Inter Valley Health Plan Desert Preferred Choice (HMO),Y,N,Y,Y,N,,,0,567,0,284,H0545,12,0,Completed,06/26/2017 11:39,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,100,2,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,110,3,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,6,0,Completed,07/28/2017 17:35,1876 Cost
ME,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,15,0,Completed,07/24/2017 12:23,Local PPO
DE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
DC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
MD,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
CT,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,20,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,23,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,34,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Harmony Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,20,0,Completed,07/17/2017 20:44,HMO/HMOPOS
FL,All,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,N,Y,100,100,,,,,H1016,1,0,Completed,07/17/2017 18:14,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareFree PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,76,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,81,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,92,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,94,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,91,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,124,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,176,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP s  Medvantage Rx Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,6,0,Completed,07/28/2017 10:27,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP s Medvantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,7,0,Completed,07/28/2017 10:27,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-077A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,175,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,210,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,All,Humana Inc.,Humana Gold Plus H1036-219 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,219,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,226,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,231,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,253,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-259 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,259,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,263,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,265,1,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-267 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,267,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,268,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H1036-274 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,274,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Medicare Assist Palm Beach (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO-POS),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,16,0,Completed,07/24/2017 14:05,HMO/HMOPOS
GA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1170,9,0,Completed,07/19/2017 22:51,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Susquehanna Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,50,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4007,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,8,0,Completed,07/18/2017 9:33,Local PPO
AL,All,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,300,0,0,H4091,2,0,Completed,07/27/2017 18:58,Local PPO
OK,All,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/28/2017 9:25,HMO/HMOPOS
OK,All,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/28/2017 9:25,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,2,0,Completed,07/28/2017 11:24,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,3,0,Completed,07/28/2017 11:24,HMO/HMOPOS
PA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MS,All,CIGNA,Cigna-HealthSpring Preferred SMS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4407,25,1,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,31,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,30,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,2,2,Completed,06/26/2017 13:58,Local PPO
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4497,3,1,Completed,06/26/2017 13:58,Local PPO
TX,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,27,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Preferred (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,11,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,Baylor Scott & White Holdings,SeniorCare Select (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,12,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,Baylor Scott & White Holdings,SeniorCare VIP - Enhanced Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,18,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,14,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H4605,1,0,Completed,07/26/2017 17:12,Local PPO
IL,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,1,Completed,07/24/2017 10:22,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,5,Completed,07/24/2017 10:22,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,5,Completed,07/24/2017 10:22,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,4,Completed,07/24/2017 10:22,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,3,0,Completed,07/20/2017 15:47,HMO/HMOPOS
NY,All,"ParkerCare New York, LLC",AgeWell New York StayWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,6,0,Completed,07/20/2017 15:47,HMO/HMOPOS
AZ,All,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,14,0,Completed,07/25/2017 11:49,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,455,213,228,H5211,8,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,6,0,Completed,07/28/2017 12:26,Local PPO
MI,All,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,9,0,Completed,07/25/2017 10:12,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
MI,All,Humana Inc.,HumanaChoice H5216-012 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,12,0,Completed,07/25/2017 10:12,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,13,0,Completed,07/25/2017 10:12,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,22,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,23,0,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,25,0,Completed,07/25/2017 10:12,Local PPO
DE,All,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,28,0,Completed,07/25/2017 10:12,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
FL,All,Humana Inc.,HumanaChoice H5216-060 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,60,0,Completed,07/25/2017 10:12,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,63,0,Completed,07/25/2017 10:12,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,76,0,Completed,07/25/2017 10:12,Local PPO
CO,All,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,78,2,Completed,07/25/2017 10:12,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-084 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,84,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,17,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,6,0,Completed,07/25/2017 10:12,Local PPO
AL,All,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,20,0,Completed,07/25/2017 10:12,Local PPO
WV,All,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,23,0,Completed,07/25/2017 10:12,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,200,511,100,256,H5533,3,0,Completed,07/26/2017 8:03,Local PPO
AZ,All,IASIS Healthcare,Health Choice Generations (HMO SNP),Y,N,Y,Y,N,,,0,455,0,228,H5587,2,0,Completed,07/11/2017 17:23,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,19,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,30,0,Completed,07/06/2017 14:45,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,44,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,1,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,73,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,All,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,79,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,86,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,87,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-101 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,101,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,8,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,1,0,Completed,07/28/2017 18:46,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MN,All,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,10,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5793,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,3,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,6,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,7,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,1,4,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,4,0,Completed,07/24/2017 20:49,HMO/HMOPOS
CA,All,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5943,1,0,Completed,06/26/2017 14:13,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H6237,5,0,Completed,07/26/2017 17:12,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,3,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NC,All,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,1,0,Completed,07/25/2017 9:56,HMO/HMOPOS
MO,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6502,1,0,Completed,07/29/2017 8:36,Local PPO
WI,All,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,108,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TN,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,114,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AR,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,121,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,127,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
ND,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,127,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
FL,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,181,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,183,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IL,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,187,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NE,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,195,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AZ,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,198,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AK,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,204,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,206,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NJ,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,207,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
DC,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,208,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
ME,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,218,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,219,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,219,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
DC,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,221,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
KY,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,231,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
KS,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,240,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AZ,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,244,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NV,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,245,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OR,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,246,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IL,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,2,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
IL,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,12,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
RI,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,126,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
DC,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,128,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IN,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,138,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WI,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,139,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IL,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,140,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NE,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,148,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
SD,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,148,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OK,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,180,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OR,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,192,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Rx Premier (PDP),Y,Y,Y,Y,N,,,72,72,36,36,S5795,2,0,Completed,07/13/2017 12:29,Medicare Prescription Drug Plan
RI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,36,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NJ,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,38,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AL,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,46,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OH,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,48,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
KS,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,58,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ND,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,59,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NV,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,63,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
HI,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1230,8,0,Completed,07/19/2017 22:51,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,8,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,10,0,Completed,07/26/2017 17:12,Local PPO
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,16,1,Completed,07/27/2017 11:11,HMO/HMOPOS
IL,All,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,21,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IN,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
OH,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,12,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,15,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS 30 (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,16,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IA,All,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,7,0,Completed,07/12/2017 15:39,Local PPO
MO,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,13,0,Completed,07/12/2017 15:39,Local PPO
MO,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
WV,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,27,0,Completed,07/12/2017 15:39,Local PPO
FL,All,Aetna Inc.,Coventry Medicare Vista Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,14,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IA,All,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H1651,4,0,Completed,06/12/2017 11:28,1876 Cost
VA,All,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,3,0,Completed,07/07/2017 15:12,Local PPO
ME,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,5,0,Completed,07/06/2017 14:10,HMO/HMOPOS
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,14,0,Completed,07/06/2017 14:10,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,2,0,Completed,06/14/2017 16:42,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,9,0,Completed,06/14/2017 16:42,Local PPO
IA,All,The Carle Foundation,Health Alliance Medicare Guide HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1737,1,0,Completed,07/26/2017 12:53,HMO/HMOPOS
NY,All,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,225,455,100,228,H1777,7,0,Completed,08/03/2017 9:39,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,26,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,48,1,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Choices Gold (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,17,0,Completed,07/28/2017 14:29,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,8,0,Completed,07/26/2017 9:21,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H1997,2,0,Completed,07/26/2017 17:12,HMO/HMOPOS
WI,All,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,06/16/2017 12:43,HMO/HMOPOS
DC,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,28,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,17,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,33,0,Completed,07/19/2017 22:51,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,34,0,Completed,07/19/2017 22:51,1876 Cost
MI,All,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,2,0,Completed,06/12/2017 13:46,HMO/HMOPOS
MI,All,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,455,0,227,H2161,3,0,Completed,06/12/2017 13:46,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,10,0,Completed,07/24/2017 12:23,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,19,0,Completed,07/24/2017 12:23,Local PPO
HI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,24,0,Completed,07/24/2017 12:23,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2228,37,0,Completed,07/24/2017 12:23,Local PPO
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,39,0,Completed,07/24/2017 12:23,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,,,H2230,2,0,Completed,07/24/2017 9:40,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,,,H2230,18,1,Completed,07/24/2017 9:40,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,86,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,111,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,114,0,Completed,07/25/2017 10:12,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,128,0,Completed,07/25/2017 10:12,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,140,0,Completed,07/25/2017 10:12,Local PPO
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,60,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,84,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,455,0,228,H5256,2,0,Completed,06/12/2017 11:28,1876 Cost
WI,All,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,12,0,Completed,07/20/2017 14:41,HMO/HMOPOS
GA,All,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5302,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,Anthem Inc.,BCBSHP MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,All,Anthem Inc.,BCBSHP MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
GA,All,Anthem Inc.,BCBSHP MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5422,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Signature offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,4,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Plus offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,40,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,89,0,Completed,07/06/2017 14:36,HMO/HMOPOS
WY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
VT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,3,Completed,07/06/2017 14:24,Local PPO
NY,All,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H5441,1,0,Completed,07/14/2017 10:43,Medicare-Medicaid Plan HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,50,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,53,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,56,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,16,0,Completed,07/26/2017 16:54,HMO/HMOPOS
IL,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,16,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,40,0,Completed,07/12/2017 15:39,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,81,0,Completed,07/12/2017 15:39,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,89,0,Completed,07/12/2017 15:39,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,91,0,Completed,07/12/2017 15:39,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,102,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,103,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,110,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,111,0,Completed,07/12/2017 15:39,Local PPO
NJ,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,124,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,167,0,Completed,07/12/2017 15:39,Local PPO
CO,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,187,0,Completed,07/12/2017 15:39,Local PPO
GA,All,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,24,0,Completed,07/25/2017 10:12,Local PPO
SC,All,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,25,0,Completed,07/25/2017 10:12,Local PPO
NY,All,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,16,0,Completed,07/25/2017 12:50,Local PPO
NY,All,HealthNow New York Inc.,BlueShield Forever Blue Value (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,17,0,Completed,07/25/2017 12:50,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,2,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO SNP),Y,Y,Y,Y,N,,,455,455,228,228,H5576,19,0,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA9 Vantage 100 (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,22,0,Completed,06/07/2017 14:32,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,3,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,9,0,Completed,07/25/2017 8:54,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,21,1,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OK,All,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,32,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,36,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,47,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,All,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H6672,3,0,Completed,07/17/2017 13:28,HMO/HMOPOS
NY,All,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,1,0,Completed,07/13/2017 15:54,HMO/HMOPOS
NY,All,Jewish Guild for the Blind,GuildNet Gold (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6864,1,0,Completed,07/26/2017 13:17,HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,1,0,Completed,07/25/2017 13:22,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Gold Rx (Willamette) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7006,1,0,Completed,06/28/2017 15:06,Local PPO
TN,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,13,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,2,0,Completed,07/27/2017 10:00,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7301,2,0,Completed,07/12/2017 15:39,Local PPO
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7464,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,2,0,Completed,07/18/2017 9:33,Local PPO
MI,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H7844,1,0,Completed,06/07/2017 11:58,Medicare-Medicaid Plan HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,30,0,Completed,06/27/2017 16:06,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,33,0,Completed,06/27/2017 16:06,Local PPO
IN,All,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,11,0,Completed,07/25/2017 10:12,PFFS
KY,All,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,21,0,Completed,07/25/2017 10:12,PFFS
WV,All,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,50,0,Completed,07/25/2017 10:12,PFFS
TX,All,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,84,0,Completed,07/25/2017 10:12,PFFS
KS,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,120,0,Completed,07/25/2017 10:12,PFFS
MI,All,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,121,0,Completed,07/25/2017 10:12,PFFS
AR,All,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,3,0,Completed,07/24/2017 12:23,Local PPO
PR,All,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Montage Health,Aspire Health Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8764,1,0,Completed,07/26/2017 12:33,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,4,0,Completed,07/24/2017 12:23,Local PPO
MD,All,University of Maryland Medical System Corporation,University of Maryland Health Advantage Dual (HMO SNP),Y,N,Y,Y,N,,,228,455,,,H8854,2,0,Completed,06/27/2017 14:59,HMO/HMOPOS
MI,All,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8908,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,4,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,31,6,Completed,07/27/2017 12:35,HMO/HMOPOS
OR,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,1,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9003,6,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Extra (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,33,0,Completed,07/07/2017 13:42,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,8,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,9,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PA,All,Capital BlueCross,Vibra Health Plan Essential Coverage (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H9408,1,0,Completed,07/27/2017 12:53,Local PPO
WI,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9525,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,66,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
HI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,67,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NY,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,277,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
DE,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,279,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MD,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,279,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
GA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,284,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
KY,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,289,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,2,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,7,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ND,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
RI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,2,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
PA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,5,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WV,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,5,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IL,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,15,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,30,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,83,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
PA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,104,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
FL,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,105,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NJ,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,131,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IN,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,138,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
DC,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,151,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OH,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,160,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IL,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,163,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
TX,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,168,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,348,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,359,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,365,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,370,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,373,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,379,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
RI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,385,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,391,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
UT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,412,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,413,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Rx Plus (PDP),Y,N,Y,Y,N,,,10,72,0,36,S5953,2,0,Completed,07/31/2017 13:54,Medicare Prescription Drug Plan
NY,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5983,4,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NY,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5983,6,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WV,All,"Aware Integrated, Inc.",Basic Blue Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S6986,3,0,Completed,07/25/2017 12:09,Medicare Prescription Drug Plan
CT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,2,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NY,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,3,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
PA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,6,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MS,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,20,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
WY,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,25,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
WI,All,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,10,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,1,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,16,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,39,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,42,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,12,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,15,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,19,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,2,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H2354,19,0,Completed,07/30/2017 14:55,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,1,0,Completed,07/24/2017 12:23,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,8,0,Completed,07/24/2017 12:23,Local PPO
MN,All,Itasca County Health & Human Services,IMCare Classic (HMO SNP),N,N,N,N,N,,,,,,,H2417,1,0,Completed,06/05/2017 15:41,HMO/HMOPOS
MN,All,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/31/2017 15:32,HMO/HMOPOS
ND,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Value w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,23,0,Completed,07/13/2017 15:08,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,30,0,Completed,07/13/2017 15:08,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,35,0,Completed,07/13/2017 15:08,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,36,0,Completed,07/13/2017 15:08,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,37,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,3,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,6,0,Completed,07/12/2017 15:25,1876 Cost
MN,All,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,10,0,Completed,07/12/2017 15:25,1876 Cost
WI,All,"HealthPartners, Inc.",HealthPartners Wisconsin Freedom Basic (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,15,0,Completed,07/21/2017 13:36,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,24,0,Completed,07/21/2017 13:36,1876 Cost
AZ,All,Anthem Inc.,CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,3,0,Completed,07/27/2017 13:34,HMO/HMOPOS
AZ,All,Anthem Inc.,CareMore Heart Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
IL,All,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,6,0,Completed,07/24/2017 17:36,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Plus H2649-021 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H2649-023 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H2649-031 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,31,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,6,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IL,All,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,16,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,All,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,27,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,2,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Health LI - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,3,0,Completed,07/26/2017 18:49,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,30,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,39,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,44,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2829,1,0,Completed,07/11/2017 18:06,HMO/HMOPOS
NV,All,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,6,0,Completed,06/27/2017 19:00,Local PPO
NV,All,"UnitedHealth Group, Inc.",Senior Dimensions Greater Nevada (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2931,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,197,0,Completed,07/25/2017 10:12,PFFS
NY,All,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,455,1,228,H5613,2,0,Completed,06/28/2017 12:35,MSA
ME,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-015 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-026 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-029 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,29,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,39,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,39,2,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-041 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,41,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,42,2,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,51,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-053 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,53,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-064 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,64,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,67,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,71,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-074 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,74,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,84,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,2,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-099 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,99,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,2,0,Completed,07/26/2017 16:56,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,5,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,26,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,All,"Molina Healthcare, Inc.,",Molina Medicare Choice (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5823,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H5826,14,0,Completed,06/29/2017 11:10,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5854,7,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,2,7,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,5,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,567,0,284,H5928,5,0,Completed,07/24/2017 20:49,HMO/HMOPOS
PA,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,511,511,21,256,H5932,9,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NY,All,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,18,0,Completed,07/25/2017 10:12,Local PPO
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,1,0,Completed,07/25/2017 14:48,HMO/HMOPOS
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,2,0,Completed,07/25/2017 14:48,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6080,1,0,Completed,07/26/2017 16:58,Medicare-Medicaid Plan HMO/HMOPOS
NC,All,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6320,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
OH,All,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H6396,1,0,Completed,07/26/2017 8:42,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6526,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,5,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MT,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,8,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,2,6,Completed,07/26/2017 11:41,Local PPO
VT,All,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
NY,All,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,9,0,Completed,06/28/2017 12:35,Local PPO
AR,All,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9630,3,0,Completed,07/06/2017 14:24,HMO/HMOPOS
KY,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9730,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
VA,All,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9877,1,0,Completed,07/28/2017 9:42,HMO/HMOPOS
DC,All,"Medstar Health, Inc.",MedStar Medicare Choice (HMO),Y,N,Y,Y,N,,,511,511,256,256,H9915,1,0,Completed,07/11/2017 8:53,HMO/HMOPOS
PA,All,Humana Inc.,HumanaChoice R0923-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,R0923,2,0,Completed,07/25/2017 10:12,Regional PPO
MO,All,Humana Inc.,HumanaChoice R1532-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1532,2,0,Completed,07/25/2017 10:12,Regional PPO
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1548,1,0,Completed,07/27/2017 13:22,Regional PPO
SC,All,Humana Inc.,HumanaChoice R3392-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3392,1,0,Completed,07/25/2017 10:12,Regional PPO
MI,All,Humana Inc.,HumanaChoice R3887-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3887,2,0,Completed,07/25/2017 10:12,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Essential (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5342,2,0,Completed,07/24/2017 12:23,Regional PPO
IL,All,Humana Inc.,HumanaChoice R5361-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5361,1,0,Completed,07/25/2017 10:12,Regional PPO
IL,All,Humana Inc.,HumanaChoice R5361-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5361,2,0,Completed,07/25/2017 10:12,Regional PPO
OH,All,Aetna Inc.,Aetna Medicare OH Connect Gold (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R6694,3,0,Completed,07/12/2017 15:39,Regional PPO
SC,All,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,10,0,Completed,07/24/2017 12:23,Regional PPO
GA,All,"UnitedHealth Group, Inc.",Care Improvement Plus Dual Advantage (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,11,0,Completed,07/24/2017 12:23,Regional PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,12,0,Completed,07/24/2017 12:23,Regional PPO
DE,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,6,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ID,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,32,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NE,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,42,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VT,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,79,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,Tennessee Rural Health Improvement Association,Farm Bureau Select Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,6,0,Completed,07/31/2017 9:49,Medicare Prescription Drug Plan
RI,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,N,Y,Y,N,,,36,72,36,36,S2893,1,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
ME,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,1,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
LA,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,18,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
IA,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,20,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
MN,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,20,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
ND,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,20,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
CO,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,22,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
ID,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,21,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
TN,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,71,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
DC,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,79,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
DE,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,79,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
GA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,82,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
IA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,89,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NY,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,100,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
DE,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,102,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
OH,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,111,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
TX,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,118,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WY,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,121,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
CA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,128,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
LA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,133,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
OR,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,135,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AK,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,34,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
PA,All,Capital BlueCross,SecureRx - Option 3 (PDP),Y,Y,Y,N,N,,,,,,,S8067,1,0,Completed,07/27/2017 12:53,Medicare Prescription Drug Plan
WV,All,Capital BlueCross,SecureRx - Option 1 (PDP),Y,Y,Y,N,N,,,,,,,S8067,3,0,Completed,07/27/2017 12:53,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,2,Completed,07/25/2017 10:12,HMO/HMOPOS
SD,All,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0111,2,0,Completed,07/28/2017 11:13,Local PPO
AL,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,24,1,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,All,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0192,1,0,Completed,07/20/2017 14:10,Medicare-Medicaid Plan HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0294,10,0,Completed,07/24/2017 12:23,Local PPO
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/07/2017 12:31,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,3,1,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,All,Contra Costa Health Services,THE CONTRA COSTA HEALTH PLAN,Y,N,Y,N,N,,,,,,,H0502,999,0,Completed,07/30/2017 15:41,1876 Cost
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,3,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Marin San Mateo (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,31,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,43,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,86,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,15,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,50,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,55,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,57,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,60,3,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,65,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,44,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,55,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,100,1,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,101,2,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,07/18/2017 14:51,1876 Cost
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,07/18/2017 14:51,1876 Cost
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,20,0,Completed,07/19/2017 22:51,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,12,0,Completed,07/24/2017 12:23,Local PPO
IN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,13,0,Completed,07/24/2017 12:23,Local PPO
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,30,0,Completed,07/24/2017 12:23,Local PPO
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,32,0,Completed,07/24/2017 12:23,Local PPO
NC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,24,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,32,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Classic Care Drug Savings (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,25,0,Completed,07/17/2017 20:44,HMO/HMOPOS
NJ,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0913,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,69,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,91,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,79,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,175,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,186,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP s Medvantage Rx Plus Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,2,0,Completed,07/28/2017 10:27,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,167,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NV,All,Renown Health,Senior Care Plus: Value Rx Select (HMO),Y,N,Y,N,Y,100,100,,,228,228,H2960,18,0,Completed,06/27/2017 19:00,HMO/HMOPOS
IL,All,Family Health Network,Community Advantage (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3071,2,0,Completed,07/11/2017 17:39,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,82,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NE,All,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3170,1,0,Completed,07/27/2017 14:27,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,1,0,Completed,07/24/2017 16:56,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,3,0,Completed,07/24/2017 16:58,Local PPO
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Flex (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3251,21,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3259,1,0,Completed,06/27/2017 10:10,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,48,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,9,0,Completed,07/18/2017 12:54,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,7,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,11,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Preferred (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,135,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,1,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,136,2,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,2,0,Completed,07/27/2017 17:38,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,5,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Pioneer Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,8,0,Completed,07/26/2017 12:58,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,3,0,Completed,07/26/2017 16:51,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,6,0,Completed,07/26/2017 16:51,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3536,2,0,Completed,07/18/2017 9:33,HMO/HMOPOS
ME,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,34,0,Completed,07/18/2017 9:33,HMO/HMOPOS
WV,All,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,20,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Special Needs Plan (HMO SNP),Y,N,Y,Y,N,,,455,455,228,228,H3814,7,0,Completed,06/28/2017 15:06,HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,N,,,403,403,202,202,H3817,7,1,Completed,07/26/2017 17:12,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,1,Completed,07/26/2017 17:12,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,9,2,Completed,07/26/2017 17:12,Local PPO
OR,All,FamilyCare Incorporated,FamilyCare Advantage Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H3818,3,0,Completed,06/14/2017 13:43,HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,2,0,Completed,06/14/2017 16:42,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,6,0,Completed,06/15/2017 15:55,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,26,1,Completed,06/15/2017 15:55,HMO/HMOPOS
OH,All,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
OH,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,200,455,100,228,H3907,37,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3909,9,0,Completed,07/24/2017 10:45,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,12,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,32,0,Completed,07/20/2017 14:11,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,60,7,Completed,06/29/2017 13:12,Local PPO
LA,All,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3928,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,55,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NC,Richmond,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
ID,Nez Perce,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
VA,Amelia,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Hidalgo,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
SC,Richland,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Multnomah,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
CO,Broomfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,193,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Davidson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Moca,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Clark,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
WV,Wirt,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
SD,Moody,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
GA,DeKalb,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
WA,Whatcom,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
LA,West Feliciana,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,East Baton Rouge,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Tammany,Humana Inc.,Humana Gold Plus H1951-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Vanderburgh,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Gilmer,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NE,Knox,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Mason,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
LA,Livingston,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
WI,Lincoln,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
GA,Columbia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Woodford,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Chenango,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
MN,Benton,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Talladega,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Walker,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NE,All,Humana Inc.,Humana Gold Plus H5619-072 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,72,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,89,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,95,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,3,0,Completed,07/19/2017 16:44,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5774,22,0,Completed,07/19/2017 16:44,HMO/HMOPOS
CA,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,567,567,284,284,H5810,1,0,Completed,06/06/2017 15:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,23,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,3,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,9,0,Completed,06/29/2017 11:10,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),N,N,N,N,N,,,,,,,H5826,10,0,Completed,06/29/2017 11:10,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,11,3,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,567,0,284,H5928,1,0,Completed,07/24/2017 20:49,HMO/HMOPOS
PA,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,511,511,21,256,H5932,10,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Value (HMO-POS),Y,Y,Y,Y,N,,,511,511,21,256,H5932,11,0,Completed,07/26/2017 13:02,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/26/2017 13:05,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,1,0,Completed,10/13/2017 15:06,Local PPO
HI,All,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,,,H5969,2,0,Completed,06/30/2017 23:07,HMO/HMOPOS
NY,All,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,08/01/2017 10:50,HMO/HMOPOS
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,228,455,228,228,H5991,6,0,Completed,07/25/2017 14:48,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Advantage Solution Edge (HMO-POS),Y,Y,Y,Y,Y,100,100,286,455,,,H6154,1,0,Completed,07/13/2017 15:08,HMO/HMOPOS
CA,All,Anthem Inc.,CareMore Cal MediConnect Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,567,0,284,H6229,5,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,1,0,Completed,07/06/2017 14:24,Local PPO
NY,All,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H6435,1,0,Completed,07/13/2017 15:52,Medicare-Medicaid Plan HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,2,0,Completed,07/25/2017 9:56,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6453,3,0,Completed,07/25/2017 9:56,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6528,6,0,Completed,07/24/2017 12:23,Local PPO
KS,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6550,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
MT,All,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,7,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Cleveland Clinic Preferred SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,24,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,40,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-045 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,45,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,2,1,Completed,06/26/2017 13:58,HMO/HMOPOS
NY,All,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H6776,2,0,Completed,07/13/2017 15:54,HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7200,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,2,Completed,07/27/2017 10:00,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H7245,2,0,Completed,07/10/2017 17:32,HMO/HMOPOS
HI,All,Hawaii Medical Service Association,Essential Advantage (HMO),Y,Y,N,Y,N,,,455,455,228,228,H7317,1,0,Completed,07/20/2017 22:13,HMO/HMOPOS
NE,All,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
AR,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,212,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WV,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,222,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,229,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MO,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,234,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,241,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NM,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,242,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
ID,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,247,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
UT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,247,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
PR,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,251,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MT,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5743,1,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
ME,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,125,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NH,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,125,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,126,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
TX,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,145,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AZ,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,151,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NV,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,152,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MO,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,175,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MS,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,177,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
CO,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,182,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NH,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,185,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MN,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,190,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
UT,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,193,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
HI,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,198,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
SC,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,43,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,47,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
SD,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,59,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
SC,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,283,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OH,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,288,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WI,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,290,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,12,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TX,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,21,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,22,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,33,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TN,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,1,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
VT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,2,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
DC,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,4,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
LA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,19,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OK,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,21,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MO,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,76,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MN,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,83,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CO,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,85,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ME,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,92,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AK,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,94,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,102,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,102,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ND,Bottineau,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Webster,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,San Juan,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Rush,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
WA,Grant,The Carle Foundation,Health Alliance NW Companion Basic Rx 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Crawford,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
IL,Marshall,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Paulding,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
NY,Niagara,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
VA,Manassas Park City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
AR,Montgomery,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
VA,Warren,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Louis City,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Naguabo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,1,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,202,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Harrison,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
SD,Hutchinson,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
NE,Dixon,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
OH,Lake,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Centre,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
KY,Bullitt,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Queen Anne s,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
SC,Hampton,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
LA,Tangipahoa,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,2,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Jefferson,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Lawrence,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
LA,Plaquemines,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Blaine,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OH,Greene,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MS,Rankin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WV,Braxton,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,1,Completed,07/20/2018 13:43,HMO/HMOPOS
SC,York,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
WI,Polk,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
LA,Lincoln,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
WV,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Haywood,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Benton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Mahoning,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
FL,Dade,InnovaCare Inc.,MMM - EXTRA (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,3,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,55,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Erie,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
UT,Salt Lake,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,1,0,Completed,07/13/2018 13:55,Local PPO
TX,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Saginaw,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Fayette,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Antrim,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Washington,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Wilkes,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
TX,Lubbock,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
TX,Potter,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
CA,Solano,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Solano (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,15,Completed,07/27/2018 9:47,Local PPO
PA,Pike,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,12,Completed,07/27/2018 9:47,Local PPO
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,5,0,Completed,07/13/2018 13:55,HMO/HMOPOS
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NC,Duplin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MD,Charles,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Lincoln,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Ozark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Surry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hancock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Chester,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
MO,Cass,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7728,4,1,Completed,07/18/2017 9:33,Local PPO
TX,All,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,1,0,Completed,07/25/2017 17:34,Local PPO
TX,All,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7787,2,0,Completed,07/25/2017 17:34,Local PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Connected (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H7833,1,0,Completed,07/27/2017 13:22,Medicare-Medicaid Plan HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,9,0,Completed,06/27/2017 16:06,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8133,8,0,Completed,06/14/2017 16:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H8133,9,0,Completed,06/14/2017 16:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,32,0,Completed,07/25/2017 10:12,PFFS
VA,All,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,108,0,Completed,07/25/2017 10:12,PFFS
OK,All,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,122,0,Completed,07/25/2017 10:12,PFFS
SC,All,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),Y,N,N,Y,Y,100,0,0,455,0,228,H8213,1,0,Completed,07/25/2017 15:43,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,Local Initiative Health Authority for LA County,L.A Care Cal MediConnect Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8258,1,0,Completed,07/27/2017 16:58,Medicare-Medicaid Plan HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H8634,2,0,Completed,06/14/2017 16:42,Local PPO
UT,All,Aetna Inc.,Altius Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,3,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WY,All,Aetna Inc.,Altius Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8649,8,0,Completed,07/12/2017 15:39,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8748,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Montage Health,Aspire Health Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H8764,2,0,Completed,07/26/2017 12:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8786,1,0,Completed,07/18/2017 9:33,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,07/25/2017 11:55,Medicare-Medicaid Plan HMO/HMOPOS
MD,All,University of Maryland Medical System Corporation,University of Maryland Health Advantage Complete (HMO),Y,N,Y,Y,N,,,228,455,,,H8854,1,0,Completed,06/27/2017 14:59,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,7,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,4,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,7,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,2,Completed,07/27/2017 12:35,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,24,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H9047,38,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H9047,43,0,Completed,07/07/2017 13:42,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Harbor + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H9047,49,0,Completed,07/07/2017 13:42,HMO/HMOPOS
OH,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,2,0,Completed,07/26/2017 13:02,HMO/HMOPOS
NC,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,8,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,10,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Essentials I (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9287,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,Y,Y,Y,N,,,455,455,228,228,H9302,7,0,Completed,07/27/2017 18:54,HMO/HMOPOS
KS,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,All,Centene Corporation,Michigan Complete Health (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H9487,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,1,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,4,Completed,07/26/2017 11:41,Local PPO
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,07/20/2017 14:41,HMO/HMOPOS
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
KY,All,Humana Inc.,HumanaChoice R0865-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0865,1,0,Completed,07/25/2017 10:12,Regional PPO
WV,All,Humana Inc.,HumanaChoice R0923-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R0923,2,0,Completed,07/25/2017 10:12,Regional PPO
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3332,1,0,Completed,07/25/2017 15:06,Regional PPO
AR,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,12,0,Completed,07/24/2017 12:23,Regional PPO
VT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,102,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MD,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,103,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OR,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,113,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NC,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,133,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,145,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ID,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,147,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,159,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MO,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,164,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AR,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,165,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
SD,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,171,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NV,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,175,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
DC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,350,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,350,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
PA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,351,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,351,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
UT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,375,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,388,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,393,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,400,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,405,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NY,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5983,7,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MI,All,"Aware Integrated, Inc.",Basic Blue Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S6986,1,0,Completed,07/25/2017 12:09,Medicare Prescription Drug Plan
PA,All,"Aware Integrated, Inc.",Basic Blue Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S6986,3,0,Completed,07/25/2017 12:09,Medicare Prescription Drug Plan
ME,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,1,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NH,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,1,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,2,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
ND,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,25,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,70,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
PR,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,105,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
GU,All,TakeCare Health Systems,TakeCare RX Plus (PDP),Y,N,Y,Y,Y,18,15,60,70,30,35,S8899,1,0,Completed,10/29/2017 18:52,Medicare Prescription Drug Plan
CO,Crowley,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
VA,Louisa,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Nassau,"Independent Living Systems, LLC",Health Pointe Direct Complete Plan (HMO SNP),Y,N,Y,N,N,,,,,0,0,H1722,1,0,Completed,08/16/2018 12:20,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Bucks,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,York,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Meeker,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Henry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Crawford,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,2,0,Completed,06/15/2018 10:37,1876 Cost
FL,Broward,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,100,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Norton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
OR,Yamhill,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
MN,Crow Wing,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
AR,Boone,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
MN,Wilkin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
AR,Marion,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Trousdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Adams,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
WI,Marathon,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
WI,Rusk,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
VA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chenango,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
PR,Arroyo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MN,Rice,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
OK,Cimarron,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MI,Luce,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MO,Gasconade,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
IN,Rush,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
MA,Worcester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
ND,Kidder,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
MD,Carroll,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
TN,Crockett,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Allen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Grayson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Salinas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NM,Valencia,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Washington Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,46,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Blair,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
GA,Cherokee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Livingston,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Doddridge,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MI,Arenac,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
WV,Grant,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
WV,Wyoming,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,28,0,Completed,07/20/2018 11:11,HMO/HMOPOS
UT,Tooele,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Riverside,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,4,0,Completed,07/27/2018 13:58,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Washington,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
PA,Washington,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,Indiana,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
TX,Atascosa,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Scott,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Lucas,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,New Kent,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cabo Rojo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Muskogee,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
TX,Bexar,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8786,1,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
OR,Douglas,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
TX,Wise,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
TN,Wayne,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
KS,Harvey,Aetna Inc.,Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,17,0,Completed,07/17/2018 11:44,Local PPO
NE,Butler,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
NC,Transylvania,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Surry,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
OH,Lake,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,21,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Abbeville,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,York,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Monongalia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
MD,Anne Arundel,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Primary Choice Medicare (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,24,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Huntingdon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
SC,Kershaw,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
AL,Mobile,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
GA,Pike,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
TX,Williamson,Humana Inc.,Humana Gold Plus H0028-037 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Fentress,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Loudon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Cattaraugus,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
ME,Knox,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
OH,Perry,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,14,0,Completed,07/12/2018 15:19,HMO/HMOPOS
MN,Cass,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
AL,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
RI,Newport,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,9,0,Completed,07/17/2018 11:44,Local PPO
NY,Queens,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Tom Green,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,3,0,Completed,07/26/2018 11:48,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
TX,All,Humana Inc.,HumanaChoice R4182-004 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R4182,4,0,Completed,07/25/2017 10:12,Regional PPO
OH,All,Aetna Inc.,Aetna Medicare OH Connect Gold 2 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R6694,5,0,Completed,07/12/2017 15:39,Regional PPO
TX,All,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R6801,9,0,Completed,07/24/2017 12:23,Regional PPO
TX,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R6801,12,0,Completed,07/24/2017 12:23,Regional PPO
GA,All,"UnitedHealth Group, Inc.",Care Improvement Plus Medicare Advantage (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,8,0,Completed,07/24/2017 12:23,Regional PPO
ME,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,2,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TN,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,16,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IN,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,22,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
LA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,26,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WI,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,36,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AR,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,38,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
TX,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,39,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OK,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,40,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IA,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,42,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MT,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,42,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SD,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,42,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AK,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,47,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,BlueCross BlueShield of Alabama,BlueRx Option II (PDP),Y,Y,Y,Y,N,,,48,72,24,36,S1030,1,0,Completed,07/23/2017 19:38,Medicare Prescription Drug Plan
TN,All,BlueCross BlueShield of Alabama,BlueRx Option I (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S1030,6,0,Completed,07/23/2017 19:38,Medicare Prescription Drug Plan
MA,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,N,Y,N,N,,,,,,,S2893,3,0,Completed,07/24/2017 9:45,Medicare Prescription Drug Plan
VA,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,9,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
IN,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,14,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
MO,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,16,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
AR,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,17,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
WY,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,20,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
LA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,12,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
VA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,69,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
CT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,76,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
KY,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,86,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WY,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,89,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MO,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,114,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MS,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,116,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MN,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,121,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
SD,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,121,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NV,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,125,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Prescription Blue Option A (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5584,1,0,Completed,07/26/2017 11:41,Medicare Prescription Drug Plan
WV,All,Highmark Health,Blue Rx PDP Plus (PDP),Y,N,N,Y,N,,,72,72,36,36,S5593,2,0,Completed,07/20/2017 14:11,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem Blue Cross MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,33,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem Blue Cross MedicareRx Gold (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,35,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
ME,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,46,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
MA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,5,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
DE,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,10,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
SC,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,19,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,26,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
IL,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,35,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
FL,Martin,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,249,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
OR,Harney,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
PA,Susquehanna,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
IA,Crawford,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Blount,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Montgomery,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Garza,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Weber,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
PA,Washington,Humana Inc.,Humana Gold Plus H6622-054 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,198,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Cameron,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
IL,Woodford,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
WV,Braxton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
WV,Hardy,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Richmond,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
IN,Posey,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,50,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Edgefield,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Latah,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,1,0,Completed,07/13/2018 13:55,Local PPO
NE,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,1,0,Completed,07/26/2018 11:48,Local PPO
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
VA,Amelia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Colonial Heights City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Black Hawk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Prime + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,37,0,Completed,07/03/2018 11:07,HMO/HMOPOS
PA,Dauphin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
SD,Butte,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Franklin,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,White,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Iowa,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Saline,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,2,Completed,07/16/2018 15:07,HMO/HMOPOS
MD,Howard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
UT,Utah,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Tazewell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Hatillo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,19,0,Completed,07/25/2018 11:36,HMO/HMOPOS
MO,Moniteau,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Chippewa,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Kandiyohi,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
KY,Laurel,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
SC,Newberry,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
UT,Davis,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,7,0,Completed,07/26/2018 20:21,HMO/HMOPOS
FL,Dade,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
OH,Erie,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Medina,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Sandusky,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,7,Completed,07/24/2018 14:36,HMO/HMOPOS
IL,Henderson,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
IA,Ida,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
PA,Wayne,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
OH,Preble,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,15,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
LA,St. Helena,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
VA,Charlotte,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
PA,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Searcy,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
OK,McIntosh,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Seminole,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Craig,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Calloway,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
TN,Moore,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NE,Lancaster,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Knox,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Waukesha,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,9,0,Completed,06/27/2018 15:22,Local PPO
WI,Brown,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
WI,Marquette,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
IN,Elkhart,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Simpson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Washington,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Bullitt,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,Richland,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
IN,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TX,Cameron,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Steuben,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Hamilton,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WV,Braxton,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Tama,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
KY,Greenup,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MD,Prince George s,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,97,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
SD,Brown,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
MI,Gladwin,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H7419,1,0,Completed,07/16/2018 9:33,Medicare-Medicaid Plan HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,11,Completed,07/27/2018 9:47,Local PPO
PR,Gurabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Chester,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MO,Pike,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Washington,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,York,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
SC,McCormick,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
DE,Kent,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,10,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Cherokee,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,51,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NE,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,51,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
AZ,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,56,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NV,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,59,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
CA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,64,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
VT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,8,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
TX,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,108,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CO,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,133,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AZ,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,138,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
DE,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,214,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MD,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,214,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
SC,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,218,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
TN,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,220,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,258,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
IN,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,260,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
IL,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,262,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
LA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,266,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
SD,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,270,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AZ,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,273,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
VT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,105,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WV,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,108,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TX,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,124,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CO,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,129,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,134,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TN,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,182,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,195,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
VT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,206,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
FL,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,227,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AL,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,228,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AR,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,235,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TX,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,6,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
OK,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,15,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
IA,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,63,0,36,S5743,1,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
ND,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,N,Y,Y,Y,25,0,0,72,0,36,S5743,4,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
WI,All,Wisconsin Physicians Service Ins Corporation.,WPS MedicareRx Plan 2 (PDP),Y,Y,Y,Y,N,,,56,72,28,36,S5753,7,0,Completed,06/13/2017 10:15,Medicare Prescription Drug Plan
DE,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,128,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AL,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,135,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MO,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,141,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MS,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,143,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OK,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,146,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ID,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,154,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IA,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,190,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ND,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,190,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AK,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,197,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MI,Benzie,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Nassau,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8029,1,0,Completed,07/02/2018 16:20,Medicare-Medicaid Plan HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
NM,Hidalgo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Carbon,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,15,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Cleveland,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Bedford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Salem City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,1,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Blount,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Livingston,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
DE,Sussex,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,Lee,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
GA,Treutlen,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
SD,Todd,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Randolph,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
CA,San Luis Obispo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,167,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Citrus,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
TX,Bexar,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7678,1,0,Completed,07/26/2018 20:42,HMO/HMOPOS
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
NC,Lenoir,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
NM,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,42,0,Completed,07/26/2018 11:48,Local PPO
MD,Prince George s,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
SD,Spink,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MD,Worcester,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
KY,Laurel,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Guernsey,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Campbell,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Oscoda,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Chippewa,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Alpena,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Door,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Florence,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Manitowoc,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
CA,Madera,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,52,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Ringgold,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Volusia,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KS,Cloud,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,1,Completed,07/13/2018 13:55,Local PPO
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
CO,Delta,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,2,Completed,07/24/2018 13:42,Local PPO
VA,Grayson,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
MN,Brown,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MN,Aitkin,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
TX,Brazoria,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Elmore,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Kankakee,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
IL,Winnebago,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
OH,Mahoning,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WV,Brooke,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MI,Allegan,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Gwinnett,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Broward,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
OK,Craig,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IN,Whitley,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Randall,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
CA,Ventura,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Juneau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
UT,Washington,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,2,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,12,Completed,07/27/2018 9:47,Local PPO
UT,Wasatch,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Ceiba,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Gold Plus H0292-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Lake,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Charles,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
TN,Clay,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,San Sebastian,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Vermilion,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
WV,Putnam,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
KS,Atchison,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MO,St. Clair,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
PA,Bucks,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H5141,38,0,Completed,07/26/2018 14:48,Local PPO
KY,Trimble,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
MI,Washtenaw,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,9,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,San Joaquin,Humana Inc.,Humana Gold Plus H5619-026 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Prairie,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Suffolk City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,1,Completed,07/30/2018 13:14,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,11,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Allegheny,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,6,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Oklahoma,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
IL,Boone,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MN,Norman,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TX,Red River,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Titus,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,2,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Clear Creek,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Charles,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,101,2,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Fairfield,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
NY,Niagara,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
AL,Chilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Owen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Portage,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Ozaukee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
OR,Josephine,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,7,0,Completed,07/17/2018 11:44,Local PPO
TX,Tarrant,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,5,0,Completed,06/20/2018 12:01,Local PPO
PA,Lancaster,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Schuyler,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Oswego,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Menominee,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,36,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ID,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,65,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,276,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
DC,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,279,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
TN,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,286,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IL,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,291,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
LA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,292,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
RI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,2,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,2,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,8,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,11,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,16,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NM,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,25,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,27,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,28,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,29,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ID,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,30,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
HI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,32,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,2,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
DE,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,4,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
GA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,9,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
KS,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,22,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NM,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,24,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AR,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,77,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,83,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,83,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
SD,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,83,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
UT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,89,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OH,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,137,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MS,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,142,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
SD,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,145,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
UT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,147,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NJ,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,150,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MD,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,151,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WV,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,152,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
SC,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,155,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
TN,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,158,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,171,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,348,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
KS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,369,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,374,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ID,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,375,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,376,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,380,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,384,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
PA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,388,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MI,Branch,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Presque Isle,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,15,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WV,Calhoun,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
VA,Lancaster,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
NM,Colfax,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
NM,Dona Ana,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,13,Completed,07/27/2018 9:47,Local PPO
NM,Chaves,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
ND,Burleigh,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Dorchester,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Gurabo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Santa Isabel,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Corozal,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Henderson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
PA,Dauphin,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Lincoln,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,41,0,Completed,06/26/2018 15:07,Local PPO
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,5,0,Completed,06/26/2018 15:07,Local PPO
PA,Cambria,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
VA,Franklin,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Rockbridge,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
MA,Worcester,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lackawanna,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lake,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
FL,Glades,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Florida,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Sangamon,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IA,Polk,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
LA,Plaquemines,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Assumption,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Hot Spring,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Cabell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
WV,Monongalia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
NY,Kings,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
LA,Plaquemines,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Chattahoochee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Washington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
PR,Las Piedras,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Starke,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Moore,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
TX,Hidalgo,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Bedford,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Bonneville,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,9,0,Completed,07/06/2018 16:48,Local PPO
GA,Polk,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
AR,Scott,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,73,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Grant,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fairfield,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Trumbull,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Franklin,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Kings,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IA,Louisa,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Fayette,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
PA,Cumberland,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Susquehanna,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,23,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,1,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,Imperial,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Columbiana,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,White,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,4,Completed,07/16/2018 15:07,PFFS
SC,Anderson,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
CO,Arapahoe,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Otsego,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
OK,Bryan,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
ID,Kootenai,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,2,0,Completed,07/17/2018 11:44,Local PPO
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MD,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,11,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
PA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,12,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NC,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,17,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
FL,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,23,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
AL,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,24,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,33,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
LA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,42,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
SD,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,51,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
WA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,60,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
LA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,108,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,8,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NV,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,143,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
OR,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,148,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
GA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,219,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
WI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,223,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MD,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,250,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
SC,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,254,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
KS,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,269,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NV,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,274,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
UT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,276,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NH,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,104,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
SC,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,111,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,115,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MO,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,120,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,127,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,132,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
UT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,133,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AK,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,136,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
PA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,176,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,206,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NC,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,209,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OK,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,214,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
UT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,216,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NJ,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,220,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
PA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,222,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
SC,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,225,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TN,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,228,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,232,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TX,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,238,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
VT,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,126,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
VA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,130,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
FL,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,134,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MI,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,136,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,399,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,406,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,406,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,406,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
SD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,406,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,409,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,411,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Rx Enhanced (PDP),Y,Y,Y,Y,N,,,50,72,25,36,S5993,3,0,Completed,07/26/2017 10:13,Medicare Prescription Drug Plan
AL,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,12,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
TN,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,12,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
LA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,21,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NV,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,29,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
GU,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,106,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0062,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0088,1,0,Completed,07/28/2017 11:13,Local PPO
AL,All,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,15,0,Completed,07/23/2017 19:38,Local PPO
AL,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,7,0,Completed,07/25/2017 17:34,HMO/HMOPOS
AL,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0150,12,0,Completed,07/25/2017 17:34,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,1,0,Completed,07/27/2017 13:22,HMO/HMOPOS
NE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0169,3,0,Completed,07/27/2017 13:22,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0251,4,0,Completed,07/27/2017 13:22,HMO/HMOPOS
AZ,All,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,6,0,Completed,06/19/2017 17:18,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,41,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Cardio Medicare (HMO SNP),Y,Y,N,Y,Y,100,0,0,455,0,228,H0351,42,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,44,1,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,44,3,Completed,07/06/2017 14:24,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,8,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0439,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,52,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,60,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0523,61,0,Completed,07/12/2017 15:39,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,29,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Kern (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,36,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage San Diego (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,37,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,40,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,42,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,164,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,3,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,4,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,13,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,19,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,54,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,56,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,White,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Graham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Broward,Humana Inc.,Humana Gold Plus SNP-DE H1036-103A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,103,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Escambia,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,214,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hancock,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
TN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Baldwin,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KS,Decatur,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Fayette,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Shelby,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rhea,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hamilton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Lee,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Jackson,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
NY,Kings,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
NY,Cayuga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Coamo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
AZ,Yuma,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,200,0,Completed,07/17/2018 11:44,Local PPO
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SD,Hanson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grant,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TN,Dickson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
VA,Appomattox,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Summit,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
LA,Assumption,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Livingston,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Braxton,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Bronx,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Wood,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
FL,Lake,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NC,Catawba,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Harnett,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,61,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Windham,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
GA,Twiggs,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,4,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Hamilton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Maury,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Hamilton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
ND,Sheridan,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Bowman,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MD,Baltimore City,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
LA,Ascension,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
AL,Chilton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Nacogdoches,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Ballard,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Berks,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
UT,Davis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,7,0,Completed,07/13/2018 13:55,Local PPO
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
AZ,Pima,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,14,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Leelanau,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
NC,Gaston,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
IN,Kosciusko,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Falls,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
KY,Allen,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,6,0,Completed,07/20/2018 11:11,Local PPO
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,5,0,Completed,07/13/2018 13:55,HMO/HMOPOS
NC,Catawba,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Culberson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Knox,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Park,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NE,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,50,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
SD,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,50,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MN,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,51,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
ID,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,62,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
HI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,66,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NH,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,3,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,8,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
RI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,8,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MN,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,123,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,123,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NM,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,128,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
PA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,215,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
MI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,221,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
ME,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,246,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
VA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,252,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
FL,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,256,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NM,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,271,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
OR,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,275,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
ME,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,104,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
DC,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,107,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IN,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,117,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IL,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,119,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WV,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,176,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,186,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MS,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,190,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
HI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,203,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
RI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,206,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MD,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,208,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
LA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,213,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
WA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,215,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
RI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,219,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
VT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,219,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MD,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,221,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
GA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,226,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
OK,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,239,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MN,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,241,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NE,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,241,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
CA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,248,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IL,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5715,1,0,Completed,06/14/2017 16:42,Medicare Prescription Drug Plan
MN,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,Y,15,0,24,72,0,36,S5743,1,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
NE,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,71,0,36,S5743,1,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
WY,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,N,Y,N,Y,25,0,,,0,0,S5743,1,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,70,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,71,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,97,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0630,16,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,9,0,Completed,07/28/2017 17:35,1876 Cost
PA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0710,17,0,Completed,07/24/2017 12:23,Local PPO
NC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0712,22,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MN,All,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,N,Y,N,,,200,400,120,200,H0735,2,0,Completed,07/28/2017 14:33,Local PPO
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0755,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Bridges Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,28,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Embrace Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,36,0,Completed,07/17/2017 20:44,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,06/14/2017 16:42,Medicare-Medicaid Plan HMO/HMOPOS
FL,All,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,6,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,83,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,56,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,58,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,73,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,188,1,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-056 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-103A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,103,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,121,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-138 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,138,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OR,All,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,153,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-209 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,209,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,213,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Community HMO SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,235,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,237,2,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,265,2,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,271,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Choice Dade (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,43,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Value Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,6,0,Completed,07/24/2017 14:05,HMO/HMOPOS
GA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1109,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WI,All,"Network Health, Inc.",NetworkPrime (MSA),Y,N,N,Y,N,,,455,455,228,228,H1181,1,0,Completed,07/28/2017 12:26,MSA
TX,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1264,7,0,Completed,07/28/2017 11:13,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,1,0,Completed,07/25/2017 8:54,Local PPO
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,2,0,Completed,07/25/2017 8:54,Local PPO
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1365,3,0,Completed,07/25/2017 8:54,Local PPO
SC,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,36,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,41,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,50,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,52,1,Completed,07/28/2017 11:13,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO 20 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,1,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,8,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO 40 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,11,0,Completed,07/26/2017 12:48,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
TN,Bledsoe,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cocke,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,6,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MS,Greene,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
WV,Cabell,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
KY,Fayette,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
TX,Bexar,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8197,1,0,Completed,07/26/2018 20:55,Medicare-Medicaid Plan HMO/HMOPOS
CA,San Bernardino,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MA,Plymouth,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9585,1,0,Completed,07/17/2018 18:22,HMO/HMOPOS
IN,Pulaski,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Columbus,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Codington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Benton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hamilton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Crawford,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Fountain,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vermillion,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Weakley,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Anderson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
IA,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Lyon,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,1,0,Completed,07/24/2018 13:32,HMO/HMOPOS
GA,Rockdale,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
AR,Phillips,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Southampton,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
VA,Alexandria City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Adjuntas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Josephine,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,13,0,Completed,07/24/2018 19:18,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Westchester,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
ME,Androscoggin,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,202,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Kitsap,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
SD,Bon Homme,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,Lafayette,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
WV,Berkeley,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Lincoln,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,York,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Newport News City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Brown,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Grundy,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Dyer,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
MN,Norman,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Luzerne,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,Allegheny,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
TX,Denton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
PR,Guayama,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OR,Jackson,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,7,0,Completed,06/12/2018 10:27,Local PPO
TX,Denton,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
NY,Kings,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NE,Lancaster,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
IA,Wayne,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Laclede,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Franklin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Lorain,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MI,Lenawee,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
IL,DuPage,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Madison,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Roane,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
VA,Grayson,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Catoosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NE,Harlan,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
MN,Kittson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TX,Guadalupe,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Dyer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Hamilton,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
FL,Sarasota,Humana Inc.,Humana Gold Plus SNP-DE H1036-262 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,262,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Augusta,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Rockingham,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Hendricks,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dodge,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
PA,Lebanon,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Calloway,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NM,Cibola,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2134,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MT,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,72,0,36,S5743,4,0,Completed,07/25/2017 12:04,Medicare Prescription Drug Plan
CT,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,126,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MD,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,128,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WV,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,129,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
LA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,144,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MT,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,148,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
ND,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,148,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NM,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,149,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
OR,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,153,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
CA,All,Aetna Inc.,First Health Part D Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,155,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
KS,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,181,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NV,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,184,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WY,All,Aetna Inc.,First Health Part D Premier Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5768,190,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5805,1,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ME,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,35,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NC,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,42,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
IL,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,51,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
TX,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,56,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
MN,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,59,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WY,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,59,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
AK,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,68,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
NJ,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,278,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
WV,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5810,280,0,Completed,07/12/2017 15:39,Medicare Prescription Drug Plan
CT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,2,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
GA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,9,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,17,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
LA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,20,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,24,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
CO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,26,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5820,34,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,2,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
FL,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,10,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
VA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,65,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
KY,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,73,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WY,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,83,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AZ,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,86,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ID,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,89,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ME,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,101,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
DC,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,103,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
AL,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,106,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
TN,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,106,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
CO,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,111,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
WA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,113,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
HI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,115,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,145,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ME,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,148,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OH,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,13,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-016 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,16,0,Completed,07/25/2017 10:12,HMO/HMOPOS
SD,All,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,1,0,Completed,07/12/2017 15:39,Local PPO
NE,All,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,12,0,Completed,07/12/2017 15:39,Local PPO
KS,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,18,0,Completed,07/12/2017 15:39,Local PPO
MO,All,Aetna Inc.,Advantra Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,23,0,Completed,07/12/2017 15:39,Local PPO
IA,All,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,9,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,16,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,17,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Aetna Inc.,"Aetna Better Health, Inc. (VA) (HMO SNP)",N,N,N,N,N,,,,,0,0,H1610,1,0,Completed,07/11/2017 13:41,HMO/HMOPOS
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,9,0,Completed,07/06/2017 14:10,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H1666,3,0,Completed,06/14/2017 16:42,Local PPO
WV,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1692,2,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1846,4,0,Completed,06/26/2017 8:42,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,10,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,13,0,Completed,07/24/2017 12:23,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,20,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,47,2,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,3,0,Completed,07/28/2017 14:29,HMO/HMOPOS
MI,All,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,06/12/2017 13:39,Medicare-Medicaid Plan HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,5,0,Completed,07/26/2017 9:21,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2108,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
DC,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2108,32,0,Completed,07/25/2017 17:34,HMO/HMOPOS
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,2,0,Completed,07/19/2017 22:51,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,4,0,Completed,07/19/2017 22:51,HMO/HMOPOS
OR,All,Centene Corporation,Trillium Advantage Dual (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2174,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VA,All,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,11,0,Completed,07/24/2017 12:23,Local PPO
DE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,12,0,Completed,07/24/2017 12:23,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,20,0,Completed,07/24/2017 12:23,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,21,0,Completed,07/24/2017 12:23,Local PPO
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,23,0,Completed,07/24/2017 12:23,Local PPO
WI,All,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,1,0,Completed,07/26/2017 12:18,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,19,8,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,1,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,36,0,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,,,H2261,23,1,Completed,07/24/2017 9:40,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,16,0,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,375,420,160,210,H2320,22,1,Completed,07/24/2017 10:22,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,11,0,Completed,07/30/2017 14:55,Local PPO
SC,All,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2334,1,0,Completed,07/17/2017 13:18,Local PPO
MI,All,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H2354,20,0,Completed,07/30/2017 14:55,HMO/HMOPOS
KY,All,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H2400,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,11,0,Completed,07/24/2017 12:23,Local PPO
NC,Lee,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Prince William,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,12,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KS,Harvey,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Williams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Marshall,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
WA,Clark,PacificSource Health Plans,PacificSource Medicare MyCare Rx 37 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,37,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NE,Buffalo,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NE,Douglas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Meriwether,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Murray,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
AZ,Pinal,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Champaign,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,16,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Door,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
PA,Indiana,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Anderson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Orange,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Chemung,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
WI,Waushara,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
VA,Winchester City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SD,Corson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Schley,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Dickson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Preferred (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,21,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,7,Completed,07/16/2018 9:33,HMO/HMOPOS
VA,Nelson,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MI,Arenac,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,4,Completed,07/26/2018 15:53,Local PPO
MI,Wayne,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
NC,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Schuyler,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
NY,Steuben,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Bullock,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NE,Saunders,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Pickens,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Dougherty,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Shelby,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
IL,Will,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Focus DC (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,7,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,Broward,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Geauga,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Appanoose,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Fayette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Racine,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WA,Kitsap,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,127,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,5,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MI,Tuscola,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Van Buren,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
CA,Amador,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Coshocton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
NC,Chatham,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
UT,Millard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Greene,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Hampton City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Suffolk City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Bradley,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Franklin,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Johnson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
MO,Iron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Mills,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,149,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
PA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,152,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
FL,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,157,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
IN,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,161,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
MS,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,166,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,171,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
NM,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,172,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
OR,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,176,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
ID,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,177,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
HI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5884,179,0,Completed,07/25/2017 10:12,Medicare Prescription Drug Plan
UT,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,2,0,Completed,07/26/2017 17:12,Medicare Prescription Drug Plan
DE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,350,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,352,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
GA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,355,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,357,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,360,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,370,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,370,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,370,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,374,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,378,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
ME,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,384,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,385,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,385,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,386,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
VA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,389,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
MI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,394,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
OH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,395,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
IL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,398,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
WY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,406,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,410,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5921,415,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
AZ,All,Blue Cross Blue Shield of Arizona,Blue MedicareRx Value (PDP),Y,N,N,Y,Y,25,25,72,72,36,36,S6506,1,0,Completed,06/19/2017 16:51,Medicare Prescription Drug Plan
NC,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,8,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
FL,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,11,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
OH,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,14,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
IN,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,15,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
TX,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,22,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,25,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
AZ,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,28,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
HI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,72,36,36,S7694,33,0,Completed,07/27/2017 16:49,Medicare Prescription Drug Plan
MP,All,TakeCare Health Systems,TakeCare RX Plus (PDP),Y,N,Y,Y,Y,18,15,60,70,30,35,S8899,2,0,Completed,10/29/2017 18:52,Medicare Prescription Drug Plan
OH,All,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H0022,1,0,Completed,07/06/2017 14:24,Medicare-Medicaid Plan HMO/HMOPOS
IA,All,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
SD,All,Humana Inc.,Humana Gold Plus H0028-008 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,8,1,Completed,07/25/2017 10:12,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,7,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,31,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,UCare Minnesota,UCare for Seniors Classic (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,21,1,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,UCare Minnesota,UCare for Seniors Standard (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,24,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,5,0,Completed,07/12/2017 15:25,1876 Cost
MN,All,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,228,455,151,228,H2461,9,0,Completed,07/12/2017 15:25,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,11,0,Completed,07/21/2017 13:36,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Ultimate with Enhanced Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,12,0,Completed,07/21/2017 13:36,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Active (Cost),Y,N,Y,Y,N,,,430,430,213,213,H2462,20,0,Completed,07/21/2017 13:36,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,23,0,Completed,07/21/2017 13:36,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,455,455,,,H2462,25,0,Completed,07/21/2017 13:36,1876 Cost
VA,All,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H2563,4,0,Completed,07/07/2017 9:15,HMO/HMOPOS
VA,All,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,N,Y,N,,,455,455,228,228,H2563,5,1,Completed,07/07/2017 9:15,HMO/HMOPOS
IL,All,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,455,100,228,H2610,5,0,Completed,07/24/2017 17:36,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus SNP-DE H2649-028 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H2649-034 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,34,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H2649-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,59,1,Completed,07/25/2017 10:12,HMO/HMOPOS
CO,All,Humana Inc.,Humana Value Plus H2649-066 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,66,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,5,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,All,Aetna Inc.,Coventry Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,22,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,All,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
KS,All,Aetna Inc.,Coventry Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,28,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MO,All,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred HMO (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2758,5,0,Completed,07/18/2017 13:53,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Premium - LI (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H2773,22,0,Completed,07/26/2017 18:49,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,88,0,Completed,07/27/2017 10:38,Local PPO
NE,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,16,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,35,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NV,All,"UnitedHealth Group, Inc.",Senior Dimensions Southern Nevada (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2931,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NE,All,Humana Inc.,Humana Gold Choice H2944-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,4,0,Completed,07/25/2017 10:12,PFFS
MO,All,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
GA,All,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,114,0,Completed,07/25/2017 10:12,PFFS
KY,All,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,127,0,Completed,07/25/2017 10:12,PFFS
PR,All,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,156,312,150,156,H3054,1,0,Completed,07/14/2017 11:46,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3113,9,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,45,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H3227,1,0,Completed,07/27/2017 16:53,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,455,1,228,H3305,22,0,Completed,06/28/2017 12:35,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3307,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,18,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,2,0,Completed,07/18/2017 12:54,HMO/HMOPOS
NY,All,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,445,0,228,H3347,7,0,Completed,07/18/2017 12:54,HMO/HMOPOS
OH,Hocking,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Utah,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
HI,Kauai,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Meagher,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Wabash,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Ellis,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Ouachita,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Miami,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Herkimer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Wayne,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Wright,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
OH,Mahoning,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Wood,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MI,Wayne,Humana Inc.,Humana Gold Plus SNP-DE H8908-005 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
SC,Abbeville,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Jasper,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,95,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Union,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Apache,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
CO,Boulder,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Stanly,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
WA,Whatcom,Humana Inc.,Humana Gold Plus H5619-114 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,114,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Chester,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Montague,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
OH,Belmont,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,De Soto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Beaufort,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
IA,Polk,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Dickson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Burke,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro Plus (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,7,0,Completed,06/25/2018 20:32,Local PPO
NY,Albany,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NY,Chautauqua,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NY,Delaware,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
ME,Aroostook,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
FL,Pasco,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,119,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pipestone,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Jefferson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Northampton,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,Centre,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
PA,Crawford,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
ID,Canyon,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,9,0,Completed,07/26/2018 20:21,HMO/HMOPOS
TX,Smith,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
VA,Manassas Park City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lancaster,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Christian,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
OK,Okfuskee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Carroll,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,New Hanover,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Portsmouth City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Susquehanna,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Butler,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
AL,Lee,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Crawford,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Chautauqua,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
KS,Neosho,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
OH,Geauga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,1,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Wyoming,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Chambers,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
WA,Whatcom,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,DeKalb,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Beltrami,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Clay,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
NE,Douglas,Humana Inc.,Humana Gold Plus SNP-DE H0028-007 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,268,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,44,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
IA,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Greene,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Bucks,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
IA,All,Humana Inc.,Humana Value Plus H0028-009 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0028,9,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AL,All,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,400,455,200,228,H0104,14,0,Completed,07/23/2017 19:38,Local PPO
MT,All,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H0107,3,0,Completed,06/14/2017 16:42,Local PPO
AL,All,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0154,11,0,Completed,07/26/2017 12:05,HMO/HMOPOS
AZ,All,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,455,455,228,228,H0302,8,0,Completed,06/19/2017 17:18,HMO/HMOPOS
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/07/2017 12:31,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/25/2017 10:12,Medicare-Medicaid Plan HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Essentials II (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0351,49,2,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0354,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
NY,All,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/07/2017 14:53,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0432,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0480,1,0,Completed,07/26/2017 16:51,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,21,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,26,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,Y,N,Y,Y,100,100,0,567,,,H0504,28,0,Completed,07/21/2017 17:33,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Inland Empire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,15,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Contra Costa (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,33,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,567,0,284,H0524,51,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,89,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,140,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,152,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,163,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0543,166,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,7,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,25,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,32,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,58,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,66,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,67,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0544,74,0,Completed,07/27/2017 13:34,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,39,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,95,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,111,3,Completed,07/06/2017 14:24,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0562,112,0,Completed,07/06/2017 14:24,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0609,28,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0624,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,5,0,Completed,07/28/2017 17:35,1876 Cost
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,420,0,210,H0657,8,0,Completed,07/28/2017 17:35,1876 Cost
CO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,7,0,Completed,07/24/2017 12:23,Local PPO
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,16,0,Completed,07/24/2017 12:23,Local PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0710,20,0,Completed,07/24/2017 12:23,Local PPO
CT,All,"WellCare Health Plans, Inc.",Wellcare Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,19,0,Completed,07/28/2017 11:13,HMO/HMOPOS
CT,All,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H0712,21,0,Completed,07/28/2017 11:13,HMO/HMOPOS
OH,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H0724,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H0755,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3351,16,0,Completed,06/26/2017 13:34,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3359,19,0,Completed,07/14/2017 10:43,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,40,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,1,4,Completed,07/27/2017 11:16,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,4,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,14,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,1,Completed,07/24/2017 11:58,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,23,2,Completed,07/24/2017 11:58,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3464,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,3,0,Completed,07/26/2017 12:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Pioneer Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3471,12,0,Completed,07/26/2017 12:58,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,461,511,231,256,H3528,11,1,Completed,07/26/2017 16:51,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,461,511,231,256,H3528,13,1,Completed,07/26/2017 16:51,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,2,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3561,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
GA,All,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3572,1,0,Completed,07/29/2017 11:40,HMO/HMOPOS
MI,All,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,4,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,All,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,15,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,28,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,100,350,455,175,228,H3660,48,0,Completed,07/17/2017 11:30,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3668,14,0,Completed,06/26/2017 8:52,HMO/HMOPOS
OK,All,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,455,455,228,228,H3706,18,0,Completed,07/26/2017 17:19,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/28/2017 9:25,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,15,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,17,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OR,All,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3810,1,0,Completed,06/30/2017 19:02,HMO/HMOPOS
OR,All,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,432,432,216,216,H3811,2,0,Completed,07/31/2017 19:26,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health PPO (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,1,0,Completed,06/07/2017 10:53,Local PPO
OR,All,"Moda, Inc.",Moda Health PPORX (PPO),Y,N,N,Y,N,,,360,360,180,180,H3813,6,0,Completed,06/07/2017 10:53,Local PPO
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,9,0,Completed,07/27/2017 20:51,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H3817,8,2,Completed,07/26/2017 17:12,Local PPO
OR,All,FamilyCare Incorporated,FamilyCare Community (HMO SNP),Y,N,N,Y,N,,,455,455,228,228,H3818,2,0,Completed,06/14/2017 13:43,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Premier (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3822,3,0,Completed,06/14/2017 16:42,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Elite (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3822,10,0,Completed,06/14/2017 16:42,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 32 (HMO),Y,N,N,Y,N,,,415,415,208,208,H3864,32,0,Completed,06/15/2017 15:55,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,6,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,29,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,4,Completed,06/29/2017 13:12,Local PPO
NY,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,64,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,99,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,105,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,109,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Mon Valley Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,119,0,Completed,07/12/2017 15:39,HMO/HMOPOS
MA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,122,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,129,0,Completed,07/12/2017 15:39,HMO/HMOPOS
IN,Vigo,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Osceola,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,92,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Centre,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Northampton,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
IA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,4,0,Completed,07/23/2018 10:18,HMO/HMOPOS
NJ,Camden,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,Wichita,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Jewell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bradley,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Atascosa,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Trinity,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Palm Beach,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
MD,Queen Anne s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
GA,Bartow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
FL,Polk,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
LA,Washington,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
MN,Lake,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
GA,Banks,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,McIntosh,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Limestone,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Preferred Special Care Miami-Dade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Richmond,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
WI,Waushara,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AZ,Pima,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,6,0,Completed,07/26/2018 13:57,HMO/HMOPOS
VA,Radford City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
AR,Pulaski,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Independence,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IN,Hamilton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
OK,Okmulgee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,McHenry,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IA,Howard,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Norman,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Gwinnett,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,4,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Chattahoochee,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,3,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Logan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MI,Chippewa,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
PA,Philadelphia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,37,0,Completed,07/26/2018 11:48,Local PPO
IA,Clarke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Lake of the Woods,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Murray,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Caldwell,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,New Kent,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
OH,Delaware,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Treasure,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,Scott,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
ME,Kennebec,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KS,Shawnee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
GA,Chatham,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NJ,Burlington,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,42,0,Completed,07/26/2018 14:48,Local PPO
VA,Nelson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Landry,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Summit,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Clarion,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Huntingdon,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Lancaster,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Snyder,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
TX,Red River,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
LA,West Baton Rouge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Blaine,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Pulaski,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
SC,Union,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MN,Nobles,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
NY,Steuben,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
FL,Pinellas,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,265,1,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day In Control Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,26,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day In Control Choice for Medi-Medi (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,27,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Harmony Drug Savings (HMO SNP),Y,Y,Y,Y,N,,,150,567,100,284,H0838,32,0,Completed,07/17/2017 20:44,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Classic Choice for Medi-Medi (HMO),Y,Y,Y,Y,N,,,150,567,100,284,H0838,33,0,Completed,07/17/2017 20:44,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,26,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,57,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1019,90,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1026,61,0,Completed,07/18/2017 13:53,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,40,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,133,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1032,182,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP s Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,10,0,Completed,07/28/2017 10:27,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP s Premier Savings Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1035,15,0,Completed,07/28/2017 10:27,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,102,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-215 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,215,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,217,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,222,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,234,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Community HMO (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,236,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,245,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,251,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-257 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1036,257,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,31,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1045,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Rewards Plan (HMO),Y,N,Y,Y,Y,95,75,455,455,228,228,H1099,14,0,Completed,07/24/2017 14:05,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1111,7,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,228,455,228,228,H1225,1,0,Completed,07/31/2017 15:05,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H1304,2,0,Completed,07/26/2017 17:12,Local PPO
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,1,Completed,07/27/2017 11:11,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,N,,,455,455,228,228,H1350,19,2,Completed,07/27/2017 11:11,HMO/HMOPOS
KS,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H1352,1,0,Completed,07/29/2017 8:36,HMO/HMOPOS
IL,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1415,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,26,0,Completed,07/28/2017 11:13,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,38,0,Completed,07/28/2017 11:13,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,39,0,Completed,07/28/2017 11:13,HMO/HMOPOS
IL,All,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1416,48,0,Completed,07/28/2017 11:13,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1436,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,3,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,10,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H1463,17,0,Completed,07/26/2017 12:48,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-015 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,15,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IL,All,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1468,17,0,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,16,0,Completed,07/12/2017 15:39,Local PPO
MO,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,35,0,Completed,07/12/2017 15:39,Local PPO
MO,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,36,0,Completed,07/12/2017 15:39,Local PPO
IA,All,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,37,0,Completed,07/12/2017 15:39,Local PPO
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,8,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,45,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,48,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,157,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,2,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,158,4,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO ValueRx (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,32,0,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,N,Y,N,,,511,511,256,256,H3957,42,4,Completed,07/20/2017 14:11,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,11,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,32,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,35,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Butler Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,47,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Elite Excel (HMO-POS),Y,Y,Y,Y,N,,,312,312,156,156,H4003,34,0,Completed,07/26/2017 10:26,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,312,0,156,H4005,1,0,Completed,07/19/2017 16:44,Local PPO
OH,All,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,12,2,Completed,07/18/2017 9:33,Local PPO
PA,All,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,511,0,256,H4227,1,0,Completed,07/28/2017 11:24,HMO/HMOPOS
CO,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,14,0,Completed,07/27/2017 13:34,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4454,37,2,Completed,07/25/2017 17:34,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4461,22,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,29,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,24,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,29,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,33,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,41,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,11,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H4605,2,0,Completed,07/26/2017 17:12,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,16,2,Completed,07/24/2017 10:22,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,3,Completed,07/24/2017 10:22,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,N,,,100,455,0,228,H4922,4,0,Completed,07/20/2017 15:47,HMO/HMOPOS
AZ,All,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,6,0,Completed,07/25/2017 11:49,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5008,12,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5009,8,0,Completed,07/26/2017 17:12,Local PPO
CA,All,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,2,0,Completed,07/28/2017 11:13,HMO/HMOPOS
WV,All,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,N,Y,N,,,455,455,228,228,H5106,13,0,Completed,07/20/2017 14:11,Local PPO
LA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5117,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,All,"Clover Health Holdings, Inc.",Clover Health TX Green (PPO),Y,N,N,Y,N,,,0,455,0,228,H5141,25,0,Completed,07/25/2017 8:01,Local PPO
GA,All,"Clover Health Holdings, Inc.",Clover Health GA Green (PPO),Y,N,Y,Y,N,,,0,455,0,228,H5141,26,0,Completed,07/25/2017 8:01,Local PPO
NJ,All,"Clover Health Holdings, Inc.",Clover Health NJ Purple (PPO),Y,N,N,Y,N,,,0,567,0,284,H5141,32,0,Completed,07/25/2017 8:01,Local PPO
WI,All,"Care Wisconsin First, Inc.",Partnership (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/24/2017 8:41,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,2,0,Completed,07/17/2017 12:25,HMO/HMOPOS
MI,All,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,11,0,Completed,07/25/2017 10:12,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,18,0,Completed,07/25/2017 10:12,Local PPO
MD,All,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,29,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,45,0,Completed,07/25/2017 10:12,Local PPO
WA,All,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,53,0,Completed,07/25/2017 10:12,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,67,0,Completed,07/25/2017 10:12,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,68,0,Completed,07/25/2017 10:12,Local PPO
MI,Charlevoix,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Muskegon,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
OH,Lorain,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
MN,Hennepin,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
NY,Niagara,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),N,N,N,N,N,,,,,,,H3227,1,0,Completed,07/29/2018 10:12,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
AR,Sebastian,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
PA,Perry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,De Witt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Canovanas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Warrick,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Meeker,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Walworth,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
WI,Racine,Independent Care Health Plan Inc.,Aurora CompleteCare (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,9,0,Completed,07/18/2018 14:56,HMO/HMOPOS
IN,Greene,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
NC,Northampton,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Cumberland,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
SC,Edgefield,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Adams,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
PR,Cayey,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
WI,Grant,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,4,0,Completed,06/15/2018 10:37,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
OK,Nowata,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Whatcom,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Effingham,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
KS,Miami,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
WV,Ritchie,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
IA,Harrison,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Escambia,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,271,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Person,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Escambia,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,143,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Staunton City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
TX,Fayette,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
PA,Tioga,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Adams,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Lucie,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Guthrie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Bennington,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,Washington,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
MO,Polk,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Highlands,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Hudson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Houston,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Marion,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Harper,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Madison,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
LA,Assumption,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
PA,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
NY,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
FL,Broward,Anthem Inc.,HealthSun MediMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Ascension,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
SC,Orangeburg,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
SC,York,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
WI,Walworth,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Menifee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Boulder,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Clark,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Butler,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MI,Huron,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Oceana,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Adams,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
WV,Berkeley,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MI,Iosco,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
OH,Wood,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Paulding,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
NE,All,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1608,38,0,Completed,07/12/2017 15:39,Local PPO
FL,All,Aetna Inc.,Coventry Medicare Vista Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1609,23,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,1,0,Completed,07/07/2017 15:12,Local PPO
VA,All,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,455,455,228,228,H1659,2,0,Completed,07/07/2017 15:12,Local PPO
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H1660,1,0,Completed,07/06/2017 14:10,HMO/HMOPOS
MO,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1664,1,0,Completed,07/06/2017 14:24,HMO/HMOPOS
VT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1944,18,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H1944,24,0,Completed,07/24/2017 12:23,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-028 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,28,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H1951,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H1961,14,2,Completed,07/28/2017 14:29,HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,246,455,228,228,H1994,2,0,Completed,07/26/2017 9:21,HMO/HMOPOS
ME,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2001,10,0,Completed,07/24/2017 12:23,Local PPO
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,21,0,Completed,07/19/2017 22:51,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,511,0,256,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2150,22,0,Completed,07/19/2017 22:51,1876 Cost
NY,All,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H2168,1,0,Completed,07/25/2017 10:44,HMO/HMOPOS
TX,All,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,455,0,228,H2171,1,0,Completed,06/22/2017 12:46,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2172,2,0,Completed,07/19/2017 22:51,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,2,0,Completed,07/24/2017 12:23,Local PPO
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2228,32,0,Completed,07/24/2017 12:23,Local PPO
WI,All,Independent Care Health Plan Inc.,Aurora Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,50,50,455,455,228,228,H2237,9,0,Completed,07/26/2017 12:18,HMO/HMOPOS
CA,All,Golden State Medicare Health Plan,Golden State Medicare Gold (HMO),Y,N,Y,Y,N,,,567,567,284,284,H2241,7,3,Completed,10/17/2017 0:50,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,15,6,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,2,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,455,150,228,H2256,26,3,Completed,07/17/2017 11:05,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,,,H2261,5,0,Completed,07/24/2017 9:40,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,445,0,228,H2322,8,0,Completed,07/30/2017 14:55,Local PPO
SC,All,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H2334,3,0,Completed,07/17/2017 13:18,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2406,10,0,Completed,07/24/2017 12:23,Local PPO
MN,All,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/08/2017 18:03,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,2,0,Completed,07/13/2017 15:08,1876 Cost
ND,All,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,286,455,143,228,H2450,34,0,Completed,07/13/2017 15:08,1876 Cost
MN,All,UCare Minnesota,UCare for Seniors Prime (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,20,0,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,UCare Minnesota,UCare for Seniors Essentials Rx (HMO-POS),Y,N,N,Y,N,,,200,400,120,200,H2459,23,2,Completed,07/28/2017 14:33,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,455,455,228,228,H2462,19,0,Completed,07/21/2017 13:36,1876 Cost
HI,All,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,4,0,Completed,07/28/2017 11:13,HMO/HMOPOS
LA,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2491,6,0,Completed,07/28/2017 11:13,HMO/HMOPOS
AZ,All,Anthem Inc.,CareMore Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,6,0,Completed,07/27/2017 13:34,HMO/HMOPOS
AZ,All,Anthem Inc.,CareMore Care Access (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2593,20,0,Completed,07/27/2017 13:34,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Plus H2649-012 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,12,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H2649-033 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,33,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H2649-039 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,39,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H2649-046 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,46,0,Completed,07/25/2017 10:12,HMO/HMOPOS
FL,All,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,74,0,Completed,07/25/2017 10:12,Local PPO
NM,All,Humana Inc.,HumanaChoice H5216-079 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,79,0,Completed,07/25/2017 10:12,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,85,0,Completed,07/25/2017 10:12,Local PPO
MT,All,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,89,0,Completed,07/25/2017 10:12,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,91,0,Completed,07/25/2017 10:12,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,93,0,Completed,07/25/2017 10:12,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,96,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,110,0,Completed,07/25/2017 10:12,Local PPO
PA,All,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5216,117,0,Completed,07/25/2017 10:12,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,123,0,Completed,07/25/2017 10:12,Local PPO
WV,All,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,125,0,Completed,07/25/2017 10:12,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,132,0,Completed,07/25/2017 10:12,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,138,0,Completed,07/25/2017 10:12,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,139,0,Completed,07/25/2017 10:12,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-141 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,141,0,Completed,07/25/2017 10:12,Local PPO
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,36,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,49,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,55,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,59,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,61,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,72,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,74,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,82,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,85,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,91,0,Completed,07/24/2017 12:23,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,11,0,Completed,07/20/2017 14:41,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,0,0,H5264,5,0,Completed,07/31/2017 16:05,1876 Cost
CA,All,INLAND EMPIRE HEALTH PLAN,IEHP DualChoice (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H5355,1,0,Completed,06/19/2017 19:41,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,Sharp Healthcare,Sharp Direct Advantage Gold Card (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5386,3,0,Completed,07/26/2017 12:00,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,13,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,8,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,9,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,19,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,34,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,52,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,72,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,88,0,Completed,07/06/2017 14:36,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NE,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NH,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
NH,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,1,Completed,07/06/2017 14:24,Local PPO
PA,Snyder,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
SC,Charleston,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Androscoggin,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Scott,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
AZ,Pinal,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,51,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Union,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,23,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Mercer,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Pope,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
OK,Lincoln,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Delaware,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Jefferson,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
WA,Spokane,PacificSource Health Plans,PacificSource Medicare MyCare Rx 33 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,33,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Heard,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
SC,Chester,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
KS,Shawnee,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Douglas,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
IN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Columbia,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
MN,Dakota,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lake of the Woods,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Orangeburg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
PA,Warren,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PA,Beaver,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
ID,Bonner,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
SC,York,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
TX,Montgomery,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
GA,Newton,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Guayama,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Freeborn,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
PA,Berks,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
NH,Rockingham,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
NH,Sullivan,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Cherokee,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Defiance,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Albany,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TN,Rhea,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,17,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Sterling,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Stutsman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Johnson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Muscogee,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Augusta,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Reynolds,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,King and Queen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SC,Bamberg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NE,Boyd,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
LA,Avoyelles,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Dooly,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Lamoille,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
VT,Grand Isle,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Perry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Clark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Gilmer,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Nicholas,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Union,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Dickson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Pulaski,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
AR,Garland,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Crittenden,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Wayne,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
CA,San Diego,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Champaign,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Carlton,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
IN,Allen,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Vance,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Stillwater,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Lancaster,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Dallas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Scott,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Anderson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
MO,All,Humana Inc.,Humana Gold Plus H2649-062 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2649,62,2,Completed,07/25/2017 10:12,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,26,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AR,All,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2663,29,0,Completed,07/12/2017 15:39,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2775,95,0,Completed,07/27/2017 10:38,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2802,46,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2816,2,0,Completed,07/27/2017 10:38,PFFS
NV,All,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,228,228,H2906,5,0,Completed,06/27/2017 19:00,Local PPO
OK,All,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,13,0,Completed,07/25/2017 10:12,PFFS
IN,All,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H2944,124,0,Completed,07/25/2017 10:12,PFFS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,47,567,24,284,H2986,5,0,Completed,06/06/2017 3:07,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3152,80,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NE,All,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H3170,2,0,Completed,07/27/2017 14:27,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,N,Y,Y,Y,100,100,218,455,109,228,H3204,12,0,Completed,07/24/2017 16:56,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,N,Y,Y,Y,100,100,218,455,109,228,H3206,1,0,Completed,07/24/2017 16:58,Local PPO
CA,All,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,567,0,284,H3237,2,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3262,1,0,Completed,06/30/2017 16:42,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3312,63,0,Completed,07/12/2017 15:39,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,455,455,228,228,H3328,20,1,Completed,07/21/2017 10:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H3330,32,2,Completed,07/24/2017 7:36,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,455,100,228,H3335,18,0,Completed,06/26/2017 13:34,Local PPO
NY,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,59,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,109,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,130,0,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3361,137,1,Completed,07/28/2017 11:13,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,22,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3379,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,19,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,N,Y,Y,Y,75,75,455,455,228,228,H3384,58,0,Completed,07/25/2017 12:50,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,4,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,214,214,107,107,H3388,13,0,Completed,07/27/2017 17:38,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,455,0,227,H3404,3,2,Completed,07/24/2017 11:58,Local PPO
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,2,Completed,07/27/2017 11:16,Local PPO
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,455,455,228,228,H3416,2,3,Completed,07/27/2017 11:16,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,5,0,Completed,07/18/2017 9:33,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Touch (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3447,10,0,Completed,07/18/2017 9:33,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,455,0,227,H3449,12,0,Completed,07/24/2017 11:58,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3471,13,0,Completed,07/26/2017 12:58,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3499,2,0,Completed,07/06/2017 14:24,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,4,0,Completed,07/25/2017 10:12,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-010 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3533,10,0,Completed,07/25/2017 10:12,HMO/HMOPOS
ME,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3597,1,0,Completed,07/12/2017 15:39,HMO/HMOPOS
OH,All,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,455,0,228,H3653,18,0,Completed,06/30/2017 10:43,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3655,38,0,Completed,07/18/2017 9:33,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H3664,21,0,Completed,07/28/2017 16:13,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,8,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,20,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,58,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Senior Value-LA (HMO SNP),Y,N,Y,Y,N,,,567,567,284,284,H5496,10,0,Completed,07/28/2017 16:14,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,53,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,77,0,Completed,07/12/2017 15:39,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,87,0,Completed,07/12/2017 15:39,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,88,0,Completed,07/12/2017 15:39,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,90,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,92,0,Completed,07/12/2017 15:39,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,105,0,Completed,07/12/2017 15:39,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,115,0,Completed,07/12/2017 15:39,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,126,0,Completed,07/12/2017 15:39,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,134,0,Completed,07/12/2017 15:39,Local PPO
ME,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,142,0,Completed,07/12/2017 15:39,Local PPO
ME,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,144,0,Completed,07/12/2017 15:39,Local PPO
MA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,160,0,Completed,07/12/2017 15:39,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,185,0,Completed,07/12/2017 15:39,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,196,0,Completed,07/12/2017 15:39,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,197,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5522,5,0,Completed,07/12/2017 15:39,Local PPO
KY,All,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,30,0,Completed,07/25/2017 10:12,Local PPO
NY,All,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,Y,N,N,N,,,,,,,H5549,3,0,Completed,07/19/2017 13:57,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,18,1,Completed,06/07/2017 14:32,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,2,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,8,0,Completed,06/29/2017 9:06,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,17,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AZ,All,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,1,0,Completed,06/19/2017 17:09,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,17,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,26,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,28,0,Completed,07/06/2017 14:45,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,1,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,49,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-056 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,56,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-061 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,61,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,70,2,Completed,07/25/2017 10:12,HMO/HMOPOS
ID,All,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,77,0,Completed,07/25/2017 10:12,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-096 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,96,1,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,109,0,Completed,07/25/2017 10:12,HMO/HMOPOS
UT,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,1,0,Completed,06/07/2017 12:34,HMO/HMOPOS
UT,All,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,455,455,228,228,H5628,7,0,Completed,06/07/2017 12:34,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,567,1,284,H5649,4,0,Completed,07/28/2017 18:46,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,2,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5652,6,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5779,3,0,Completed,07/26/2017 16:56,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,2,Completed,07/18/2017 9:33,HMO/HMOPOS
LA,West Baton Rouge,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Ross,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
OR,Multnomah,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Clearfield,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Marion,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,26,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Nassau,Humana Inc.,HumanaChoice H5970-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,22,0,Completed,07/24/2018 13:42,Local PPO
AR,Pope,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Hernando,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,13,0,Completed,06/15/2018 12:33,Local PPO
AL,Wilcox,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
ME,Kennebec,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
AL,Etowah,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Patillas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Kern (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,35,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OH,Logan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Ottawa,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WV,Logan,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
MO,Shelby,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
AL,Pike,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
NY,Erie,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NE,Saline,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,1,0,Completed,07/26/2018 11:48,Local PPO
TN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Calhoun,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
SD,McPherson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Outagamie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Carter,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
TX,Lamb,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
TX,Shackelford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Day,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Warren,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
KS,Harvey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Charlottesville City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Boone,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Union,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Morgan,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Macon,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
IA,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Philadelphia,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,San Diego,SCAN Health Plan,Scripps Classic offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,5,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Mower,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Rice,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Warren,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Loudoun,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Kootenai,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
KY,Fulton,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
PA,Columbia,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
OH,Coshocton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Monroe,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
AR,Izard,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,Teller,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MT,Fergus,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Cumberland,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,New Castle,Humana Inc.,Humana Gold Plus SNP-DE H6622-051 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Collin,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,2,0,Completed,07/25/2018 7:53,Local PPO
OK,Okmulgee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NE,Jefferson,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
PA,Lehigh,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,1,Completed,07/13/2018 14:00,Local PPO
PA,Northumberland,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Cumberland,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
AL,Escambia,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Carver,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
VA,Gloucester,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Preston,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Conecuh,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Cleveland,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MO,Barry,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Cook,"Rifkin Managed Care Holding Company, LLC",Provider Partners Illinois Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,2,0,Completed,07/21/2018 10:13,HMO/HMOPOS
WV,All,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,455,0,228,H3672,23,0,Completed,07/05/2017 14:23,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/28/2017 9:25,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3805,19,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,6,0,Completed,07/27/2017 20:51,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan Heart & Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,567,0,284,H3815,10,0,Completed,07/27/2017 20:51,HMO/HMOPOS
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,Y,N,Y,N,,,455,455,228,228,H3832,8,0,Completed,07/20/2017 22:08,Local PPO
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,42,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,200,511,100,256,H3907,45,0,Completed,07/26/2017 8:03,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,N,Y,N,,,511,511,256,256,H3916,34,3,Completed,07/20/2017 14:11,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3924,59,6,Completed,06/29/2017 13:12,Local PPO
NY,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3931,70,0,Completed,07/12/2017 15:39,HMO/HMOPOS
AZ,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,92,0,Completed,07/12/2017 15:39,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,101,0,Completed,07/12/2017 15:39,HMO/HMOPOS
DE,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,102,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TN,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,116,0,Completed,07/12/2017 15:39,HMO/HMOPOS
WA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H3931,126,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,51,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,511,0,256,H3952,55,0,Completed,07/24/2017 10:45,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,156,6,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Essential Rx (HMO),Y,N,Y,Y,Y,100,0,0,511,0,256,H3954,159,5,Completed,06/29/2017 13:12,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,31,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Fayette Prime (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3959,44,0,Completed,07/12/2017 15:39,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H3962,4,0,Completed,07/27/2017 12:53,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Alliance Heart and Diabetes Care (HMO SNP),Y,N,N,Y,Y,100,0,0,511,0,256,H3962,19,0,Completed,07/27/2017 12:53,HMO/HMOPOS
OK,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H3979,1,0,Completed,06/14/2017 16:42,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM - Diamante Excel Plus Platino (HMO SNP),Y,Y,Y,Y,N,,,312,312,156,156,H4004,61,0,Completed,07/26/2017 10:26,HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4036,9,0,Completed,07/18/2017 9:33,Local PPO
GA,All,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4141,3,0,Completed,07/25/2017 10:12,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,425,425,213,213,H4213,17,1,Completed,07/13/2017 12:29,PFFS
PA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2017 8:54,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,1,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,6,0,Completed,07/27/2017 13:34,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4346,9,0,Completed,07/27/2017 13:34,HMO/HMOPOS
MO,All,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4513,30,0,Completed,07/25/2017 17:34,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,15,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4523,21,0,Completed,07/12/2017 15:39,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4527,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Premium (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,10,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,Baylor Scott & White Holdings,SeniorCare Select - Value Rx (Cost),Y,N,Y,Y,N,,,228,455,228,228,H4564,15,0,Completed,07/16/2017 17:10,1876 Cost
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4590,27,0,Completed,07/24/2017 12:23,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4604,5,0,Completed,07/24/2017 12:23,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,415,415,208,208,H4754,9,0,Completed,06/15/2017 15:55,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,17,1,Completed,07/24/2017 10:22,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,375,420,160,210,H4875,18,1,Completed,07/24/2017 10:22,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,N,,,100,455,0,228,H4922,5,2,Completed,07/20/2017 15:47,HMO/HMOPOS
AZ,All,Banner Health,University Care Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H4931,8,0,Completed,07/25/2017 11:49,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Classic (PPO),Y,Y,Y,Y,N,,,429,429,215,215,H5010,2,0,Completed,07/26/2017 17:12,Local PPO
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,20,5,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,22,0,Completed,07/18/2017 9:33,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5817,24,6,Completed,07/18/2017 9:33,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),N,N,N,N,N,,,,,,,H5826,8,0,Completed,06/29/2017 11:10,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,N,,,0,455,0,228,H5883,4,2,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,8,1,Completed,07/27/2017 13:39,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5883,8,2,Completed,07/27/2017 13:39,HMO/HMOPOS
CA,All,California Physicians  Service,Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,37,0,Completed,07/24/2017 20:49,HMO/HMOPOS
CA,All,California Physicians  Service,Care1st AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,567,0,284,H5928,44,0,Completed,07/24/2017 20:49,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Connect + Medicare (HMO SNP),N,N,N,N,N,,,,,,,H5937,1,0,Completed,07/28/2017 14:33,HMO/HMOPOS
NV,All,"Universal Health Services, Inc.",Prominence Enhanced (HMO),Y,Y,Y,Y,Y,100,0,455,455,228,228,H5945,6,0,Completed,06/22/2017 17:15,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,228,455,151,228,H5959,3,0,Completed,10/13/2017 15:06,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-017 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,17,0,Completed,07/25/2017 10:12,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5970,19,0,Completed,07/25/2017 10:12,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,N,Y,N,,,455,455,228,228,H6237,4,0,Completed,07/26/2017 17:12,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,2,0,Completed,07/31/2017 15:04,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H6306,7,0,Completed,07/31/2017 15:04,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6348,2,0,Completed,07/06/2017 14:24,Local PPO
DE,All,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,10,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,11,0,Completed,07/25/2017 10:12,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6622,18,0,Completed,07/25/2017 10:12,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H6622,37,0,Completed,07/25/2017 10:12,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6723,1,1,Completed,06/26/2017 13:58,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Bronze Rx (Basin) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,1,0,Completed,06/28/2017 15:06,Local PPO
OR,All,ATRIO Health Plans,ATRIO Bronze (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,6,0,Completed,06/28/2017 15:06,Local PPO
OR,All,ATRIO Health Plans,ATRIO Bronze Rx (Rogue) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H6743,14,0,Completed,06/28/2017 15:06,Local PPO
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H6815,5,0,Completed,07/06/2017 14:24,HMO/HMOPOS
TX,All,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,N,N,Y,N,,,0,455,0,228,H6870,1,0,Completed,07/13/2017 16:26,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,455,0,228,H6988,3,0,Completed,07/25/2017 13:22,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Silver Rx (Willamette) (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7006,3,0,Completed,06/28/2017 15:06,Local PPO
IN,All,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,N,Y,Y,Y,100,0,0,443,0,222,H7220,9,1,Completed,07/27/2017 10:00,HMO/HMOPOS
PR,All,InnovaCare Inc.,First+Plus - Advantage (PPO),Y,Y,Y,Y,N,,,312,312,156,156,H7522,1,0,Completed,07/26/2017 10:26,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,11,0,Completed,06/27/2017 16:06,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,455,455,228,228,H7917,12,0,Completed,06/27/2017 16:06,Local PPO
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue (PPO),Y,Y,Y,Y,N,,,175,175,75,75,H7971,1,0,Completed,07/26/2017 10:13,Local PPO
MI,All,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,06/30/2017 16:57,Medicare-Medicaid Plan HMO/HMOPOS
IL,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,455,455,228,228,H8046,1,0,Completed,06/07/2017 12:02,Medicare-Medicaid Plan HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,8,0,Completed,07/25/2017 10:12,PFFS
AL,All,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,75,0,Completed,07/25/2017 10:12,PFFS
IA,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,89,0,Completed,07/25/2017 10:12,PFFS
TX,All,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,126,0,Completed,07/25/2017 10:12,PFFS
IA,All,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8145,155,0,Completed,07/25/2017 10:12,PFFS
SC,All,Anthem Inc.,AFC Care Rx (HMO),Y,Y,N,Y,N,,,0,455,0,228,H8170,1,0,Completed,07/06/2017 10:58,HMO/HMOPOS
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8211,1,0,Completed,07/24/2017 12:23,Local PPO
PR,All,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,156,312,150,156,H8266,2,0,Completed,07/14/2017 11:46,HMO/HMOPOS
AL,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8280,1,0,Completed,07/20/2017 16:26,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,N,,,175,567,75,284,H8298,1,0,Completed,07/26/2017 10:13,HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,6,0,Completed,07/18/2017 9:33,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Currituck,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
OH,Perry,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
PA,Crawford,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Northampton,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
TX,El Paso,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7678,1,0,Completed,07/26/2018 20:42,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,2,Completed,07/16/2018 9:33,HMO/HMOPOS
NV,Douglas,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,115,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Yamhill,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
ME,Androscoggin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
VA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
PA,Jefferson,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
TX,Caldwell,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
TX,Limestone,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
MS,Pearl River,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,220,0,Completed,07/17/2018 11:44,Local PPO
CO,Jefferson,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
NY,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Napa,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,52,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Berks,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,7,0,Completed,07/25/2018 8:08,Local PPO
VA,Pittsylvania,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
WI,Oconto,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Luzerne,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3251,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Livingston,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
SD,Lake,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MI,Lenawee,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
WV,Wyoming,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
WV,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
VA,Amherst,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IN,Delaware,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Monroe,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Ben Hill,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Cherokee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Philadelphia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Jefferson,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Fayette,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,23,0,Completed,06/15/2018 12:28,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
VA,Bristol City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Craig,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Faribault,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vermillion,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Miami-Dade,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Conejos,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,6,0,Completed,07/30/2018 13:44,1876 Cost
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Tulsa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Schuyler,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Hartford,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Deuel,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Carter,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Emmet,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MS,Noxubee,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
IN,Jay,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MO,Douglas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Paulding,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Nicollet,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Roosevelt,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
KS,Barton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,San Patricio,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Culebra,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Henry,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
NY,Queens,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Redwood,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Larimer,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
PA,Fulton,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
GA,Cobb,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Weld,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Pulaski,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Lawrence,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,King William,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
PA,Susquehanna,Humana Inc.,Humana Gold Plus H6622-052 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Swain,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Centennial (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,21,0,Completed,07/19/2017 22:51,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5087,5,0,Completed,07/28/2017 11:13,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5190,4,0,Completed,07/06/2017 14:24,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5199,2,0,Completed,07/28/2017 11:13,Local PPO
WI,All,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,455,162,228,H5211,12,0,Completed,07/17/2017 12:25,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,N,Y,N,,,455,455,228,228,H5215,11,0,Completed,07/28/2017 12:26,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,14,0,Completed,07/25/2017 10:12,Local PPO
NC,All,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,15,2,Completed,07/25/2017 10:12,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,21,0,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,26,0,Completed,07/25/2017 10:12,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-030 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,30,1,Completed,07/25/2017 10:12,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,32,0,Completed,07/25/2017 10:12,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,33,2,Completed,07/25/2017 10:12,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-038 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,38,0,Completed,07/25/2017 10:12,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,1,Completed,07/25/2017 10:12,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,43,2,Completed,07/25/2017 10:12,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,44,0,Completed,07/25/2017 10:12,Local PPO
WA,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,46,0,Completed,07/25/2017 10:12,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,47,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,51,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,54,0,Completed,07/25/2017 10:12,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,57,0,Completed,07/25/2017 10:12,Local PPO
LA,All,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,64,0,Completed,07/25/2017 10:12,Local PPO
WI,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,80,3,Completed,07/25/2017 10:12,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,83,0,Completed,07/25/2017 10:12,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,92,0,Completed,07/25/2017 10:12,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,95,0,Completed,07/25/2017 10:12,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,103,0,Completed,07/25/2017 10:12,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,109,0,Completed,07/25/2017 10:12,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,113,0,Completed,07/25/2017 10:12,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5216,124,0,Completed,07/25/2017 10:12,Local PPO
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,38,0,Completed,07/24/2017 12:23,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,42,0,Completed,07/24/2017 12:23,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,48,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,50,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,51,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,52,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,53,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,54,0,Completed,07/24/2017 12:23,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,56,0,Completed,07/24/2017 12:23,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5253,67,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5294,2,4,Completed,07/06/2017 14:24,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,1,0,Completed,07/24/2017 12:23,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,3,0,Completed,07/24/2017 12:23,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,4,0,Completed,07/24/2017 12:23,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5322,25,0,Completed,07/24/2017 12:23,HMO/HMOPOS
CA,All,Sharp Healthcare,Sharp Direct Advantage Platinum Card (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5386,4,0,Completed,07/26/2017 12:00,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5410,4,0,Completed,07/25/2017 17:34,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,7,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,20,0,Completed,06/26/2017 14:13,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8432,9,0,Completed,07/18/2017 9:33,HMO/HMOPOS
CA,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,567,567,284,284,H8677,1,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,567,567,284,284,H8677,2,0,Completed,06/07/2017 12:34,Medicare-Medicaid Plan HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H8768,2,0,Completed,07/24/2017 12:23,Local PPO
ND,All,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2017 8:54,HMO/HMOPOS
MA,All,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,19,0,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,29,5,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced RX (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,30,5,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,32,6,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,33,0,Completed,07/27/2017 12:35,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,455,455,228,228,H9001,34,6,Completed,07/27/2017 12:35,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,455,100,228,H9096,1,0,Completed,07/31/2017 16:05,HMO/HMOPOS
KY,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,455,455,19,228,H9190,14,0,Completed,07/26/2017 13:02,HMO/HMOPOS
KY,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Select (HMO),Y,Y,Y,Y,N,,,455,455,19,228,H9190,21,0,Completed,07/26/2017 13:02,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,2,0,Completed,07/10/2017 11:38,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Value (HMO),Y,N,Y,Y,N,,,25,511,10,256,H9207,7,0,Completed,07/10/2017 11:38,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9276,11,0,Completed,07/06/2017 14:24,HMO/HMOPOS
AZ,All,Fresenius Medicare Care AG & Co. KGaA,Fresenius Total Health (PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9312,1,0,Completed,06/30/2017 16:42,Local PPO
MO,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9460,2,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,1,3,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,1,Completed,07/26/2017 11:41,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H9572,3,6,Completed,07/26/2017 11:41,Local PPO
NY,All,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,455,1,228,H9615,7,0,Completed,06/28/2017 12:35,Local PPO
AR,All,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,Y,30,0,425,425,213,213,H9699,4,1,Completed,07/13/2017 12:29,HMO/HMOPOS
NC,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9725,1,0,Completed,07/25/2017 17:34,HMO/HMOPOS
MO,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H9886,3,0,Completed,07/18/2017 9:33,HMO/HMOPOS
DC,All,"Medstar Health, Inc.",MedStar Medicare Choice Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,511,511,256,256,H9915,6,0,Completed,07/11/2017 8:53,HMO/HMOPOS
DC,All,"Medstar Health, Inc.",MedStar Medicare Choice Care Advantage (HMO SNP),Y,N,Y,Y,N,,,511,511,256,256,H9915,7,0,Completed,07/11/2017 8:53,HMO/HMOPOS
NC,All,Humana Inc.,HumanaChoice R1390-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1390,2,0,Completed,07/25/2017 10:12,Regional PPO
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R1548,1,0,Completed,07/27/2017 13:22,Regional PPO
GA,All,Humana Inc.,HumanaChoice R3392-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3392,1,0,Completed,07/25/2017 10:12,Regional PPO
SC,All,Humana Inc.,HumanaChoice R3392-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3392,2,0,Completed,07/25/2017 10:12,Regional PPO
MO,All,"UnitedHealth Group, Inc.",Care Improvement Plus Gold Rx (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,R3444,9,0,Completed,07/24/2017 12:23,Regional PPO
ME,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5329,1,0,Completed,07/24/2017 12:23,Regional PPO
WI,All,Humana Inc.,HumanaChoice R5361-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R5361,1,0,Completed,07/25/2017 10:12,Regional PPO
AL,All,Humana Inc.,HumanaChoice R7315-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7315,1,0,Completed,07/25/2017 10:12,Regional PPO
TN,All,Humana Inc.,HumanaChoice R7315-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7315,1,0,Completed,07/25/2017 10:12,Regional PPO
AL,All,Humana Inc.,HumanaChoice R7315-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7315,2,0,Completed,07/25/2017 10:12,Regional PPO
CT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,R7444,1,0,Completed,07/24/2017 12:23,Regional PPO
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,R7444,1,0,Completed,07/24/2017 12:23,Regional PPO
SC,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,12,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NM,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,43,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
HI,All,"UnitedHealth Group, Inc.",Symphonix Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S0522,46,0,Completed,07/24/2017 12:23,Medicare Prescription Drug Plan
NY,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,2,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
DE,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,3,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
GA,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,11,0,Completed,07/31/2017 16:23,Medicare Prescription Drug Plan
AR,Benton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
GA,Macon,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
IA,Black Hawk,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Maury,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,253,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ross,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AL,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Decatur,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Lafayette,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Delaware,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
OH,Fairfield,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Miami-Dade,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,17,0,Completed,07/25/2018 8:35,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Polk,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Travis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
IA,Keokuk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Pickaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Otsego,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Jefferson,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
MN,Redwood,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Wetzel,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Graham,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
MI,Marquette,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MN,Traverse,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
PA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Elmore,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NY,Madison,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Washburn,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MI,Berrien,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Genesee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AL,Clay,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
WI,Lincoln,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MN,Blue Earth,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
PR,Cidra,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
TN,Fayette,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
SD,Minnehaha,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Mahaska,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Bay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,8,0,Completed,07/26/2018 11:48,Local PPO
NC,Alleghany,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Rowan,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,York,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Erie,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
MI,Macomb,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
WI,Grant,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
MI,Eaton,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Muskingum,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Greenbrier,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Sumter,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
ID,Blaine,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Lewis,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Olmsted,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Mower,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
MO,Washington,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Kleberg,Humana Inc.,Humana Gold Plus H0028-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SD,Minnehaha,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Greene,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Tulsa,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
FL,Lake,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,269,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Northampton,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Washington,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,9,0,Completed,06/27/2018 15:22,Local PPO
CO,Jefferson,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
FL,Lake,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,Oneida,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Broward,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Oswego,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
WI,Oconto,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Calumet,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,28,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,29,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,46,0,Completed,06/26/2017 14:13,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,567,567,284,284,H5425,64,0,Completed,06/26/2017 14:13,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5427,83,0,Completed,07/06/2017 14:36,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5427,94,0,Completed,07/06/2017 14:36,HMO/HMOPOS
CA,All,Orange County Health Authority,OneCare (HMO SNP),Y,N,Y,N,N,,,,,,,H5433,1,0,Completed,07/25/2017 13:36,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
VT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,1,0,Completed,07/24/2017 12:23,PFFS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5435,24,0,Completed,07/24/2017 12:23,PFFS
OR,All,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,10,0,Completed,07/06/2017 14:24,Local PPO
OR,All,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,12,0,Completed,07/06/2017 14:24,Local PPO
WA,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5439,14,4,Completed,07/06/2017 14:24,Local PPO
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,39,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,43,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,54,0,Completed,07/18/2017 9:33,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5471,60,0,Completed,07/18/2017 9:33,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,8,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,10,0,Completed,07/26/2017 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5475,15,0,Completed,07/26/2017 16:54,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Senior Value (HMO SNP),Y,N,Y,Y,N,,,567,567,284,284,H5496,5,0,Completed,07/28/2017 16:14,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Traditional-LA (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,6,0,Completed,07/28/2017 16:14,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Traditional-SF (HMO),Y,N,Y,Y,N,,,567,567,284,284,H5496,7,0,Completed,07/28/2017 16:14,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5521,12,0,Completed,07/12/2017 15:39,Local PPO
NV,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,22,0,Completed,07/12/2017 15:39,Local PPO
FL,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,33,0,Completed,07/12/2017 15:39,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,101,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,113,0,Completed,07/12/2017 15:39,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Liberty Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,116,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,117,0,Completed,07/12/2017 15:39,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,119,0,Completed,07/12/2017 15:39,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5521,125,0,Completed,07/12/2017 15:39,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,168,0,Completed,07/12/2017 15:39,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5521,179,0,Completed,07/12/2017 15:39,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,511,0,256,H5525,7,0,Completed,07/25/2017 10:12,Local PPO
LA,All,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,15,0,Completed,07/25/2017 10:12,Local PPO
MT,All,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5525,31,0,Completed,07/25/2017 10:12,Local PPO
NY,All,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,N,Y,Y,Y,75,75,455,455,228,228,H5526,18,0,Completed,07/25/2017 12:50,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,Y,Y,Y,N,,,455,455,228,228,H5576,20,1,Completed,06/07/2017 14:32,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,312,0,156,H5577,29,0,Completed,06/29/2017 9:06,HMO/HMOPOS
AZ,All,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/19/2017 17:09,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,1,0,Completed,07/25/2017 8:54,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,455,455,228,228,H5591,6,1,Completed,07/25/2017 8:54,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H5594,2,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,16,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,31,0,Completed,07/06/2017 14:45,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5594,34,0,Completed,07/06/2017 14:45,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-021 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,21,0,Completed,07/25/2017 10:12,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-023 (HMO),Y,Y,Y,Y,Y,100,0,0,567,0,284,H5619,23,0,Completed,07/25/2017 10:12,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,52,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-059 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,59,0,Completed,07/25/2017 10:12,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-060 (HMO),Y,Y,Y,Y,Y,100,0,0,455,0,228,H5619,60,0,Completed,07/25/2017 10:12,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,13,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
WA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,20,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NJ,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,78,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
IL,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,87,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
AZ,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,92,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
MA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,99,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
VT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,99,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
FL,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,108,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
IN,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,112,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
KY,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,112,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
NE,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S4802,121,0,Completed,07/28/2017 11:13,Medicare Prescription Drug Plan
GA,All,Anthem Inc.,BCBSGa Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,9,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
KY,All,Anthem Inc.,Anthem Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,19,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
MO,All,Anthem Inc.,Blue MedicareRx Premier (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,45,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
NV,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5596,63,0,Completed,07/18/2017 9:33,Medicare Prescription Drug Plan
ME,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,2,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
ME,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,3,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
NC,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,16,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
GA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,20,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,27,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OK,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,46,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
IA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,50,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
MN,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,50,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
ND,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,51,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
CO,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,54,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
AZ,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,57,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OK,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,72,5,36,S5601,109,0,Completed,07/21/2017 13:59,Medicare Prescription Drug Plan
OK,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,113,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AR,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,225,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NH,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,246,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
AR,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,264,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
NE,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,270,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
WY,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,270,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
ID,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,276,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
CA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,72,0,36,S5617,277,0,Completed,07/25/2017 17:34,Medicare Prescription Drug Plan
DE,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,107,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MD,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,107,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
VA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,109,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MS,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,122,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
MN,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,127,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
NE,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,127,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
AL,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,182,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
TX,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,192,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
SC,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,72,72,25,36,S5660,210,0,Completed,07/20/2017 18:28,Medicare Prescription Drug Plan
IN,Decatur,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IN,St. Joseph,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Putnam,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
CA,Amador,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,7,0,Completed,07/20/2018 11:11,Local PPO
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,4,0,Completed,07/20/2018 11:11,Local PPO
IN,Wayne,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
MN,Clay,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MN,Todd,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Cabarrus,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Amherst,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Essex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Clinton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Pike,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Decatur,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Cass,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
IN,Vermillion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
MD,Talbot,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Miner,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Bleckley,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Crawford,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Lamar,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Polk,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
MI,Kalamazoo,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Montmorency,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
VA,Amherst,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MO,Cole,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Ottawa,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Isanti,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
PA,Lackawanna,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,17,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Switzerland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Walker,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Forest,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
IN,Fountain,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
WI,Price,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
GA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
MD,Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
MD,Baltimore,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Potter,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. Tammany,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,3,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Franklin,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Mississippi,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,39,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Los Angeles,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Tucker,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
VA,Radford City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
WI,Burnett,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
WI,Dane,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OK,Cleveland,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
OK,Grady,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
VA,Petersburg City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
IA,Humboldt,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
GA,White,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,13,Completed,07/27/2018 9:47,Local PPO
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MN,Crow Wing,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
ND,Towner,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Smith,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
CA,San Joaquin,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H7621,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hampton City,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hendricks,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,45,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WI,Fond du Lac,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,75,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Tallapoosa,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AR,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Orange,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,89,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Murray,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Raleigh,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Kings,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
TN,Loudon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Tippecanoe,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Clay,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Jackson,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
WI,Marinette,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
WA,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,30,0,Completed,07/26/2018 11:48,Local PPO
TX,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
PR,Florida,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Montgomery,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
KY,Campbell,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,85,0,Completed,07/17/2018 11:44,Local PPO
NY,Putnam,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PA,Bucks,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Cameron,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Forest,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
FL,Pasco,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clermont,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Ozaukee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Bourbon,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NC,Rowan,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Cook,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,106,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Hamilton,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Grainger,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Forsyth,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,11,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,6,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WI,Winnebago,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
VA,Middlesex,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Suffolk City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Norfolk City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,1,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Nassau,"QHP Financial Group, Inc.",Advantage Premium - LI (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,22,0,Completed,07/27/2018 15:56,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WA,Spokane,Premera,Premera Blue Cross Medicare Advantage Total Health (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,5,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WV,Brooke,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
WV,Ohio,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MO,Carroll,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Roane,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
VA,Russell,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
IL,Clinton,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
AR,Hempstead,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Mayaguez,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San German,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Collin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,5,0,Completed,06/20/2018 12:01,Local PPO
PA,Washington,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TN,Lewis,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WV,Roane,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Spartanburg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PR,Lajas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Spartanburg,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
MN,Cottonwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Pope,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
CO,Broomfield,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Fort Bend,Humana Inc.,Humana Gold Plus H0028-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,42,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Dickson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,271,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Suffolk City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
CO,Denver,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MO,Lafayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Huntington,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,3,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AR,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,George,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Mower,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
GA,Tift,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
KS,Sheridan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Waukesha,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
HI,Honolulu,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,24,0,Completed,07/26/2018 11:48,Local PPO
MO,St. Louis City,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
IN,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Johnston,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NY,Schoharie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Polk,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Northampton,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
GA,Richmond,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Polk,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Dallas,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H6870,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Dodge,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
LA,Livingston,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Webster,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,DuPage,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,San Diego,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Ben Hill,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
MO,Washington,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Iberville,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Cullman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
CA,San Benito,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Jasper,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Crawford,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
OK,McCurtain,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Monroe,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
WI,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,20,0,Completed,07/26/2018 11:48,Local PPO
SD,Jones,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Marion,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WV,McDowell,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
AR,Van Buren,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Hyde,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NM,Sandoval,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,10,0,Completed,07/26/2018 11:48,Local PPO
TX,Brazoria,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Grainger,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Bedford,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Talladega,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
IA,Benton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Licking,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Champaign,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
WI,Calumet,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
TN,Washington,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Fayette,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wyoming,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IN,Henry,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Zavala,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
TX,Collin,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
OH,Henry,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Simplete 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,24,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marion,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Salt Lake,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Chester,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Sullivan,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,13,Completed,07/27/2018 9:47,HMO/HMOPOS
AZ,Pima,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/22/2018 13:23,HMO/HMOPOS
CA,San Bernardino,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,6,0,Completed,07/27/2018 13:58,HMO/HMOPOS
IN,Daviess,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Tipton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Ashe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Cayuga,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Mayaguez,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Franklin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Loudon,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
CA,Napa,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,53,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Olmsted,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Mason,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MO,Jackson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MT,Deer Lodge,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IL,Iroquois,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Weber,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
TX,Brooks,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Walsh,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Broome,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Scott,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
NY,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Chester,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Westmoreland,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Vinton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
NY,Franklin,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
AR,Nevada,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Henrico,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Lorain,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Campbell,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Florida,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Collin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,1,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Livingston,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Northampton,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,27,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Bartholomew,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,East Carroll,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Madison,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Pawnee,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Fayette,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Talladega,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Garfield,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Hall,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MS,George,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
MN,Wadena,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
SD,Lawrence,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
TN,Gibson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
PR,Toa Alta,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Penuelas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PR,San Lorenzo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Macon,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
NE,Cuming,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
IA,Hardin,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Bates,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Wake,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Montour,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Warren,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
ME,Kennebec,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,3,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Colbert,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Clay,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
TX,Delta,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NE,Lancaster,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ID,Canyon,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,9,0,Completed,07/13/2018 13:55,Local PPO
NE,Sarpy,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
VT,Orange,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
FL,Hernando,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Lake,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Franklin,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,16,Completed,07/27/2018 9:47,HMO/HMOPOS
ND,Morton,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
PR,Villalba,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OK,Canadian,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
OK,Choctaw,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
NY,Chenango,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
VA,Henrico,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Ashtabula,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Miami,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Portage,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Waseca,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
PA,Northampton,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hamilton,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
NY,Orange,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,McHenry,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,106,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Litchfield,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
WV,Calhoun,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
VA,Buchanan,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
IA,Ida,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
TX,Frio,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MA,Worcester,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
IL,Lawrence,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Clearfield,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Quitman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Adams,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
AR,Franklin,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
LA,St. Mary,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Standard Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,15,0,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Hardin,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Montour,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
NY,Onondaga,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
TX,Panola,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MO,Barry,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
OH,Hocking,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Brantley,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
NY,Greene,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
NY,Albany,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
WI,Kewaunee,SSM Healthcare Corporation,Prevea360 Medicare Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,8,0,Completed,06/25/2018 12:02,HMO/HMOPOS
SC,Georgetown,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
TX,Parker,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
VA,Hampton City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Cuyahoga,Humana Inc.,Humana Cleveland Clinic Preferred SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Josephine,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,16,2,Completed,07/24/2018 19:18,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
WA,Skagit,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
MO,Audrain,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
IA,Madison,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
AR,Polk,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
WV,Brooke,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NJ,Somerset,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
KY,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Greene,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Baltimore,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,22,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Mineral,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Clark,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MN,Faribault,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Scott,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
TX,Red River,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Piscataquis,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,144,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
SD,Todd,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Clinch,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Blount,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Madison,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
IA,Lyon,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
CO,Boulder,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MO,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vigo,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Cumberland,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Brevard,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Brevard,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Broward,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Ellis,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,1,0,Completed,06/11/2018 23:54,Local PPO
NY,Schuyler,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
IL,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Sullivan,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Bedford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,16,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Imperial,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,601,601,301,301,H5810,1,0,Completed,07/26/2018 20:29,HMO/HMOPOS
GA,Fulton,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
WI,Columbia,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Bullock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MI,Ingham,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WA,Spokane,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,1,0,Completed,07/17/2018 16:12,HMO/HMOPOS
AL,Randolph,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
IA,Union,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
AR,Dallas,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
GA,Terrell,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
PA,Lycoming,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Orange,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
CA,Los Angeles,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,3,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,3,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,York,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Silver - NY (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,19,0,Completed,07/27/2018 15:56,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,13,0,Completed,07/26/2018 15:53,HMO/HMOPOS
IN,Fayette,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Hardin,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IN,De Kalb,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Juncos,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Iron,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Northampton,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
MI,Kalamazoo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SD,Dewey,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
LA,Iberia,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
AL,Cherokee,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
VA,Caroline,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Franklin,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Waupaca,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Tucker,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Cook,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Ada,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
MO,Wright,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Todd,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
PR,Las Marias,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,2,Completed,07/24/2018 19:18,Local PPO
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Lane,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
PA,Elk,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
TN,Madison,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Robertson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Citrus,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
IN,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
NY,Washington,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Harrisonburg City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,St. Martin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
NY,Lewis,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
KY,Bullitt,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Oconee,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OK,Custer,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
IN,Newton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Chattooga,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
PA,Wyoming,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MT,Stillwater,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,89,0,Completed,07/24/2018 13:42,Local PPO
IA,Jefferson,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AR,Sebastian,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Pike,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Smith,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,San Jacinto,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IN,Marion,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
IN,Jefferson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
GA,Bryan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Polk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
MN,Douglas,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
CO,Pueblo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Chambers,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Worcester,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,14,0,Completed,07/23/2018 15:54,HMO/HMOPOS
IA,Winnebago,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Orleans,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Walton,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,214,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vermillion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Walworth,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
PR,Toa Alta,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OR,Jackson,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,1,0,Completed,07/19/2018 0:49,HMO/HMOPOS
OH,Monroe,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Washington,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
IN,Vanderburgh,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Genesee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Buchanan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Henry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Ulster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Ventura,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,45,0,Completed,07/16/2018 13:40,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,2,0,Completed,06/20/2018 12:01,Local PPO
MN,Renville,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Camden,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Denver,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
KY,Floyd,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
KY,Greenup,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
CO,Teller,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Teller,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hernando,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Virginia Beach City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Cumberland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IL,Cook,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6080,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
MN,Brown,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,211,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,176,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kendall,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
KS,Jackson,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
OH,Trumbull,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
OH,Hardin,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
AL,Limestone,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Craighead,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Pendleton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
MD,Prince George s,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
SC,York,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,2,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Noble,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NC,Lincoln,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Lawrence,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Bladen,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Jayuya,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Broomfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,33,0,Completed,07/16/2018 13:40,HMO/HMOPOS
TX,Starr,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Todd,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Christian,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MT,Jefferson,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
MT,Lincoln,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
OH,Wyandot,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Schuylkill,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
GA,Columbia,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Boulder,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,88,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Maricopa,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,6,0,Completed,06/28/2018 17:45,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
OH,Allen,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Ravalli,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,8,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Bronx,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MN,Kanabec,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Bienville,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
IL,Effingham,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IL,Warren,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
IL,Brown,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IA,Scott,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
VA,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,39,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Charlottesville City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MA,Essex,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
NM,Chaves,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Marshall,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Cleburne,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
ID,Payette,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Douglas,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MO,Jefferson,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Yauco,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NC,Burke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Lucas,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,10,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Little River,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,Cheshire,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
NH,Belknap,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
AL,Lauderdale,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
MN,Ramsey,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
MN,Morrison,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Coffee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Iredell,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Arlington,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Harrisonburg City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Highland,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,3,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Wabash,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Richmond,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
MN,Washington,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
IA,Louisa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Larue,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Union,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
WA,King,Providence Health & Services,Providence Medicare Harbor + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,49,0,Completed,07/03/2018 11:07,HMO/HMOPOS
PA,Philadelphia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Chatham,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Kearny,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Phillips,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,7,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MN,Nicollet,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
MN,Sherburne,Medica Holding Company,Medica Advantage Solution H8889-002 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,2,0,Completed,07/18/2018 10:13,Local PPO
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
NC,Watauga,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
CO,Clear Creek,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Logan,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
TX,Marion,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Lee,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,Wayne,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
PA,Carbon,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,15,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Moore,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
TX,El Paso,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,3,0,Completed,06/20/2018 12:01,HMO/HMOPOS
AR,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Bond,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Callaway,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Virginia Beach City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Grant,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Indian River,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NJ,Passaic,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,San Bernardino,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
GA,Houston,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Nassau,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,3,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Huntington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
VT,Windham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Newton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Chambers,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Monroe,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Owyhee,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
UT,Utah,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Ocean,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Lincoln,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,7,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Lunenburg,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Benton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
KS,Anderson,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
KS,Butler,Aetna Inc.,Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,17,0,Completed,07/17/2018 11:44,Local PPO
NE,Platte,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
FL,Baker,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,14,0,Completed,07/26/2018 11:48,Local PPO
NC,Duplin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Tulsa,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OK,Wagoner,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
NC,Warren,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Fauquier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Adams,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
KS,Atchison,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
WI,Dodge,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
OH,Pickaway,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Major,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
IL,Rock Island,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,2,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NE,Dakota,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Cortland,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
CA,Santa Clara,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,1,0,Completed,07/18/2018 17:46,HMO/HMOPOS
TX,Atascosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,5,0,Completed,07/26/2018 11:48,Local PPO
TX,Hays,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,4,0,Completed,07/26/2018 11:48,Local PPO
NC,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cleveland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ND,Dunn,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Day,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Turner,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
OK,Osage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Halifax,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
WV,Tyler,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TX,Atascosa,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Lafayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Kennebec,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
IN,Steuben,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
GA,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Harrison,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Spencer,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Osceola,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
NY,Queens,Humana Inc.,HumanaChoice H5970-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,23,0,Completed,07/24/2018 13:42,Local PPO
NY,Chenango,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Sheboygan,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,77,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Columbia,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Baldwin,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Talladega,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Crawford,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,34,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Walton,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
KS,Stevens,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
PA,Washington,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Shelby,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
AR,Cross,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
AR,Greene,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Cameron,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SC,Fairfield,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
KY,Shelby,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Tyler,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
CO,Adams,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Unicoi,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Hinds,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Roanoke City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Brown,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
NE,Gage,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,56,0,Completed,07/16/2018 13:15,HMO/HMOPOS
WI,Ozaukee,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Allen,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Cambria,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
NY,Tioga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
IA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,67,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Gaston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Cass,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Pope,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
GA,Rockdale,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Forsyth,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Ohio,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,39,0,Completed,07/26/2018 11:48,Local PPO
MN,Koochiching,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
IN,Kosciusko,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
SD,Todd,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MD,Somerset,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
TX,Denton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
FL,Broward,InnovaCare Inc.,MMM - ELITE (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,2,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,18,Completed,07/27/2018 9:47,Local PPO
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
PA,Clinton,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,13,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
ME,York,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OK,Craig,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Leslie,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
OH,Gallia,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WA,Spokane,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1286,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Bristol,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Wayne,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NM,Cibola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
OH,Lake,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
SC,Newberry,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Allendale,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
NY,Richmond,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
LA,Evangeline,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
MS,Perry,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus SNP-DE H1036-241 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,241,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
IN,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sheboygan,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
OR,Wheeler,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
WI,Racine,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Chariton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Langlade,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Macon,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Wilson,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
IN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
VT,Addison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Windsor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
PR,Aibonito,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Pima,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,185,0,Completed,07/17/2018 11:44,Local PPO
OH,Lucas,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Cherokee,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
VA,Montgomery,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
AR,Baxter,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
KY,Simpson,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MO,Osage,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Lycoming,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WA,Thurston,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IA,Audubon,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Custer,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Page,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Ringgold,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Starke,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Marion,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
OH,Geauga,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
IN,Noble,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
AR,Phillips,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
PA,Perry,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Lyon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NH,Rockingham,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,5,0,Completed,06/18/2018 13:49,HMO/HMOPOS
IN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
SD,Lincoln,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ransom,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Morgan,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Henry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Ohio,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Wood,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Madison,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Roane,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Grimes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Otsego,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Morgan,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,Lewis,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,2,0,Completed,07/17/2018 16:12,HMO/HMOPOS
VA,Middlesex,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
IL,De Witt,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
PA,Carbon,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
IA,Van Buren,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
OH,Scioto,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H7419,1,0,Completed,07/16/2018 9:33,Medicare-Medicaid Plan HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,Muskingum,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Multnomah,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5859,1,0,Completed,07/23/2018 20:16,HMO/HMOPOS
MI,Midland,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Outagamie,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,13,Completed,07/27/2018 9:47,Local PPO
PA,Columbia,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
NM,Valencia,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,Snyder,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Noble,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Hand,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Madison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Las Marias,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Allegany,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,3,0,Completed,06/20/2018 12:01,Local PPO
PA,Columbia,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Westmoreland,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,Knott,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
KY,Pendleton,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Alleghany,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Hocking,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
VA,Spotsylvania,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
GA,McDuffie,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Charles City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,23,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Tillamook,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
PR,Arroyo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
SD,Brookings,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
IA,Union,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Sarasota,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
PA,Clarion,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
PA,Union,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
CA,Fresno,Humana Inc.,Humana Gold Plus H5619-012 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Lawrence,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Lexington,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Mecklenburg,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NC,Yadkin,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,St. Louis,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Webster,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Montgomery,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Meeker,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,92,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Covington,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,48,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,Jones,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,48,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Miami,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Charles City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Montgomery,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
FL,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Thurston,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Orange,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,3,0,Completed,07/30/2018 7:32,HMO/HMOPOS
WV,Cabell,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
MO,Miller,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Page,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Hyde,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Union,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Lynchburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Northampton,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Summers,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Canadian,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Seminole,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Wagoner,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OH,Lake,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SC,Fairfield,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Columbia,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Stearns,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MO,Franklin,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Warren,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Maury,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,90,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Knox,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
FL,Broward,Humana Inc.,Humana Gold Plus SNP-DE H1036-255 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,255,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Forsyth,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Multnomah,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Ste. Genevieve,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Lyon,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Alachua,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,14,0,Completed,07/26/2018 11:48,Local PPO
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Clarion,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
PA,Centre,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
AR,Polk,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Dodge,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
NE,Howard,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
NY,Washington,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
TX,Brazos,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Winnebago,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
KY,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Mitchell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alleghany,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lake,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IL,McHenry,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,1,Completed,07/26/2018 15:53,Local PPO
GA,Chattahoochee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Union,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NM,Luna,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Sullivan,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,13,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Claiborne,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Montgomery,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,7,Completed,07/16/2018 9:33,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,15,0,Completed,07/26/2018 15:53,HMO/HMOPOS
SC,York,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
TX,Dallas,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
TX,Lubbock,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Jackson,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
KS,Cherokee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MN,Dakota,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
TX,Colorado,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Moca,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Bollinger,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Nelson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Lake,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
PA,Snyder,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Beltrami,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Will,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Somerset,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Warren,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
SC,Anderson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
AR,Ashley,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Dauphin,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,St. Clair,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Patillas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Villalba,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Camuy,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PR,Comerio,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Tazewell,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IL,Randolph,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
KS,Montgomery,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Jackson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Avery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
MN,Anoka,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Sauk,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
TX,Bandera,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Falls,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Kingfisher,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VT,Franklin,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Elmore,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Cass,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,Lewis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
MI,Kalamazoo,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
IN,Howard,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Saluda,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Clarion,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AZ,Mohave,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Bernard,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Genesee,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
FL,Hillsborough,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,160,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,07/25/2018 17:17,Medicare-Medicaid Plan HMO/HMOPOS
PA,Carbon,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Manatee,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Ector,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,3,0,Completed,07/26/2018 11:48,Local PPO
OR,Lane,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Randolph,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Mills,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Martin,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,34,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Morris,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
SD,Hand,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Nodaway,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
SD,Hanson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brule,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Fayette,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NH,Coos,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
IA,Scott,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
PA,Mercer,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Kittson,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Washington,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
AR,Conway,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
WI,Crawford,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,4,0,Completed,06/15/2018 10:37,1876 Cost
VA,Brunswick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Wise,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
AL,Mobile,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Christian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Schenectady,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Milam,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Montgomery,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
ME,Sagadahoc,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,4,Completed,07/20/2018 11:11,PFFS
NY,Oswego,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Douglas,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Ozark,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bucks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",WellCare Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Dutchess,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Hamilton,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Fayette,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Bradley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Maricao,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,6,2,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Clinton,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
FL,Santa Rosa,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,18,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Madison,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Kenton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Jackson,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Pendleton,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Greene,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Brazoria,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
TN,Monroe,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Osceola,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
VA,Goochland,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
WY,Sublette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Wheatland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Carroll,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Mercer,UPMC Health System,UPMC for Life HMO Rx Choice (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,49,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,McCracken,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Nowata,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Washington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NY,Sullivan,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
WV,Hardy,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Delaware,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
TX,Deaf Smith,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MN,Chippewa,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Laurens,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PR,Naranjito,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Charleston,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Fremont,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Pueblo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Hanover,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
SC,Jasper,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MO,Wright,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Lafayette,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Apache,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
OH,Butler,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IL,Kane,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Warren,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Jefferson,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
FL,St. Lucie,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MO,Linn,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KY,Adair,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
IN,Noble,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Grainger,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Montgomery,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Tarrant,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Athens,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Belmont,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Van Wert,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,McLean,The Carle Foundation,Simplete 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,23,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CA,Riverside,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,7,1,Completed,07/27/2018 15:23,HMO/HMOPOS
UT,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Wright,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
KY,Bullitt,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
GA,Dawson,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
CA,Fresno,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,112,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Tompkins,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
IA,Guthrie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Calloway,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
ND,Barnes,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
MO,Taney,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Warren,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Butler,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
VA,James City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IA,Dickinson,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
VA,Spotsylvania,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
KS,Dickinson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Gray,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Stevens,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Big Horn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Perkins,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Cabarrus,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Van Zandt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Fajardo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Mifflin,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
LA,Winn,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
CA,Riverside,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Allegheny,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Laurens,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
VA,Middlesex,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Campbell,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Mayaguez,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Wise,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
LA,West Carroll,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
IA,Buena Vista,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
OH,Hardin,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Centre,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Dauphin,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
OH,Wood,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,10,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MD,Cecil,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
VA,Richmond,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,18,0,Completed,07/27/2018 15:56,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell CHF/Diabetes Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,38,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Grant,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,St. John the Baptist,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
SC,Union,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,Union,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
FL,Hernando,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,2,0,Completed,07/06/2018 11:25,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Pottawatomie,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Cass,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Bradley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Cabarrus,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Leavenworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Graves,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Perry,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Juniata,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Delaware,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
NY,Hamilton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Marquette,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
KY,Nelson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Jasper,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Broward,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IN,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
GA,Wilkinson,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Meriwether,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Monroe,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NH,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,St. Clair,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Morgan,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Emporia City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
KY,Boone,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
PA,Lackawanna,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,12,Completed,07/27/2018 9:47,Local PPO
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
NM,Harding,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
KS,Cloud,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Ravalli,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Putnam,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Miller,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Allen,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Washington,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
WI,Ozaukee,Independent Care Health Plan Inc.,Aurora CompleteCare (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,9,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Norman,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Bucks,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,5,0,Completed,07/24/2018 13:42,Local PPO
NY,Greene,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
OH,Portage,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ponce,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Juncos,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
MO,Boone,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Brunswick,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Mitchell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,3,0,Completed,07/25/2018 16:54,HMO/HMOPOS
ME,York,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Lake,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Calhoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
VA,Bedford,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,New Kent,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Bronx,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
IN,Tippecanoe,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Greenville,Anthem Inc.,AFC Care Rx (HMO),Y,N,Y,Y,N,,,0,482,0,241,H8170,1,0,Completed,07/27/2018 13:46,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MN,Washington,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
PR,Maricao,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Washington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,Franklin,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Salinas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WV,Wayne,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
KS,Osage,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
NE,Dodge,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
KS,Linn,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
SC,Charleston,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,36,0,Completed,07/26/2018 14:48,Local PPO
OH,Medina,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Blair,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
CA,Santa Barbara,Humana Inc.,Humana Gold Plus H5619-023 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Chatham,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
ID,Owyhee,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,10,0,Completed,07/13/2018 13:55,Local PPO
ME,Somerset,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Saratoga,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
SC,Marlboro,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MO,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
MN,Kanabec,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
FL,Broward,"UnitedHealth Group, Inc.",Preferred Choice Broward (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Portage,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,San Francisco,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Guernsey,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Mower,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
PA,Fulton,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,13,Completed,07/27/2018 9:47,HMO/HMOPOS
AL,Shelby,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,McMinn,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Danville City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ND,Ward,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Pike,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Hamblen,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Crockett,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Oconto,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
OH,Fairfield,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Lake,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,2,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Pickaway,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marion,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Chisago,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
AZ,Maricopa,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/22/2018 13:23,HMO/HMOPOS
CA,Ventura,AHMC Central Health LLC,Central Health Ventura Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,8,0,Completed,07/27/2018 13:58,HMO/HMOPOS
MS,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Nassau,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Vanderburgh,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
NY,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Green Lake,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
CO,Jefferson,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
GA,Fulton,Aetna Inc.,Aetna Medicare Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Newton,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
LA,Sabine,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
VA,Fairfax,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
FL,Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrMax (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H4140,1,0,Completed,07/25/2018 17:00,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Waynesboro City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Hamilton,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
GA,Coweta,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Jackson,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
MO,Crawford,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Lee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IA,Buena Vista,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
OH,Clermont,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Holmes,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Union,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8029,1,0,Completed,07/02/2018 16:20,Medicare-Medicaid Plan HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
NJ,Cumberland,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
TX,DeWitt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Person,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Harnett,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Issaquena,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Ste. Genevieve,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Scott,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
NC,Alexander,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
IL,Henderson,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MD,Montgomery,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
MI,Ionia,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Ontonagon,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Martin,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Lyon,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,7,0,Completed,07/24/2018 17:55,Local PPO
FL,Miami-Dade,"AvMed, Inc.",AvMed Medicare Circle (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,23,0,Completed,07/27/2018 9:10,HMO/HMOPOS
AR,Chicot,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Palm Beach,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,92,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Goochland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Greene,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
MN,Brown,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
MN,Mahnomen,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
AR,Marion,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Garland,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Denver,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lauderdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Sarpy,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,2,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IN,Delaware,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
KY,Henry,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
IA,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Bergen,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
MO,Ste. Genevieve,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,5,0,Completed,07/26/2018 11:48,Local PPO
IA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Clay,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Naguabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Collin,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5656,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Ramsey,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
GA,Hall,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,7,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Faulkner,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OK,Adair,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Jasper,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MN,Wright,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
IL,Cook,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Box Elder,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,5,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
PA,Berks,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,17,Completed,07/27/2018 9:47,HMO/HMOPOS
NY,Rockland,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
TX,Lipscomb,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Lincoln,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Sebastian,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Randolph,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Botetourt,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Noble,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Wayne,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
OH,Trumbull,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MD,Baltimore City,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MO,Newton,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
OH,Mahoning,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WA,Chelan,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,2,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Wyoming,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
GA,Talbot,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Grant,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Sharp,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
IL,Cook,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,N,Y,Y,100,0,0,482,0,241,H1415,21,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Madison,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wyoming,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
MS,Lamar,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Cass,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Denton,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Norman,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IL,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,55,0,Completed,07/16/2018 13:15,HMO/HMOPOS
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Clermont,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Missoula,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ottawa,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Marshall,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
ME,Hancock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Iberia,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Dauphin,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
ME,Waldo,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Johnson,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marion,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Nicollet,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
NE,Butler,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
WV,Monongalia,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
AR,Newton,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Lonoke,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MO,Boone,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,11,0,Completed,07/19/2018 12:41,HMO/HMOPOS
MO,St. Charles,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Guanica,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Quebradillas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
NY,New York,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
MN,Wabasha,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
NY,Saratoga,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,St. Clair,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NE,Colfax,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
MO,Barry,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Winchester City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Clearfield,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
KY,Oldham,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Terrebonne,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
WA,Walla Walla,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
IL,Boone,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,Geauga,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
TN,McMinn,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Boise,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,8,0,Completed,07/13/2018 13:55,Local PPO
NY,Schoharie,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
FL,Alachua,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,270,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Delaware,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Arapahoe,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,La Porte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Gibson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Baker,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
FL,Lake,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,92,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Schuyler,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
ME,Androscoggin,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
IA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Caswell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Pike,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Shelby,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,3,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Volusia,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,23,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WV,Preston,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Wilson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Middlesex,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Augusta,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Waynesboro City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Richmond,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
WA,Whatcom,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IA,Iowa,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Story,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Fremont,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Marion,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Floyd,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,West Carroll,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Bossier,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Juniata,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
ME,Androscoggin,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Charleston,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,84,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,Jasper,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Greene,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Claiborne,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,West Carroll,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Washington,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,2,Completed,07/20/2018 13:57,HMO/HMOPOS
IN,Allen,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KS,Allen,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,18,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Butler,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NE,Otoe,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Carroll,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MS,Madison,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AZ,Pima,Humana Inc.,Humana Gold Plus H0028-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,El Paso,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Lafayette,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Loudon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
FL,Volusia,Guidewell Mutual Holding Corporation,FHCP Medicare Rx Savings (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,14,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Santa Rosa,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Union,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Schenectady,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
MS,Simpson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Kings,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Juana Diaz,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Iron,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Blount,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
NY,Chenango,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Mayes,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Polk,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
KY,Breathitt,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Butler,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
SC,Greenwood,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ME,Knox,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,7,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Jefferson,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
FL,Leon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Madison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Plaquemines,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
PR,Yabucoa,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Hatillo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Marion,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
MO,Carroll,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Northampton,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,1,Completed,07/13/2018 14:00,Local PPO
PA,Adams,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
IN,Vanderburgh,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Conway,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Carroll,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Clarke,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Jackson,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
WI,Jefferson,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Roane,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NY,Chemung,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
NY,Fulton,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
LA,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Marion,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,269,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Wilkes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
AL,Franklin,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Iowa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
ND,Wells,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
GA,White,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,McIntosh,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
ME,Aroostook,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Rock,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Yolo,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Fairfield,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Pickaway,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Dakota,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
WA,Cowlitz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TN,Grainger,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Morgan,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Washington,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Emporia City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vigo,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
KY,Woodford,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,1,Completed,07/26/2018 15:53,HMO/HMOPOS
AL,Shelby,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
IN,Warren,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Ziebach,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Cumberland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Macon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Baxter,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Rincon,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Lajas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Classic Care I Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,25,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Eaton,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
TX,Upshur,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
OH,Allen,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
MN,Sherburne,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Churchill,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,8,0,Completed,07/24/2018 17:55,Local PPO
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,1,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Berks,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
MA,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Cumberland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Columbiana,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Nassau,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
SC,Richland,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7165,2,0,Completed,06/21/2018 16:47,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
OR,Columbia,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,199,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Aguadilla,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Stephenson,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
WV,Upshur,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OK,Caddo,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Monona,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NE,Gage,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
SC,Spartanburg,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Norton City,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Alexandria City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wirt,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
GA,Stephens,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Ionia,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,McDowell,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Poinsett,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
OK,Kingfisher,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Autauga,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
NM,Sandoval,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5746,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Henry,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
AR,Clark,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Tama,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Lincoln,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,6,0,Completed,06/25/2018 20:32,Local PPO
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
IN,Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Escambia,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,25,0,Completed,07/25/2018 8:35,Local PPO
PA,Montour,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
TX,Harris,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7678,1,0,Completed,07/26/2018 20:42,HMO/HMOPOS
KY,Graves,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cattaraugus,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
VA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Champaign,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,77,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Autauga,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Blount,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,37,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Lawrence,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,450,450,225,225,H3811,1,0,Completed,06/29/2018 15:38,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
CA,Fresno,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,44,0,Completed,07/25/2018 12:48,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,6,3,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Republic,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Queens,"ParkerCare New York, LLC",AgeWell New York PlanWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,8,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NE,Dawes,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
SD,Mellette,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MD,Calvert,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wayne,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Monroe,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Hoke,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
SC,Aiken,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
OH,Richland,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
OH,Shelby,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
GA,Pulaski,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
WV,Grant,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Johnson,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MI,Emmet,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
WA,Clark,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Lake,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Dewey,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brookings,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Baldwin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
NM,McKinley,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
WI,Waushara,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
IN,White,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Morrow,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
OR,Lake,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,151,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Madison,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NC,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Lexington City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Windsor,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
MO,Lincoln,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Fremont,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Dade,"Athena Healthcare Holdings, LLC",SOLIS SPF 001 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,1,0,Completed,07/20/2018 18:11,HMO/HMOPOS
GA,Ben Hill,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
IN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
ND,Rolette,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
CA,San Bernardino,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Kankakee,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Preferred (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,21,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Madison,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Morgan,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Spencer,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Sandusky,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,DuPage,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/24/2018 13:42,Medicare-Medicaid Plan HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Shelby,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Gladwin,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Racine,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
GA,Forsyth,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
TX,Wilson,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
OH,Union,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Erie,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,5,0,Completed,07/13/2018 13:55,HMO/HMOPOS
TN,Monroe,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,39,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WA,Kittitas,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Hickman,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
WV,Wirt,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
IA,Decatur,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
CO,Jefferson,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
TN,Hancock,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1969,2,0,Completed,07/13/2018 13:55,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
UT,Davis,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,6,0,Completed,07/26/2018 20:21,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MN,Sibley,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
LA,Bossier,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
IN,Porter,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Warren,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Fremont,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Charles,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. James,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Helena,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Gloucester,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
CO,Summit,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Union,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Lewis,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
IL,Clinton,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Venango,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Hardin,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
AR,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Cabell,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
MO,Schuyler,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
VT,Caledonia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
NJ,Monmouth,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Mathews,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Yamhill,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
TN,Hardeman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,81,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Johnson,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Prairie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
WV,Morgan,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
NC,Surry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
MN,St. Louis,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
LA,Livingston,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
WV,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PR,Jayuya,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MN,Anoka,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TX,Hidalgo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lycoming,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MO,Hickory,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
IN,Randolph,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IA,Washington,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
OH,Champaign,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,12,Completed,07/27/2018 9:47,Local PPO
OR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H8133,9,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Hidalgo,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Appomattox,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Marshall,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Huntingdon,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Madison,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Charlton,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
TN,Sullivan,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Gibson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
WV,Ohio,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Davidson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
LA,St. Tammany,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Emmet,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Alcona,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Grant,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
WV,Hardy,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IL,Montgomery,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IA,Lyon,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,38,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Athens,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IN,Franklin,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Adams,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
MN,Ramsey,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
PA,Blair,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
CA,San Benito,AHMC Central Health LLC,Central Health Inspire HMO (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,13,0,Completed,07/27/2018 13:58,HMO/HMOPOS
IL,Hardin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Erie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Tallahatchie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Hutchinson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,St. Francois,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,St. Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,Carver,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Boone,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MO,Reynolds,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
IN,Tipton,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
WV,Mineral,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashland,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Lancaster,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
GA,Jenkins,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
ME,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
NY,New York,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,06/26/2018 8:33,HMO/HMOPOS
AR,Sevier,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Covington City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
OH,Hamilton,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Martinsville City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Boone,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Mayaguez,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
MN,Dakota,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
OR,Multnomah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Cleburne,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,2,Completed,07/16/2018 15:07,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Moore,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
WI,Monroe,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
WI,Calumet,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
OK,Wagoner,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Marshall,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Erie,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Trumbull,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
SC,Greenville,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Monroe,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Chesapeake City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Lucas,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Louis,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Lajas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Moca,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Nowata,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
TX,Parker,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,1,Completed,07/17/2018 15:41,HMO/HMOPOS
TN,Rhea,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
KS,Montgomery,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
MO,St. Charles,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
WV,Mingo,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
MO,Benton,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Snyder,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
OH,Wood,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
GA,Berrien,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Bladen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
VA,Appomattox,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
MI,Arenac,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
DE,New Castle,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Juniata,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Russell,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Owen,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
GA,Newton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NC,Lincoln,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro Plus (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,7,0,Completed,06/25/2018 20:32,Local PPO
PR,Rincon,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IA,Mills,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Cooper,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NC,Burke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Harnett,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Juniata,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
CA,Alameda,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Colbert,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
IL,Will,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Crawford,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Dodge,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
SD,Sully,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
LA,Ouachita,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
FL,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CA,Placer,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Rockland,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
HI,Kalawao,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,N,N,Y,N,,,482,482,241,241,H3832,11,0,Completed,07/16/2018 15:11,Local PPO
NC,Guilford,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Decatur,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Union,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
SD,Clay,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
KY,Hardin,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
NC,Catawba,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
WV,Greenbrier,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
TX,Burleson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Edgecombe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Knox,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
FL,Polk,"BayCare Healht System, Inc.",BayCarePlus Rewards (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,2,0,Completed,07/26/2018 15:03,HMO/HMOPOS
PA,Mifflin,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bedford,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
IL,Hancock,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
PA,Chester,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,5,0,Completed,07/24/2018 13:42,Local PPO
OH,Washington,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
NY,Delaware,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
WI,Kewaunee,SSM Healthcare Corporation,Prevea360 Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,6,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TN,Greene,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Indian River,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Medina,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IL,Tazewell,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
OH,Clermont,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Mahoning,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
TN,Williamson,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Knox,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Washtenaw,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Dickinson,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Floyd,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,Hickory,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KS,Labette,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IL,Wabash,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NJ,Cape May,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NC,Alexander,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Ford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Coryell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Carteret,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Claiborne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Hatillo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Fayette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Cortland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Berks,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,Wyoming,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
GA,Talbot,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,95,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
NC,Swain,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Kenosha,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Craig,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Ravalli,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,198,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,193,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Glades,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NE,Adams,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
AR,Garland,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
FL,Pinellas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,11,0,Completed,07/26/2018 11:48,Local PPO
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
VA,King William,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NE,Saunders,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
OH,Cuyahoga,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
WV,Berkeley,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
MO,Boone,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
MO,Buchanan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,36,0,Completed,07/17/2018 11:44,Local PPO
IA,Marion,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
AR,Pope,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Granville,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
IN,Boone,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Skagit,Humana Inc.,Humana Gold Plus H5619-114 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,114,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Baltimore City,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,St. Landry,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Coosa,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
MN,Houston,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
NE,Lancaster,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,San Miguel,Humana Inc.,Humana Gold Plus H0028-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bandera,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,McDonald,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Allegany,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Prince William,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
WI,Clark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
NY,Montgomery,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Tioga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
TN,Unicoi,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,92,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Hillsborough,"Athena Healthcare Holdings, LLC",SOLIS SPF 010 (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H0982,10,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,Miami-Dade,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
SC,Pickens,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
IN,Starke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
IN,Steuben,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
SD,Meade,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
NE,Antelope,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lawrence,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MD,Anne Arundel,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
LA,Beauregard,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
AL,Cullman,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Kane,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NY,St. Lawrence,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
IN,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Juneau,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
PA,Schuylkill,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
WI,Shawano,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
IA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Burnett,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
FL,Charlotte,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OK,Woodward,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
PA,Northampton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
SD,Gregory,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
PA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Orange,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Ulster,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Putnam,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H9104,6,0,Completed,07/16/2018 13:40,HMO/HMOPOS
IL,Clinton,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Chemung,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Nassau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Norman,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Will,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
SC,Anderson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Howard,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Logan,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Pinellas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Lafayette,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,1,0,Completed,06/15/2018 10:37,1876 Cost
VA,Newport News City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
PA,Westmoreland,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
TN,Coffee,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
TN,Hardin,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Humacao,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Utuado,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Guayama,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
LA,Tensas,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sequatchie,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lake,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Polk,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
FL,Pinellas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
PR,Quebradillas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Bent,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
PR,Ciales,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Forest,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Koochiching,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Effingham,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Androscoggin,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Todd,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
NM,Santa Fe,Humana Inc.,Humana Gold Plus H0028-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Christian,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Osceola,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,247,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
WI,Calumet,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IN,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kenosha,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
IN,Clay,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
AR,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Orange,"Athena Healthcare Holdings, LLC",SOLIS SPF 006 (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H0982,6,0,Completed,07/20/2018 18:11,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
AL,Madison,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WV,Doddridge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
IL,Fayette,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Morgan,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
AZ,Pima,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,8,0,Completed,06/28/2018 17:45,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
PR,Maricao,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,205,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Cowlitz,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
ME,Knox,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Muskogee,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
NC,Johnston,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
CA,Orange,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Tulare,Humana Inc.,Humana Gold Plus H5619-015 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Baldwin,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Cowley,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,1,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,5,0,Completed,07/26/2018 11:48,Local PPO
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
PA,Clinton,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
SC,Chester,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Bourbon,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
VA,Louisa,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,King,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,2,0,Completed,07/13/2018 13:55,HMO/HMOPOS
GA,Mitchell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Washington,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Hot Spring,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
GA,Bibb,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
SC,Colleton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Greene,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Jackson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TX,San Patricio,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,La Paz,Humana Inc.,Humana Gold Plus H0028-024 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Honolulu,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,44,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,McClain,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
OH,Morgan,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,14,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
IN,Vermillion,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
PA,Beaver,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Pasco,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Lee,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Jefferson,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
WI,Dunn,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Poweshiek,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Harvey,Aetna Inc.,Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Peoria,Aetna Inc.,Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
OH,Madison,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,8,0,Completed,07/26/2018 15:08,HMO/HMOPOS
TN,Decatur,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
SD,Sanborn,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
AZ,Santa Cruz,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,8,0,Completed,07/26/2018 11:48,Local PPO
VT,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
CA,Orange,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Robertson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Garrard,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,7,Completed,07/16/2018 9:33,HMO/HMOPOS
AZ,Gila,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,131,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,7,0,Completed,06/26/2018 15:07,HMO/HMOPOS
VA,Portsmouth City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Morrison,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Madison,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,7,0,Completed,07/24/2018 9:02,HMO/HMOPOS
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
TX,Foard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Jefferson Davis,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Drew,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Toa Baja,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Howard,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Suffolk City,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Newport News City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Madison,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
WI,Adams,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
GA,Cherokee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SC,Florence,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,Bristol City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
SC,Union,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Fort Bend,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Richmond,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
CA,Santa Clara,"Vitality Health Plans, Inc.",Vitality Choice (HMO),Y,N,N,Y,N,,,601,601,301,301,H1426,2,0,Completed,06/25/2018 4:30,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
LA,Winn,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Guaynabo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,Cowlitz,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WV,Jefferson,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
SD,Aurora,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,Miller,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
IA,Story,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,7,0,Completed,07/17/2018 11:44,Local PPO
AR,Montgomery,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Jackson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Wyoming,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
ME,Knox,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Scott,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
TN,Robertson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Highland,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Douglas,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Lawrence,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
NY,Otsego,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
NC,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Cherokee,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,DeKalb,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NE,Gage,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,1,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Randolph,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
ND,Grant,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
WV,Braxton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Gibson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,43,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Calumet,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Outagamie,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Benton,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PR,Guayanilla,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IA,Monona,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,8,0,Completed,07/17/2018 11:44,Local PPO
AL,Crenshaw,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Canadian,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Multnomah,PacificSource Health Plans,PacificSource Medicare MyCare Rx 39 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,39,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Boone,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
VA,Goochland,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Elkhart,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vanderburgh,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
SD,Deuel,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Putnam,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
FL,Sarasota,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Owen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Brown,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NM,San Miguel,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Lebanon,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,18,Completed,07/27/2018 9:47,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marion,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
PA,York,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
TN,Hamilton,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Williamson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Victoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Gadsden,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
MS,Scott,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
CO,Grand,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Logan,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IN,Miami,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IL,Carroll,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Crane,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
CA,Stanislaus,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Washington,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,8,Completed,06/22/2018 9:28,HMO/HMOPOS
NC,Scotland,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,5,0,Completed,07/26/2018 10:44,Local PPO
OH,Wayne,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
AL,Dale,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Clayton,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Houston,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Weld,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
WI,Columbia,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Ionia,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
OH,Ashtabula,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
NY,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
NY,Wyoming,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Aguada,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MN,Wabasha,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MI,Wexford,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Marquette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bucks,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WA,Whatcom,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,13,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Catawba,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Pike,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Putnam,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Houston,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
OH,Cuyahoga,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Luzerne,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Nobles,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Fairfax City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
CO,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Franklin,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Sebastian,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
NC,Madison,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Salem City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Jayuya,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ponce,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Polk,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,5,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,2,Completed,07/17/2018 15:41,HMO/HMOPOS
NY,Richmond,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,6,0,Completed,07/30/2018 7:32,HMO/HMOPOS
NY,Kings,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Tama,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Pike,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Lee,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Montour,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Wyoming,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,1,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Hanover,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Clearfield,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
IL,Winnebago,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
FL,Pinellas,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
VA,Fauquier,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Carlton,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
IL,Cook,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Calumet,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
CA,Sonoma,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,148,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Shelby,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Steuben,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Onondaga,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
PA,Mercer,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Allegheny,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,18,0,Completed,07/17/2018 11:44,Local PPO
ME,Oxford,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
NY,Madison,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
MN,Stearns,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
NC,Wake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,102,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Benito,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,72,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Vernon,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PA,Dauphin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
NJ,Essex,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Madison,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SD,Hand,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pierce,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,McIntosh,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Perry,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Robertson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Lewis,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Rockcastle,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,Alexandria City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Brazoria,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
GA,Gordon,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Mobile,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
AR,Ashley,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Boone,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NY,Clinton,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,7,0,Completed,07/13/2018 13:32,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,4,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MI,Oceana,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Oneida,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
KS,Edwards,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Ford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Westmoreland,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MA,Bristol,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Clinton,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Elite (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,10,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PR,Culebra,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MO,Audrain,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Waushara,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
PA,Jefferson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,York,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
WI,Iowa,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Effingham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Pope,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Union,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
LA,Cameron,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Taliaferro,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Henrico,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Lake,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
KS,Johnson,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Alamance,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,5,0,Completed,06/25/2018 20:32,Local PPO
NC,Anson,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,24,0,Completed,07/25/2018 8:35,Local PPO
IN,Gibson,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NY,Albany,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Henrico,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Petersburg City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,El Paso,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8010,8,0,Completed,07/26/2018 14:48,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
IN,Montgomery,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
MS,George,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,220,0,Completed,07/17/2018 11:44,Local PPO
IL,Cook,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
WV,Doddridge,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Arroyo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Bremer,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
PA,Wayne,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Prince William,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
SC,Abbeville,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MT,Lewis and Clark,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
IN,Tipton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Cuyahoga,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Red Lake,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
LA,St. Helena,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,237,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,Harrison,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,171,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vigo,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Lake,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,07/25/2018 17:17,Medicare-Medicaid Plan HMO/HMOPOS
FL,Clay,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Coamo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
TX,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hardeman,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
VA,Bland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rincon,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Jackson,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,12,0,Completed,07/24/2018 19:18,Local PPO
WA,Clark,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,217,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Nassau,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Mason,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Lucas,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
PA,Union,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
ID,Canyon,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,York,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Little River,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Carson City,Renown Health,Senior Care Plus: Value Rx Select (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,18,0,Completed,07/24/2018 17:58,HMO/HMOPOS
OH,Allen,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Lehigh,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
ID,Ada,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wirt,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
VA,Virginia Beach City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
SC,Spartanburg,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,5,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Jefferson,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
FL,Nassau,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Butler,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,16,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clermont,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
CA,Placer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clinton,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Seminole,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,92,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Polk,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
NE,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
KY,Bullitt,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Blount,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Maries,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Tama,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hillsborough,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Lake of the Woods,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
PA,Luzerne,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Tolland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,15,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Denver,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
WI,Langlade,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IA,Ida,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
CO,Pueblo,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Cleburne,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,St. Joseph,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Collin,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
TN,Carter,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
SC,Lexington,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Forsyth,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
UT,Tooele,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
MI,Missaukee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
IL,Coles,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Douglas,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
NM,Socorro,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
NJ,Passaic,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
TX,Ward,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,McLean,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IN,Rush,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Huron,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
NY,Essex,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
UT,Weber,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,7,0,Completed,07/26/2018 20:21,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,99,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Powhatan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NJ,Bergen,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Maunabo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Bronx,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
SD,Turner,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,York,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
WV,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
WV,Wyoming,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
VA,Dickenson,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Winchester City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
OH,Geauga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
LA,St. Landry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Freeborn,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
TN,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Waldo,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
FL,Lake,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,213,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
CA,Orange,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,14,0,Completed,07/03/2018 15:53,HMO/HMOPOS
OH,Crawford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Edmonson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Delaware,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Dade,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OH,Clermont,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Passaic,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Lincoln,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Yellow Medicine,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Paulding,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Dunn,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
VT,Bennington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
NM,Valencia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,10,0,Completed,07/26/2018 11:48,Local PPO
TN,Putnam,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hamblen,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Wood,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Breathitt,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Meade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Contra Costa,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,DuPage,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Alpena,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
PR,Naranjito,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,200,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henderson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
SD,McCook,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
NC,Johnston,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Pike,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Erie,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
IN,Wells,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Boone,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NE,Nemaha,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Fayette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Ramsey,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
PA,Huntingdon,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,27,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Gloucester,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Adams,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
VA,Hopewell City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
VA,Bristol City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
FL,Pasco,"ULTIMATE HEALTH PLAN, INC.",Ultimate Elite (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,3,0,Completed,07/06/2018 11:25,HMO/HMOPOS
AL,Pickens,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Marengo,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Craig,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
LA,Jefferson,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Poweshiek,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Suffolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Colbert,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MN,Aitkin,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Stephens,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
SC,Colleton,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
OH,Clinton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Elmore,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
PA,Montgomery,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,105,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TX,Hill,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
VA,Waynesboro City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IN,Allen,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Braxton,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
VA,Newport News City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
PR,Patillas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Marion,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NM,San Juan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MD,Somerset,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
ME,Androscoggin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
MA,Hampden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Chilton,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
MI,Ionia,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
AZ,Pima,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,129,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Spotsylvania,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Wright,Medica Holding Company,Medica Advantage Solution H8889-002 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,2,0,Completed,07/18/2018 10:13,Local PPO
SD,Lake,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
WI,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
LA,Ascension,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Huntingdon,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
WV,Doddridge,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
IL,Union,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
PA,Wayne,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
NC,Buncombe,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Bucks,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,15,Completed,07/27/2018 9:47,Local PPO
KS,Thomas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Halifax,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Delaware,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Nassau,Personal Touch Holding Corp.,Integra Harmony Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,5,0,Completed,09/11/2018 14:34,HMO/HMOPOS
KY,Allen,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Jones,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Johnston,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Highland,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,6,Completed,07/19/2018 14:35,Local PPO
PR,Loiza,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Sharp,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
UT,Davis,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2486,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MT,Wheatland,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Mayaguez,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Midland,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
WI,Sheboygan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
LA,Acadia,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,234,0,Completed,07/17/2018 11:44,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Henry,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MN,Lyon,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MS,Wilkinson,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Jones,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MI,Hillsdale,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Luce,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyle,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
SC,Beaufort,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
GA,Richmond,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TN,Hamblen,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
WI,Door,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
PA,Chester,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,9,0,Completed,07/16/2018 13:15,Local PPO
WI,Taylor,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Ionia,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
VA,Craig,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Madison,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
OH,Logan,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,Cayuga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Bienville,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Lincoln,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Barbour,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Champaign,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Aetna Medicare PinnacleHealth Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,91,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,New Kent,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Washington,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
TN,Sevier,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Canadian,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,Crawford,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
IN,Warrick,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
CA,Orange,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
PA,Chester,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,Lincoln,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Indiana,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Huntington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Crawford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Owen,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hamilton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Grant,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalkaska,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IA,Cedar,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
WI,Oconto,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
MO,Greene,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MO,Wright,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MN,Stearns,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
IL,Moultrie,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,Humana Inc.,HumanaChoice H5216-168 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,168,0,Completed,07/24/2018 13:42,Local PPO
FL,Osceola,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
AZ,Coconino,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
GA,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Pickens,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,71,0,Completed,07/26/2018 11:48,Local PPO
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
LA,West Feliciana,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Boone,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
WV,Grant,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,2,Completed,07/16/2018 9:33,HMO/HMOPOS
VA,Loudoun,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Walker,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,125,0,Completed,07/17/2018 11:44,HMO/HMOPOS
DC,District of Columbia,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,95,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,York,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Butler,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
MI,Newaygo,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,1,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Allegan,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
SC,Oconee,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IL,Wayne,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
OH,Allen,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clinton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Ramsey,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MS,Calhoun,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Morovis,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lake,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
ID,Gooding,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
IL,Tazewell,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
SC,Georgetown,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
NY,Broome,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
TX,Harris,Imperial Health Plan of California,Imperial Insurance Company of Texas Dual (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,4,0,Completed,06/08/2018 19:20,HMO/HMOPOS
MO,Ralls,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KS,Republic,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PA,Lycoming,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
LA,Vernon,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
MI,Washtenaw,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,2,Completed,07/20/2018 13:43,HMO/HMOPOS
SC,Anderson,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NE,Thurston,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WV,Gilmer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
NY,Kings,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
LA,Assumption,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Clark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Lawrence,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Oconto,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Jackson,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,20,0,Completed,07/19/2018 0:49,HMO/HMOPOS
KY,Meade,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Augusta,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,17,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MN,Martin,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
SD,Codington,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MO,Laclede,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
OK,Pottawatomie,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Kleberg,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Gwinnett,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Chesterfield,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Kent,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,4,Completed,07/26/2018 15:53,Local PPO
MI,Cass,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
OH,Harrison,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Cache,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,5,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
FL,Osceola,"Devoted Health, Inc.",Devoted Health Prime Central Florida (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,10,0,Completed,07/25/2018 11:54,HMO/HMOPOS
AR,Scott,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Adams,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Fulton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Cavalier,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,8,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Middlesex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,2,Completed,07/23/2018 15:54,HMO/HMOPOS
ME,Waldo,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,198,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SD,Hamlin,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Bibb,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Harris,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Polk,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Waller,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
GA,Gwinnett,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Tipton,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Overton,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
GA,Laurens,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Scott,"Medical Associates Clinic, P.C.",Clinton Community Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,12,0,Completed,06/15/2018 10:34,1876 Cost
NY,Orleans,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Seneca,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
CO,Douglas,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
PA,Montgomery,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
PA,Northampton,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
SC,Oconee,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
OH,Pike,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
KY,Jessamine,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
OK,Johnston,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Taney,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Floyd,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
GA,Lamar,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
TX,Tarrant,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NC,Henderson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
NY,Bronx,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
PR,Aguas Buenas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Calumet,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,6,Completed,07/16/2018 9:33,HMO/HMOPOS
WA,Pierce,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,127,0,Completed,07/17/2018 11:44,HMO/HMOPOS
DE,New Castle,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,104,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
UT,Davis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,4,0,Completed,07/13/2018 13:55,Local PPO
TX,Nueces,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,East Baton Rouge,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MN,Morrison,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Grant,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Grant,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Waupaca,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
SC,Pickens,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
OR,Multnomah,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Tillamook,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,8,0,Completed,06/12/2018 10:27,Local PPO
MO,Warren,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NE,Cass,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
WV,Randolph,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
NC,Pender,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Johnston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Summit,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MI,Barry,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,4,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Walker,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Spartanburg,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NM,Curry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Bracken,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KY,Nicholas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
TN,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Orleans,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
OH,Noble,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,14,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
AZ,Pinal,Centene Corporation,Allwell Medicare Essentials (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Marathon,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
NJ,Bergen,Humana Inc.,HumanaChoice H5216-169 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,169,0,Completed,07/24/2018 13:42,Local PPO
GA,Floyd,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
KS,Dickinson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
TX,Bell,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Tom Green,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NM,Curry,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
GA,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
VA,Brunswick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
AZ,Yavapai,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,200,0,Completed,07/17/2018 11:44,Local PPO
MA,Bristol,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,221,0,Completed,07/17/2018 11:44,Local PPO
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Toa Alta,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Gilliam,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
OR,Multnomah,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
TX,Rockwall,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,212,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Barceloneta,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
FL,Bradford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,14,0,Completed,07/26/2018 11:48,Local PPO
CA,Kern,Humana Inc.,Humana Gold Plus H5619-116 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,116,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Beaver,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Washington,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
GA,Richmond,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
KS,Butler,Humana Inc.,Humana Gold Plus H0028-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Kauai,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Pinal,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,100,0,Completed,07/20/2018 11:11,Local PPO
NY,Seneca,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
ME,Oxford,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
IN,Spencer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Santa Rosa,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,25,0,Completed,07/25/2018 8:35,Local PPO
PA,Beaver,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TX,Bosque,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
ME,Sagadahoc,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,2,Completed,07/20/2018 11:11,PFFS
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9047,43,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NJ,Union,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Nicholas,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Phillips,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Chilton,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Marion,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
GA,Coweta,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Saline,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Vermillion,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NC,Catawba,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Carolina,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Moca,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Perry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Moniteau,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
OH,Scioto,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
PR,Yauco,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Denver,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Botetourt,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Erie,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Coke,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
TX,Jefferson,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
PA,Franklin,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
IL,Will,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lawrence,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Fayette,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Fayette,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VT,Windham,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
AR,Searcy,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Lincoln,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
SD,Miner,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
IA,Iowa,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
OH,Portage,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
KS,Linn,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
CT,Windham,"Tufts Associated HMO, Inc.",CareAdvantage Preferred (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,1,0,Completed,07/03/2018 8:46,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
IN,Parke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
IN,Howard,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
PA,Dauphin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
PA,Beaver,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Union,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Iron,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Jackson,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5859,1,0,Completed,07/23/2018 20:16,HMO/HMOPOS
MI,Manistee,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,Thurston,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,1,0,Completed,07/17/2018 16:12,HMO/HMOPOS
CO,Gilpin,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Henry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Ramsey,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
PA,Cameron,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
WA,Pierce,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,18,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Glasscock,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Wabaunsee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Decatur,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Hamilton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Richland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Johnson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Daggett,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Hot Spring,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Scott,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Clarke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Lawrence,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Orocovis,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Guthrie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,McHenry,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
NY,Bronx,Personal Touch Holding Corp.,Integra Harmony Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,1,0,Completed,09/11/2018 14:34,HMO/HMOPOS
NC,Gates,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Richmond,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,Van Wert,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Adams,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
MI,Wayne,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
SC,Kershaw,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MT,Golden Valley,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Livingston,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
TN,Maury,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NY,Richmond,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
DE,Kent,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,95,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ME,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
TX,San Jacinto,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Lawrence,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Anderson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Franklin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
CO,Larimer,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
CO,Crowley,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Franklin,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Salt Lake,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
MO,Christian,Aetna Inc.,Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Carver,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Montgomery,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
TX,Camp,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Howard,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Outagamie,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
GA,Columbia,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Ray,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,94,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Southampton,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
TN,Tipton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Montgomery,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IA,Calhoun,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
FL,Collier,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
GA,Floyd,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NY,Wayne,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Orange,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Chase,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Ottawa,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
NC,Vance,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
NY,Yates,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
NC,Cumberland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Rockdale,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
KY,Fulton,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
KY,Knott,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
KY,Leslie,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
KY,Marion,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
OH,Highland,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
AL,Greene,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
MO,Johnson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Kanabec,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WV,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
AL,Bibb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Muhlenberg,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Magoffin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
OH,Hancock,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,105,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New London,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,10,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,San Jacinto,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Anoka,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
MI,Gladwin,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CA,San Mateo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,10,0,Completed,07/20/2018 11:11,Local PPO
IL,McLean,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,11,Completed,07/27/2018 9:47,Local PPO
PA,Northampton,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,15,Completed,07/27/2018 9:47,Local PPO
PA,Juniata,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,13,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Dawson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Lewis and Clark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Carbon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Greene,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Deaf Smith,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Hays,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Liberty,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Sampson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Maricao,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Lagrange,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
ME,Cumberland,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,Mower,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
ID,Camas,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
OH,Highland,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Holmes,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
FL,Pinellas,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,88,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
VA,King George,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Monroe,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Cayey,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,Santa Clara,"Vitality Health Plans, Inc.",Vitality Plus (HMO),Y,N,N,Y,N,,,601,601,301,301,H1426,3,0,Completed,06/25/2018 4:30,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,40,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Adams,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
MO,Bollinger,Aetna Inc.,Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,51,0,Completed,07/17/2018 11:44,Local PPO
KY,Jessamine,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Jefferson,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Chambers,Humana Inc.,Humana Gold Plus H5619-112 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,112,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hamilton,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Allen,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Saluda,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Cherokee,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Grady,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
FL,Flagler,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
AR,Sevier,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Scott,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
TN,Benton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Panola,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
PR,Patillas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Seneca,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
WA,Skagit,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
MA,Suffolk,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,221,0,Completed,07/17/2018 11:44,Local PPO
NC,Lincoln,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
OH,Ashland,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Accomack,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IN,Miami,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
VA,Essex,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
MN,Olmsted,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IN,Madison,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
AR,Cleburne,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
WV,Lincoln,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Comal,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Middlesex,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ND,McLean,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WV,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Polk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,San Jacinto,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Lubbock,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
FL,Palm Beach,"UnitedHealth Group, Inc.",Preferred Choice Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
OH,Hardin,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Marion,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,Hidalgo,CIGNA,Cigna-HealthSpring CarePlan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H8423,1,0,Completed,07/25/2018 7:53,Medicare-Medicaid Plan HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
OR,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
MO,Douglas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Ozark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
SC,Spartanburg,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Baltimore,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
MD,Baltimore City,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Itasca,Itasca County Health & Human Services,IMCare Classic (HMO SNP),N,N,N,N,N,,,,,,,H2417,1,0,Completed,06/05/2018 9:47,HMO/HMOPOS
IN,Lake,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Heard,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Tattnall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Maricopa,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6439,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,13,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Woods,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Rowan,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
LA,West Baton Rouge,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
FL,Polk,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,253,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Todd,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IN,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Carroll,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Santa Rosa,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
VA,Prince William,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Marion,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Humacao,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Martin,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MO,Schuyler,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KY,Breathitt,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NY,Saratoga,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
AL,Geneva,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Bradley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Grant,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
WA,Skagit,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
FL,Brevard,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
PA,Lackawanna,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
AZ,Maricopa,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,5,0,Completed,07/26/2018 11:48,Local PPO
OH,Butler,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TX,Webb,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
AL,Bibb,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
TX,Chambers,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
LA,Sabine,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Gwinnett,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
CO,Larimer,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,208,0,Completed,07/17/2018 11:44,Local PPO
TX,Potter,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
VA,Fredericksburg City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WI,Jefferson,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MO,Ozark,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
AR,Marion,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CA,Orange,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Dakota,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
NY,Queens,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8029,1,0,Completed,07/02/2018 16:20,Medicare-Medicaid Plan HMO/HMOPOS
UT,Cache,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Davis,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Willacy,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,5,0,Completed,06/20/2018 12:01,HMO/HMOPOS
KS,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IN,Cass,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WY,Washakie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Morovis,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Ste. Genevieve,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Stewart,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
WI,Calumet,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Rice,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Lyon,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,6,0,Completed,07/24/2018 17:55,Local PPO
AL,Etowah,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,DeKalb,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Essex,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Koochiching,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
AL,Lamar,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
GA,Banks,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
WV,Kanawha,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
OH,Holmes,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
MO,Perry,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OK,Marshall,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Carson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Fayette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Bartholomew,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Steuben,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Pike,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Nacogdoches,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Harrison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Pearl River,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Cabo Rojo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Manati,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Camden,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MT,Jefferson,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
OK,Muskogee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Richmond,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
MN,Olmsted,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
MN,Blue Earth,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
IA,Keokuk,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Trousdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. John the Baptist,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Burke,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,6,0,Completed,06/25/2018 20:32,Local PPO
CA,Tulare,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Randolph,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Lancaster,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Wright,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TX,San Jacinto,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Walker,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
GA,Douglas,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Fentress,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Van Buren,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Williamson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Jefferson,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,29,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,El Paso,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,4,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Denver,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
PR,Barceloneta,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Waynesboro City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Loup,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MS,Yalobusha,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
SC,York,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
GA,Oconee,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Moniteau,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PR,Juana Diaz,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Rhea,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
ME,York,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Onondaga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Fairfax,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Montgomery,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
VA,Surry,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
OH,Hamilton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Florida,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,204,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Hughes,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
LA,Morehouse,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lycoming,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
AR,Poinsett,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Georgetown,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
GA,Jenkins,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,Duplin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
IL,Cook,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H9590,1,0,Completed,07/27/2018 12:44,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
NC,Stanly,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fairfield,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
OR,Douglas,ATRIO Health Plans,ATRIO Gold Rx (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,4,0,Completed,07/28/2018 12:06,Local PPO
NE,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Elkhart,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
OR,Umatilla,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
TX,Fayette,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
PA,Juniata,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Philadelphia,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,42,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Union,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Snyder,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Bronx,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Clinton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Luzerne,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Bronx,Humana Inc.,HumanaChoice H5970-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,23,0,Completed,07/24/2018 13:42,Local PPO
IA,Jones,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Augusta,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Kern,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,62,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Racine,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Lee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OH,Darke,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
MN,Pine,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Fremont,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
PA,Lycoming,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
TX,Callahan,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
KY,Metcalfe,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,20,0,Completed,07/24/2018 13:42,Local PPO
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Oglethorpe,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MA,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Grafton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Coffee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Prowers,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
CO,Yuma,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
VA,Albemarle,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Campbell,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Lee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Boone,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Dickinson,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
PR,Camuy,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Hardin,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
PA,Snyder,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Pope,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Phelps,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CA,San Francisco,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,DuPage,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Gratiot,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,21,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OK,Grady,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
CA,San Bernardino,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,4,0,Completed,07/27/2018 13:58,HMO/HMOPOS
CA,San Bernardino,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,1,0,Completed,07/27/2018 13:58,HMO/HMOPOS
IN,Whitley,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Knox,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,6,Completed,07/19/2018 14:35,Local PPO
AR,Izard,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,San Saba,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Polk,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
IN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
IL,Kane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,39,0,Completed,07/26/2018 11:48,Local PPO
MD,Baltimore City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
IA,Grundy,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
PR,Guayama,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Buffalo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Dimmit,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
NJ,Warren,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
CT,Windham,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
GA,Henry,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Bryan,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Ashland,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
TX,Burnet,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Elkhart,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
IA,Warren,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Cole,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
ME,Sagadahoc,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
VA,Shenandoah,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
TX,Kleberg,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NM,Los Alamos,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
GA,Upson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Menominee,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
LA,Catahoula,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
NH,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clarion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Cherokee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Collin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Jasper,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Nelson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Marion,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MS,Washington,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
NM,Bernalillo,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
OH,Delaware,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AL,Pickens,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MO,Dade,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Cooper,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OK,Logan,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Midland,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Hamilton,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
IN,Hancock,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
IL,McHenry,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
IN,Decatur,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
VA,Chesterfield,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
LA,Cameron,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Wayne,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Lajas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,13,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
GA,Morgan,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Denton,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
NM,Union,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
TX,Hidalgo,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,5,0,Completed,06/20/2018 12:01,HMO/HMOPOS
AR,Benton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,McLennan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IN,Harrison,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
IA,Appanoose,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Bronx,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
WI,Waupaca,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Lehigh,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
OH,Morrow,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
PA,Lebanon,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
SC,Union,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Gloucester,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Butler,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Bradford,Humana Inc.,Humana Gold Plus H6622-052 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clark,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
WV,Pleasants,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
AR,Clay,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Phillips,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Mathews,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Atlantic,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arecibo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Maricao,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Juncos,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,5,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,2,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,198,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Yakima,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,New York,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
OH,Union,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
FL,Volusia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Ross,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Lincoln,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Jackson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
KS,Douglas,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hickman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
AZ,Gila,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Mobile,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Saratoga,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,New York,Humana Inc.,HumanaChoice H5970-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,21,0,Completed,07/24/2018 13:42,Local PPO
AZ,Maricopa,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
KS,Edwards,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Greene,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Franklin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Kings,"ParkerCare New York, LLC",AgeWell New York PlanWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,8,0,Completed,07/27/2018 16:18,HMO/HMOPOS
SD,Grant,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NE,Knox,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
AL,Marshall,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Adams,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
PA,Lancaster,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Monroe,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
NC,Bladen,Humana Inc.,HumanaChoice H5525-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,34,0,Completed,07/24/2018 13:42,Local PPO
NC,New Hanover,Humana Inc.,HumanaChoice H5525-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,34,0,Completed,07/24/2018 13:42,Local PPO
FL,Hernando,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,82,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Monroe,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
IL,Madison,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Jasper,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MD,Harford,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
MI,Berrien,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,30,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Darke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Pittsylvania,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
PA,Venango,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,12,0,Completed,07/20/2018 13:16,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Creek,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Clayton,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Renville,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MO,Johnson,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,160,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Champaign,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,17,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Tipton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Moore,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Unicoi,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wilson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
MI,Oakland,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,2,Completed,07/24/2018 13:42,Local PPO
OK,Osage,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WI,Green Lake,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
ND,Morton,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TX,Starr,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Marin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Brown,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
PA,Potter,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
PA,Somerset,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
MO,Warren,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Morgan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Elkhart,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Iowa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Swift,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
LA,St. James,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Clay,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,1,0,Completed,06/15/2018 10:34,1876 Cost
PR,Juana Diaz,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Starr,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
NJ,Sussex,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
GA,Clarke,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Evans,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Indiana,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Macon,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Pulaski,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Pickens,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
OK,Muskogee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
ME,Kennebec,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
IN,Parke,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OH,Warren,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
MN,Chippewa,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
IN,Morgan,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
OK,Craig,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
PR,Gurabo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Yamhill,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,Natchitoches,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
IA,Allamakee,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Wayne,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
VA,Buckingham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Juniata,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
PA,Susquehanna,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Venango,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
IN,Vanderburgh,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
MD,Baltimore City,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Catahoula,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Ellis,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Dakota,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
IA,Iowa,"Medical Associates Clinic, P.C.",Mercy Iowa City Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,16,0,Completed,06/15/2018 10:34,1876 Cost
NY,Madison,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MI,Washtenaw,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
GA,Hancock,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Stark,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
LA,Lafayette,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,234,0,Completed,07/17/2018 11:44,Local PPO
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Ware,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
CO,Fremont,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
GA,Oconee,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
GA,Washington,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Kemper,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Buchanan,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Union,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Pipestone,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Muscatine,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Cedar,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Barren,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
MO,Vernon,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MO,Wayne,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Trinity,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IL,Will,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
TX,Dimmit,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
SC,Beaufort,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,61,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Rx Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,39,1,Completed,07/20/2018 13:43,HMO/HMOPOS
CO,Custer,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
WV,McDowell,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Barry,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,Monterey,Montage Health,Aspire Health Value (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H8764,3,0,Completed,07/23/2018 13:14,HMO/HMOPOS
IA,Clay,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,Cheyenne,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Fayette,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Maury,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
NJ,Passaic,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
PA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,35,0,Completed,07/26/2018 11:48,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
FL,Sarasota,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
IN,Warrick,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,211,0,Completed,07/17/2018 11:44,Local PPO
GA,Habersham,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Washington,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
MS,Tallahatchie,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
SD,Fall River,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,Vermillion,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
VA,Isle of Wight,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
MO,Ozark,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
IN,De Kalb,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
AR,Poinsett,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
GA,Bulloch,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Polk,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Guadalupe,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
SD,Aurora,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Clark,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,2,0,Completed,07/25/2018 8:35,HMO/HMOPOS
GA,Dodge,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Lumpkin,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Chatham,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
TX,Potter,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Marquette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Marion,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Montgomery,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ND,Burleigh,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
VA,Norfolk City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
KS,Dickinson,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
ME,Waldo,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,138,0,Completed,07/24/2018 13:42,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,138,0,Completed,07/24/2018 13:42,Local PPO
KY,Gallatin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Liberty,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NY,Rockland,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Van Zandt,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
MI,Muskegon,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
PA,Northumberland,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
WI,Vilas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
MI,Gogebic,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
ND,Cass,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
GA,Fayette,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Dickson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Madison,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Collin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Denton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Baldwin,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,St. Clair,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
KY,Campbell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Juncos,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Boone,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Henry,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
TN,Bradley,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Schoolcraft,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WI,Adams,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OH,Butler,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
VA,Galax City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
TX,Bexar,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MN,Hennepin,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
WA,Thurston,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,11,0,Completed,07/24/2018 10:50,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NE,Otoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Carbon,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
WI,Fond du Lac,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
IL,Piatt,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
IL,Vermilion,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
PA,Mercer,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
NC,Madison,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
OR,Klamath,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
PR,Canovanas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PA,Clearfield,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
SC,Lancaster,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Craighead,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Dakota,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
FL,Lee,Humana Inc.,HumanaChoice Florida H7284-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Clarke,"UNICO Premier, LLC",PruittHealth Premier D-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
KS,Wyandotte,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Hamilton,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Worth,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,East Baton Rouge,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Union,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
AL,Lowndes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Yamhill,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,5,0,Completed,07/17/2018 11:44,Local PPO
NY,Queens,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,14,0,Completed,07/17/2018 11:44,Local PPO
AL,Jefferson,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Webster,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Pocahontas,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Sumter,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Sebastian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WV,Fayette,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
AL,Dallas,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
IN,Kosciusko,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,20,0,Completed,07/26/2018 11:48,Local PPO
GA,Bartow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
MO,Gasconade,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
MN,Stevens,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NE,Cass,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Forest,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Fairfax,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,Colleton,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Faulkner,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Grant,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Saline,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,65,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Passaic,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cabo Rojo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Lenawee,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
AL,Lauderdale,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Barbour,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
MD,Charles,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Monroe,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,1,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Yakima,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Jackson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Norman,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TN,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,9,0,Completed,07/13/2018 13:55,Local PPO
NY,Herkimer,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
KS,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DuPage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Adams,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
OH,Richland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IN,Howard,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Snyder,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Virginia Beach City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
TN,Loudon,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Mackinac,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Ottawa,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
IA,Sac,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
AR,Hot Spring,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
OH,Pike,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Beltrami,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
PA,Pike,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,12,Completed,07/27/2018 9:47,Local PPO
MO,St. Louis,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Massac,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Morgan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Pennington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Pulaski,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Christian,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Obion,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
IA,Webster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,8,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IN,Perry,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
NC,Durham,Humana Inc.,HumanaChoice H5525-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,32,0,Completed,07/24/2018 13:42,Local PPO
NY,Albany,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
SC,Georgetown,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Polk,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Caroline,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Fluvanna,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguas Buenas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MA,Middlesex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,2,Completed,07/23/2018 15:54,HMO/HMOPOS
OR,Marion,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
TX,Parker,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
TX,Hidalgo,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H6870,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
PR,Cabo Rojo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,McLean,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
NY,Rensselaer,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Cass,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
AL,Chambers,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Ontario,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
GA,McDuffie,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NJ,Atlantic,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
MN,Ramsey,Medica Holding Company,Medica AccessAbility Solution Enhanced (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H9952,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
TX,Shelby,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Gregory,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Bowman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Toa Baja,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Christian,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Storey,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,5,0,Completed,07/24/2018 17:55,Local PPO
OK,Kingfisher,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Jefferson,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
MO,Polk,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Chowan,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Tyrrell,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
KY,Lee,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
LA,Claiborne,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
OH,Noble,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
PA,York,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
PA,Perry,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
FL,Hillsborough,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,Pinal,"Veritage, LLC",Blue Medicare Advantage Plus (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,1,0,Completed,06/28/2018 17:45,HMO/HMOPOS
NC,Clay,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Stone,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Patillas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
HI,Honolulu,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5969,2,0,Completed,07/27/2018 20:10,HMO/HMOPOS
IN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
NM,Sandoval,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,47,0,Completed,07/26/2018 11:48,Local PPO
SD,Hanson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,McCook,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
TN,Polk,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Harris,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Dallas,Imperial Health Plan of California,Imperial Insurance Company of Texas Value HMO SNP (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Macon,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
TX,Fort Bend,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
MA,Plymouth,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,221,0,Completed,07/17/2018 11:44,Local PPO
TX,Brazos,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
PA,Somerset,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
NC,Guilford,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
GA,Barrow,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Knox,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Sherburne,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
MI,Emmet,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,3,0,Completed,07/20/2018 11:11,Local PPO
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
AL,Perry,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
WA,Island,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,Los Angeles,Imperial Health Plan of California,Imperial Traditional Plus (HMO) (HMO),Y,Y,Y,Y,N,,,601,601,25,25,H5496,9,0,Completed,06/08/2018 19:20,HMO/HMOPOS
KY,Anderson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Erie,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,Fulton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
LA,Lafourche,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Green Lake,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
TN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,81,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Atlantic,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NJ,Ocean,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AR,Arkansas,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
TN,McNairy,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marshall,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Franklin,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Miami,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Aguas Buenas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Gila,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,200,0,Completed,07/17/2018 11:44,Local PPO
NC,Transylvania,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,239,0,Completed,07/17/2018 11:44,Local PPO
GA,Spalding,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
VA,Caroline,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
MO,Callaway,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
FL,Pinellas,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OK,Love,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KY,Green,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Barton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Henry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
MO,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
SD,Lawrence,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
NE,Dixon,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Pickens,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Wirt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
NC,Hoke,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IL,Richland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Geary,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Flathead,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Coamo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Grundy,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
TX,Camp,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NC,Granville,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Pasquotank,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
MT,Powell,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
AR,Saline,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Santa Rosa,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
GA,Gwinnett,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NY,Schenectady,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Iredell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Yabucoa,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Eastland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Goliad,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Bartow,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Lamar,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Benton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Franklin,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MS,Simpson,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
OK,Delaware,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Jackson,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
KS,Dickinson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IN,Boone,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
MO,Saline,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OK,Creek,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
WA,Clark,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
AR,Crittenden,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Pope,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Sullivan,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,20,0,Completed,07/26/2018 11:48,Local PPO
SD,Mellette,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Baldwin,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,St. Joseph,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
NH,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lowndes,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NY,Queens,"Independent Living Systems, LLC",Health Pointe Direct Complete Plan (HMO SNP),Y,N,Y,N,N,,,,,0,0,H1722,1,0,Completed,08/16/2018 12:20,HMO/HMOPOS
AL,Mobile,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,125,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
MI,Charlevoix,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
KS,Anderson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Gilmer,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
WV,Raleigh,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
TX,El Paso,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
VA,Highland,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
OH,Delaware,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mercer,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,21,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Northumberland,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
CO,La Plata,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
VA,Botetourt,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
GA,Hancock,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
LA,Jefferson Davis,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,135,0,Completed,07/24/2018 13:42,Local PPO
WI,Oconto,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
WV,Hancock,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
VA,Russell,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
KY,Gallatin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
SC,Aiken,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
PA,Erie,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Kinney,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Atascosa,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
PR,Yauco,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Franklin,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5943,1,0,Completed,07/16/2018 13:40,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,34,0,Completed,07/16/2018 9:33,HMO/HMOPOS
VA,Caroline,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
ND,Stutsman,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,San Patricio,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Livingston,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Gratiot,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Holmes,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
NC,Forsyth,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
OK,Okmulgee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
AR,Carroll,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IN,Adams,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
OH,Highland,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Crawford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OK,Dewey,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
IN,Tippecanoe,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
TN,Montgomery,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MO,Cole,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WI,Brown,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Hardin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Columbia,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
MO,Howard,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
GA,Butts,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
KY,Jackson,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
KY,Trimble,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Jessamine,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
AR,Searcy,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
WI,Taylor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
SC,Aiken,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MI,Baraga,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
HI,Kauai,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,68,0,Completed,07/26/2018 11:48,Local PPO
SD,McCook,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Douglas,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cavalier,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Gregory,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,8,0,Completed,07/26/2018 11:48,Local PPO
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
OH,Coshocton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Meigs,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Spencer,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Travis,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Williamson,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
LA,Iberville,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,Nelson,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
IN,Marshall,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
SD,Turner,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
GA,Chattahoochee,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
IA,Winnebago,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MI,Allegan,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Charles,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
IN,Hamilton,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
SC,Georgetown,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
UT,Weber,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,131,0,Completed,07/24/2018 13:42,Local PPO
TX,Hays,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Grant,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
KY,Metcalfe,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
OH,Seneca,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
CO,Las Animas,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
IL,Stephenson,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
WV,Webster,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WI,Rock,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
GA,Clayton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Grant,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,1,0,Completed,06/15/2018 10:37,1876 Cost
FL,Dade,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,68,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
PR,Guayama,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,San Joaquin,"Vitality Health Plans, Inc.",Vitality Plus (HMO),Y,N,N,Y,N,,,601,601,301,301,H1426,3,0,Completed,06/25/2018 4:30,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Klamath,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Linn,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
MN,Todd,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
WV,Pocahontas,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Dickinson,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Johnson,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
HI,Honolulu,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,3,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Warren,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Blair,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
SC,Anderson,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Plus H5619-080 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,80,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Bartholomew,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,St. Joseph,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Cooke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Oklahoma,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
CT,Middlesex,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NJ,Ocean,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
TX,Gonzales,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Custer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MT,Musselshell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Culebra,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Grant,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Saratoga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Shawano,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Roseau,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Martin,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Howard,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MO,Montgomery,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
KY,Butler,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Utah,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,6,0,Completed,07/26/2018 20:21,HMO/HMOPOS
AR,Johnson,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Yauco,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Yamhill,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Aguas Buenas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IA,Pocahontas,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Cape Girardeau,Aetna Inc.,Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,51,0,Completed,07/17/2018 11:44,Local PPO
IA,Story,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
FL,Broward,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,18,0,Completed,07/26/2018 11:48,Local PPO
NC,Greene,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Osage,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
AZ,Pima,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,40,0,Completed,07/26/2018 14:48,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,3,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Lauderdale,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
NY,Kings,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
KY,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Jefferson,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
CA,Orange,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Fresno,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,56,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Union,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,18,Completed,07/27/2018 9:47,HMO/HMOPOS
NJ,Somerset,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
PA,Bucks,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Jerauld,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Arroyo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Middlesex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
CA,Los Angeles,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,10,0,Completed,07/16/2018 13:40,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,3,0,Completed,06/20/2018 12:01,Local PPO
WI,Juneau,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,De Witt,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
CO,Boulder,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
OH,Fulton,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MO,Clay,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,92,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
PA,Montgomery,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Oklahoma,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Boone,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Morovis,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Kings,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
NY,Westchester,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
NY,Nassau,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
MO,St. Francois,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Cedar,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Pike,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Pueblo,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Mediblue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Woodford,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Monroe,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Twiggs,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
TN,Unicoi,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Monroe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Grant,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Stewart,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
PR,Lares,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MN,Wright,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
PA,Clearfield,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
PA,Northumberland,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
HI,Kalawao,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Perry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Highland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Virginia Beach City,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Howard,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Knox,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Broomfield,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Haywood,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
MO,Cooper,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Bronx,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2018 12:05,Medicare-Medicaid Plan HMO/HMOPOS
WV,Tucker,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Muhlenberg,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Seneca,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
SC,Fairfield,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Saluda,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Grainger,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wise,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Greene,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,8,0,Completed,06/15/2018 10:34,1876 Cost
NY,Niagara,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Cabo Rojo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Assumption,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
TX,Kerr,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
GA,Dawson,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NY,Richmond,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
PA,Berks,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
AL,Dale,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
TN,Coffee,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
IA,Clayton,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Coshocton,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
PA,Jefferson,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,33,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Craig,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
WA,Skagit,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Robertson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KS,Miami,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,2,Completed,07/20/2018 11:11,Local PPO
ME,Oxford,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
NY,Cattaraugus,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
KY,Scott,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
NY,Clinton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Milwaukee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PA,Elk,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,McKean,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,Snohomish,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,126,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Henrico,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
IA,Cerro Gordo,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
IA,Winnebago,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
VA,Waynesboro City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Riley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Guilford,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
OH,Greene,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
GA,Oconee,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
IN,Grant,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,190,0,Completed,07/17/2018 11:44,Local PPO
WA,Kitsap,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
PA,Greene,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Pulaski,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Mahoning,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Trumbull,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
MN,Big Stone,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Pocahontas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ND,Richland,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Charles,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
PA,Huntingdon,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
IN,Harrison,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,39,0,Completed,07/26/2018 11:48,Local PPO
CA,Riverside,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,71,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Louis,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Coweta,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Grady,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
KS,Jackson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Chambers,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Tallapoosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Bexar,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Marinette,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,42,0,Completed,07/26/2018 11:48,Local PPO
PA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
MD,Anne Arundel,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
NY,Westchester,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,Surry,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
IN,Lake,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,226,0,Completed,07/17/2018 11:44,Local PPO
VA,Dinwiddie,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
MI,Jackson,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
AR,Montgomery,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Hall,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Liberty,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
NM,Curry,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
IA,Jefferson,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WV,Doddridge,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MI,Mackinac,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
TN,Giles,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
IN,Gibson,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Vernon,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
GA,Taliaferro,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NE,Lancaster,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
OK,Rogers,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
FL,Dade,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
ND,Stark,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
PA,Northampton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Kenton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Alamosa,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,5,0,Completed,07/30/2018 13:44,1876 Cost
FL,Osceola,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Loup,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
IN,De Kalb,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,99,0,Completed,07/17/2018 11:44,Local PPO
TX,Gillespie,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
CT,Fairfield,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
VA,King and Queen,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
MI,Washtenaw,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
IN,Huntington,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,190,0,Completed,07/17/2018 11:44,Local PPO
MA,Hampshire,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,225,0,Completed,07/17/2018 11:44,Local PPO
GA,Habersham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Turner,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NY,Montgomery,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
KY,Magoffin,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
OK,Kay,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Becker,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MO,Livingston,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
WI,Jefferson,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
MN,Rock,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Oldham,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
FL,Lake,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
FL,Broward,"AvMed, Inc.",AvMed Medicare Circle (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,24,0,Completed,07/27/2018 9:10,HMO/HMOPOS
VA,Fredericksburg City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
AZ,Pima,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Lafayette,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,4,0,Completed,06/15/2018 10:37,1876 Cost
OR,Douglas,Centene Corporation,Health Net Violet 3 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,15,0,Completed,07/24/2018 19:18,Local PPO
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,209,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,174,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Lincoln,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Cabo Rojo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,New York,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,6,0,Completed,07/30/2018 7:32,HMO/HMOPOS
WV,Fayette,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Jefferson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,McDonald,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
MO,Webster,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
MO,Dade,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Franklin,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
MI,Muskegon,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,4,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,Greene,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,16,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Saline,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Barry,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
OH,Morgan,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
MN,Becker,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AL,Madison,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MO,Texas,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Pennington,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Putnam,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
IN,Sullivan,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
IN,Vanderburgh,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
CT,Windham,"Tufts Associated HMO, Inc.",CareAdvantage Premier (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,3,0,Completed,07/03/2018 8:46,HMO/HMOPOS
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
NY,Albany,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3342,19,0,Completed,07/23/2018 14:30,Local PPO
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
MO,Camden,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Grant,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,61,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,6,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WI,Jackson,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Redwood,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Waseca,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Kane,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
GA,DeKalb,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Talbot,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Poinsett,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Roanoke,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Benton,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
OR,Marion,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Washington,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,2,0,Completed,07/25/2018 7:53,Local PPO
OK,Creek,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,Franklin,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Middlesex,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,41,0,Completed,07/26/2018 14:48,Local PPO
PA,Lancaster,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
IN,De Kalb,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Carver,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
NY,Nassau,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,18,0,Completed,07/27/2018 15:56,HMO/HMOPOS
IN,Posey,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Madison,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
MS,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OH,Perry,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
KS,Jefferson,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Diego,Sharp Healthcare,Sharp Direct Advantage Gold Card (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5386,3,0,Completed,07/27/2018 14:15,HMO/HMOPOS
TX,Bexar,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Stewart,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
KY,Nelson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Jessamine,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Webster,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
SD,Codington,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MI,Isabella,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Roscommon,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Johnson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,Dickinson,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
PA,Huntingdon,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Nottoway,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Weber,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Pike,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,12,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Lake,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,4,0,Completed,07/24/2018 19:18,Local PPO
TX,McCulloch,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Comerio,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Franklin,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
PA,Mercer,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Crawford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
GA,Troup,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Arapahoe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iowa,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,4,0,Completed,06/15/2018 10:37,1876 Cost
VA,Caroline,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Culpeper,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Richmond,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clermont,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Montgomery,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Vilas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Harlan,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oswego,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,King William,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,13,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MI,Kalkaska,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,11,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Saline,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
GA,Talbot,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
WV,Summers,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MT,Carbon,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IL,La Salle,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
OH,Licking,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Pickaway,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MN,Pine,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PR,Yabucoa,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Greene,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Clarion,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,Orange,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,45,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Koochiching,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Redwood,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pipestone,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Lawrence,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
PA,Wayne,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
GA,Clinch,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
GA,Pike,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
AR,Crawford,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Weld,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,20,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Cumberland,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Salem City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
VA,Fairfax,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
LA,Acadia,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,West Feliciana,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Clarke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
LA,St. John the Baptist,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Choctaw,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
SC,Greenville,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MN,Red Lake,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
NY,Niagara,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
OK,Creek,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
NE,Seward,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
AL,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Otsego,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,Sumner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Oswego,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Cullman,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Sacramento,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,54,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Sacramento,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,64,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Sebastian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Indian River,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Jones,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,New York,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,06/26/2018 8:34,Medicare-Medicaid Plan HMO/HMOPOS
MO,Adair,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
IN,White,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Dade,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,27,0,Completed,07/25/2018 8:35,HMO/HMOPOS
GA,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Broward,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,97,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Oneida,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Allegany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
KS,Butler,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Forest,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,2,0,Completed,07/02/2018 16:20,HMO/HMOPOS
GA,Lee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Worth,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Clinton,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Washington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Fond du Lac,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Fayette,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,Alameda,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,113,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,230,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,St. Joseph,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
KY,Marshall,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Nassau,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fairfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Shelby,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Barron,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Lafayette,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
KS,Johnson,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Calhoun,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Faulkner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
MO,Macon,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Crenshaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Montgomery,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
SD,Sanborn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Atoka,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Perry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,McNairy,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Will,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Noble,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Robertson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Manati,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Warren,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
KY,Hancock,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
SC,Abbeville,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,252,0,Completed,07/17/2018 11:44,Local PPO
MI,Kalamazoo,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MS,Bolivar,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
SD,Butte,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,Starke,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KY,Trimble,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
IA,Warren,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
TX,Jones,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NE,Washington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
PR,Rincon,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WA,Wahkiakum,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,174,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,170,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,199,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Cowlitz,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Piatt,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
TN,Houston,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Jackson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Fayette,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Hamilton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NC,Harnett,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,San German,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Loving,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Nance,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MO,Stoddard,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TN,Giles,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
PA,Lebanon,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Liberty,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
IA,Emmet,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,75,0,Completed,07/24/2018 13:42,Local PPO
ND,Stutsman,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Larimer,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
MN,Red Lake,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Real,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Franklin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
MI,Luce,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
SD,Hand,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Sully,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
FL,Duval,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,4,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NM,Luna,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,11,0,Completed,07/26/2018 11:48,Local PPO
WV,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Allegheny,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
FL,Lake,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arecibo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Montgomery,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
WV,Tyler,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IN,Huntington,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
SC,Laurens,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
ME,Sagadahoc,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
IN,Lawrence,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OH,Clinton,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
CO,Boulder,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
GA,Oconee,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Warren,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Travis,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Franklin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Kent,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
IL,La Salle,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Meeker,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Red Lake,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
PA,Westmoreland,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PR,Arroyo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
VA,King William,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Montgomery,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Cuyahoga,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Nottoway,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Barry,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Gurabo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Nowata,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Waldo,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
VA,Norfolk City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fulton,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus H1036-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buckingham,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Campbell,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
PA,Chester,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Pinellas,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,34,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Montgomery,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
TN,Trousdale,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Wayne,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Comal,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Luzerne,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
IA,Bremer,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
UT,Box Elder,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,131,0,Completed,07/17/2018 11:44,Local PPO
GA,White,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
VA,Waynesboro City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Burlington,Humana Inc.,Humana Value Plus H5216-186 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,186,0,Completed,07/24/2018 13:42,Local PPO
MN,Murray,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
WV,Webster,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MS,George,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,66,0,Completed,07/24/2018 13:42,Local PPO
IA,Clinton,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IN,Pulaski,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
CO,Fremont,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
NY,Ulster,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SC,Jasper,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
IN,Spencer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
MN,Traverse,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
LA,Jefferson Davis,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Oconee,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NH,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
WV,Wyoming,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TX,Nacogdoches,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Angelina,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Jackson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Powell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Greene,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,55,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Brazoria,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Bradley,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Claiborne,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fairfield,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
MD,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
LA,Rapides,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Autauga,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Jefferson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
KY,Boyd,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Westchester,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,18,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Otsego,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
GA,Gilmer,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IL,Kane,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Berrien,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
FL,Palm Beach,"Devoted Health, Inc.",Devoted Health Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,3,0,Completed,07/25/2018 11:54,HMO/HMOPOS
CO,Adams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Tipton,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
OH,Ottawa,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Richmond,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2018 12:05,Medicare-Medicaid Plan HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Brown,SSM Healthcare Corporation,Prevea360 Medicare Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,9,0,Completed,06/25/2018 12:02,HMO/HMOPOS
NY,Fulton,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
AR,Howard,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Dinwiddie,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Bergen,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Somerset,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NV,Nye,Humana Inc.,Humana Kidney Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Mahoning,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OR,Multnomah,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Lee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Knox,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
MS,Harrison,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
WI,Green Lake,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
PA,Montour,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
KS,Johnson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Marion,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IN,Martin,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
CA,Santa Clara,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Santa Clara (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,39,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
PA,Schuylkill,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Morris,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Howard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Maunabo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TN,Gibson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
PR,Hormigueros,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Sevier,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,88,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Charles City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Camden,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Waukesha,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Clackamas,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Sagadahoc,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
KS,Crawford,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
NE,Washington,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
WV,Pendleton,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
OH,Henry,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
VA,Buckingham,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
CA,Tulare,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Medina,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,McDowell,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
KY,Rockcastle,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Kandiyohi,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Sumner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Elbert,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Fayette,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AL,Lauderdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,43,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Peoria,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,3,0,Completed,07/20/2018 11:11,Local PPO
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,12,Completed,07/27/2018 9:47,Local PPO
PA,Carbon,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,15,Completed,07/27/2018 9:47,Local PPO
IA,Clayton,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Osage,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Cass,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Woods,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Mayes,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Forsyth,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NH,Hillsborough,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,2,0,Completed,07/23/2018 14:30,Local PPO
NY,Sullivan,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
VA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,72,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sauk,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MN,Rice,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Walton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NY,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
NY,Niagara,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
OK,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Shelby,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Union,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Sanilac,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,6,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WV,Berkeley,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
PR,Ciales,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cannon,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TN,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
TX,Trinity,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,38,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Branch,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
OH,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wabash,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,17,Completed,07/27/2018 9:47,Local PPO
PA,Franklin,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,16,Completed,07/27/2018 9:47,Local PPO
PA,Fulton,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
TX,Erath,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Barber,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Nemaha,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Yavapai,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Davis,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,San Sebastian,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Las Piedras,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Wayne,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MO,Andrew,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,St. Louis City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,9,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Venango,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Meeker,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
LA,Bossier,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Talbot,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Tallapoosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Navarro,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Yauco,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Geary,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
UT,Iron,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,196,0,Completed,07/17/2018 11:44,Local PPO
PA,Northumberland,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
MI,Kent,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Queens,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,6,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IL,Macoupin,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IA,Plymouth,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
IN,St. Joseph,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
VA,Albemarle,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IN,Johnson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Butler,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Twiggs,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
FL,Pasco,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,160,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Adams,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Johnson,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Perry,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
AR,Sharp,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Johnson,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7621,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Utuado,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Salinas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
WV,Wyoming,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
NC,Gates,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
PA,Berks,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
AL,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Meigs,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,White,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,29,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,DeKalb,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,Rutherford,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Anderson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Culberson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Christian,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Bell,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
PA,Erie,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
MA,Hampden,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OK,Logan,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Morgan,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,22,0,Completed,07/24/2018 13:42,Local PPO
AL,Washington,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
SD,Hanson,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
SC,Colleton,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
NY,Allegany,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Wythe,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Mercer,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Indiana,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Snyder,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Alliance Heart and Diabetes Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,19,0,Completed,07/19/2018 16:39,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Auglaize,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
VA,Fredericksburg City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Turner,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Bulloch,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
GA,Lumpkin,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
SD,Davison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Pike,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
SC,Barnwell,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Grundy,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MO,Morgan,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
AR,Newton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
SC,Jasper,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
TX,Fort Bend,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
UT,Washington,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
VA,Amelia,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
MI,Eaton,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
TN,Gibson,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
WI,Langlade,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MN,Traverse,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Rockdale,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NH,Grafton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Eaton,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
PR,San Juan,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TN,Campbell,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Cheboygan,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Grand Traverse,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Van Buren,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
IL,Iroquois,The Carle Foundation,Simplete Riverside 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,32,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Cassia,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,4,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,11,Completed,07/27/2018 9:47,Local PPO
PA,Fulton,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
PA,Montgomery,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Floyd,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Crockett,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Bronx,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
IA,Polk,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Aibonito,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Banner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MO,Shannon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
PA,Somerset,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TN,Giles,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
CO,Teller,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,2,Completed,07/24/2018 13:42,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
CO,Logan,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MO,Morgan,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Erie,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Braxton,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
WV,Lewis,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Floyd,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KS,Reno,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
TN,Polk,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
TX,Cherokee,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Pipestone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CT,Middlesex,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Orange,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Wadena,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,DuPage,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Barnwell,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
KS,Wyandotte,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Scott,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
PR,Aguas Buenas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
NY,Queens,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
IA,Ida,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Delaware,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,Livingston,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
PA,Schuylkill,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,1,Completed,07/13/2018 14:00,Local PPO
VA,Norfolk City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Abbeville,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
NC,Bladen,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
LA,Calcasieu,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
WI,Sheboygan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
GA,Dooly,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NC,Rockingham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Cumberland,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Sumner,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
PA,Mercer,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MS,Clarke,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
IA,Cerro Gordo,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Fremont,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
AL,Coffee,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,96,0,Completed,07/24/2018 13:42,Local PPO
MN,Hubbard,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Pope,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WV,Pendleton,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MS,Scott,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
MO,Bates,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KS,Labette,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
MO,Lincoln,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Kaufman,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NM,San Miguel,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
OH,Portage,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Summit,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Upshur,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Aransas,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,Seminole,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
AR,Garland,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Jefferson,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
GA,Baker,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
GA,Henry,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
MT,Ravalli,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
CA,Alameda,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Carroll,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Darke,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hillsborough,"Devoted Health, Inc.",Devoted Health Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,4,0,Completed,07/25/2018 11:54,HMO/HMOPOS
FL,Osceola,"Devoted Health, Inc.",Devoted Health Central Florida (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,5,0,Completed,07/25/2018 11:54,HMO/HMOPOS
IN,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
UT,Rich,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Martin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jay,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Haralson,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Jennings,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
IN,Orange,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
TX,Montgomery,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
VA,New Kent,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
SD,Ziebach,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Stutsman,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Stephens,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Coffee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
VA,Richmond City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
FL,Walton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Knox,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Waukesha,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Westchester,"Independent Living Systems, LLC",Health Pointe Direct Complete Plan (HMO SNP),Y,N,Y,N,N,,,,,0,0,H1722,1,0,Completed,08/16/2018 12:20,HMO/HMOPOS
PR,Comerio,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Wright,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
LA,West Baton Rouge,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Highland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Maury,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Fentress,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Robertson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MN,Marshall,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Armstrong,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
SC,Georgetown,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Muscogee,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lancaster,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
VA,Petersburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
PR,Toa Alta,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Knox,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
LA,Pointe Coupee,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
TN,Perry,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Arecibo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Ceiba,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Jayuya,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
MN,Watonwan,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
ND,Griggs,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
CA,Santa Clara,SANTA CLARA COUNTY HEALTH AUTHORITY,Santa Clara Family Health Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H7890,1,0,Completed,07/27/2018 17:58,Medicare-Medicaid Plan HMO/HMOPOS
PR,Aibonito,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Campbell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Big Stone,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Beaver,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Jasper,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
PA,Allegheny,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,Bedford,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
PA,Cameron,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
WI,Washington,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wayne,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San German,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CO,Denver,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Douglas,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WV,Lincoln,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
NE,Dakota,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
NJ,Morris,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
OH,Huron,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Montour,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
KY,Scott,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Beaufort,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Roanoke,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Baltimore,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Queens,"QHP Financial Group, Inc.",Advantage Health NYC - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,17,0,Completed,07/27/2018 15:56,HMO/HMOPOS
WA,Thurston,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
LA,Tensas,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Muscogee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Empowered Duals (HMO SNP),Y,Y,Y,N,N,,,,,0,0,H2354,25,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Blair,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Crawford,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
LA,Bienville,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Washington,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
MN,Brown,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
TN,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,231,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Grand,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
FL,Palm Beach,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,18,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Collier,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Cumberland,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,2,Completed,07/20/2018 11:11,PFFS
CA,San Mateo,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Ottawa,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
MS,Lamar,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Collin,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Rockwall,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Lake,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,247,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Rockingham,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Washington,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,153,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
PA,Clearfield,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Warren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Sumter,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,14,0,Completed,07/17/2018 11:44,Local PPO
VA,Amelia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Jefferson,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,38,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Jefferson,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
FL,Polk,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Clay,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
GA,Sumter,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Tucker,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
WI,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
GA,Coweta,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
SD,Hand,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ID,Canyon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Trumbull,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
PR,Barranquitas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Delaware,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Dale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Cullman,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Campbell,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Warren,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Saratoga,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Daniels,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
WA,Spokane,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,242,0,Completed,07/17/2018 11:44,Local PPO
PR,Florida,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Blount,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Washington,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
VA,Arlington,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Lucas,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
NC,Franklin,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Pender,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Warren,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
NY,Onondaga,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Park,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
OH,Brown,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,7,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Curry,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,206,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Skagit,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Richmond,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
ND,Burleigh,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
WI,Jefferson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Franklin,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
WA,Thurston,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,8,0,Completed,06/15/2018 10:34,1876 Cost
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Bayamon,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Grand Traverse,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
GA,Harris,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NY,Greene,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
VA,Manassas City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
IL,Hancock,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
IL,Sangamon,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
NY,Richmond,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,McClain,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MN,Wright,Medica Holding Company,Medica Advantage Solution H6154-002 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
DC,District of Columbia,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,St. Tammany,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Primary Choice Medicare (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,24,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,33,0,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Butler,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Clay,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
NE,Knox,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Freeborn,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
IL,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,12,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Osceola,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KS,Gove,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Ness,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Blount,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Hancock,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Vanderburgh,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Fort Bend,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Travis,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/13/2018 10:20,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
MS,Tunica,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
GA,Forsyth,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,Coahoma,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Berkeley,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,22,0,Completed,07/24/2018 13:42,Local PPO
MN,Swift,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WI,Winnebago,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
CO,Mesa,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
IN,Wayne,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Dougherty,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Zavala,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KS,Miami,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
IN,Spencer,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Pueblo,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
NC,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Louisa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Snohomish,Providence Health & Services,Providence Medicare Harbor + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,49,0,Completed,07/03/2018 11:07,HMO/HMOPOS
PA,Lawrence,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Lehigh,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,10,0,Completed,07/25/2018 15:07,HMO/HMOPOS
IA,Henry,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Queens,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
MO,St. Louis City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,San Lorenzo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,Ashe,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
FL,Osceola,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
GA,Baker,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
GA,Lamar,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
ID,Payette,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
VA,Hopewell City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
KY,Whitley,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
AR,Boone,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AL,Coosa,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
GA,Irwin,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Jim Wells,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NC,Madison,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
OH,Belmont,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
OH,Carroll,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
OR,Multnomah,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
WV,Marion,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IL,DuPage,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
TX,Walker,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Wayne,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0192,1,0,Completed,07/24/2018 11:05,Medicare-Medicaid Plan HMO/HMOPOS
NY,Dutchess,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
GA,Coweta,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Putnam,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
FL,Gadsden,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,12,0,Completed,07/26/2018 11:48,Local PPO
NC,Davie,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,Franklin,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Madison,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Carbon,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,1,Completed,07/13/2018 14:00,Local PPO
PA,Fulton,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
OH,Cuyahoga,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,21,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,7,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Horry,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Dakota,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
WV,Upshur,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
KS,Osage,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
CA,Tulare,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,Okfuskee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Troup,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NY,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
LA,Iberville,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Columbia,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Manitowoc,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Tioga,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Forest,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Sawyer,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,St. Charles,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,Vilas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Brookings,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Hancock,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
GA,Cherokee,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Henry,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TX,Lynn,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Essex,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Schuyler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Polk,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,239,0,Completed,07/17/2018 11:44,Local PPO
VA,Isle of Wight,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
TX,Rusk,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
KY,Breckinridge,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
NY,Franklin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
NC,Yancey,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
WV,McDowell,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Rogers,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MS,Pearl River,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Fort Bend,Humana Inc.,Humana Gold Plus H0028-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
CO,Jefferson,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
IA,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,67,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Newton,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Vega Baja,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MN,Red Lake,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Upshur,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
CA,Los Angeles (Partial),California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,21,0,Completed,07/20/2018 14:52,HMO/HMOPOS
PA,Philadelphia,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,43,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Seminole,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Richmond,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
ME,Knox,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
WI,St. Croix,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Queens,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
VT,Caledonia,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Henry,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Ste. Genevieve,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Delaware,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Camden,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,85,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,4,0,Completed,07/25/2018 12:48,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Atascosa,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Lane,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
TN,Williamson,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IA,Carroll,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
PA,Centre,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MO,Greene,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
CA,Solano,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
MI,Lapeer,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
GA,Marion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Madison,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,Onondaga,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Dale,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Santa Clara,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
GA,Henry,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Meigs,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Coos,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
NY,Seneca,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Lanier,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Auglaize,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
OH,Fairfield,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
PA,Blair,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Smith,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
GA,Chattahoochee,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
VA,Augusta,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
IN,Steuben,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Butler,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
PA,Warren,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MI,Clinton,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
VA,Virginia Beach City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
IN,Morgan,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
AR,St. Francis,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Cass,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
PR,San Lorenzo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,Evangeline,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
MI,Midland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Henry,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Taliaferro,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
ID,Ada,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
IN,Adams,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
IA,Grundy,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
TN,Lawrence,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
AR,Searcy,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Stewart,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TN,Loudon,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KY,Bourbon,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OH,Lawrence,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
OR,Lincoln,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
WV,Jackson,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
WV,Ritchie,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
SC,Colleton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Mecosta,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MO,Callaway,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Moniteau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Alexandria City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
AR,Hempstead,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Drew,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Greensville,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Mathews,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MT,Lincoln,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Sullivan,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
LA,St. Martin,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Burke,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,Rankin,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Cabarrus,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Bland,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
CO,Douglas,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
AL,St. Clair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Warrick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Gladwin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Jasper,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Crawford,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Allen,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Wayne,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OK,Canadian,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
OK,Kiowa,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
SD,Davison,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
LA,Vernon,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,135,0,Completed,07/24/2018 13:42,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
OR,Jefferson,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
AR,Grant,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
VA,Henrico,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
MI,Saginaw,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
CT,New London,"Tufts Associated HMO, Inc.",CareAdvantage Premier (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,3,0,Completed,07/03/2018 8:46,HMO/HMOPOS
IL,McHenry,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
WI,Outagamie,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Pickens,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PR,Catano,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Dorchester,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MT,Chouteau,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Kidney Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henry,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
ME,Aroostook,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Bronx,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,1,0,Completed,06/07/2018 11:28,HMO/HMOPOS
PA,Franklin,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
MI,Kalamazoo,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Isle of Wight,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,James City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Tazewell,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Iberville,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Walker,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Baker,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
TX,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Warren,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
IA,Davis,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
PA,Clinton,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
GA,Harris,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
PA,Lehigh,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
AR,Cleburne,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
IN,Warrick,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
FL,Hillsborough,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
TX,Shelby,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
TX,Deaf Smith,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,16,0,Completed,07/26/2018 11:48,Local PPO
IN,Vanderburgh,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
SD,Lincoln,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
SD,Spink,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TN,Fayette,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Chaffee,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
OH,Fulton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Pitt,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
IA,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Magoffin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,6,Completed,07/16/2018 9:33,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MI,Grand Traverse,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Arenac,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Fremont,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Taylor,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
TX,Camp,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
WV,Logan,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
PA,Lancaster,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
AR,Scott,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
GA,Randolph,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Henry,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OR,Hood River,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
OH,Wyandot,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Cass,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
MO,Platte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
ND,Sioux,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
NM,Sierra,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,11,0,Completed,07/26/2018 11:48,Local PPO
VT,Grand Isle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
AL,Colbert,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Costilla,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,5,0,Completed,07/30/2018 13:44,1876 Cost
CO,Mineral,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,6,0,Completed,07/30/2018 13:44,1876 Cost
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
ND,Stutsman,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
MI,Montmorency,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
FL,Lee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
GA,Hancock,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Gloucester,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
TX,Wood,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
CA,Fresno,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,46,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,17,Completed,07/27/2018 9:47,Local PPO
PA,Jefferson,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Sullivan,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,13,Completed,07/27/2018 9:47,HMO/HMOPOS
NJ,Essex,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NC,Wilson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Kleberg,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Aguas Buenas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Carroll,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,James City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Wythe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
TN,Benton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
NY,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Grayson,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Greene,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
IN,Jackson,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,15,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NE,Seward,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Plymouth,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Benton,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,,,H3811,3,0,Completed,06/29/2018 15:38,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Miami-Dade,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Muscogee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Lyon,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
ND,Pembina,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Campbell,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Morgan,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Moore,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hardeman,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Putnam,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Tyler,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,DeKalb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
MO,Webster,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Arroyo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Arecibo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TN,Putnam,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WV,Ohio,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
IA,Allamakee,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Warren,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
MO,Jackson,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Ocean,"Clover Health Holdings, Inc.",Clover Health Choice Premier (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,32,0,Completed,07/26/2018 14:48,Local PPO
SC,Anderson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,87,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Walker,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Russell,Humana Inc.,Humana Gold Plus H5619-112 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,112,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Hennepin,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
AL,Etowah,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WI,Ozaukee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Berkeley,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,3,0,Completed,06/21/2018 16:47,Local PPO
PA,Crawford,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-077A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Scott,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Kittson,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
KS,Leavenworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
WI,Oneida,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
OH,Stark,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
AL,Walker,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,2,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Houston,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Cullman,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
IL,Washington,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,Trego,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MN,Itasca,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Wilcox,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Morgan,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Wetzel,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
WI,Ashland,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Utah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Marion,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WV,Lewis,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Rowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Caddo,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Tioga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
MN,Carver,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
OH,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SD,Ziebach,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
LA,Plaquemines,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",Preferred Complete Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
HI,Honolulu,Hawaii Medical Service Association,Essential Advantage (HMO),Y,N,N,Y,N,,,482,482,241,241,H7317,1,0,Completed,07/16/2018 15:11,HMO/HMOPOS
MI,Branch,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
VA,Radford City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
IL,Mason,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,Lapeer,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
OH,Miami,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,17,Completed,07/27/2018 9:47,Local PPO
PA,Wayne,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,12,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Presidio,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Winkler,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Walthall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Aguadilla,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Johnson,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Parke,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Giles,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
PA,Wayne,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Carlton,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Jasper,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
GA,Lee,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MN,Steele,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AL,Tuscaloosa,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
FL,Escambia,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
WV,Berkeley,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
MO,Callaway,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Saline,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
IN,Clark,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Spalding,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Benton,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
NY,Albany,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Terrell,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
FL,Miami-Dade,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
TN,Sumner,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
NC,Alexander,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MN,Pine,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
SD,Clay,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ID,Boundary,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,11,0,Completed,07/06/2018 16:48,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
PA,Potter,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
VA,Orange,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Fremont,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,18,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
IL,Winnebago,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
GA,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6528,6,0,Completed,07/26/2018 11:48,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
VA,Grayson,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Essex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,Danville City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Sheboygan,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clermont,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Essex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,2,Completed,07/23/2018 15:54,HMO/HMOPOS
MN,Freeborn,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
MO,Carroll,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
KS,Crawford,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
VA,Pulaski,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Boyle,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
PA,Northampton,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
VA,Louisa,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Spokane,Humana Inc.,Humana Gold Plus H5619-060 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,60,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,7,1,Completed,07/13/2018 13:55,HMO/HMOPOS
KS,Crawford,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,McClain,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NM,Valencia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6526,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Buchanan,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,2,Completed,07/20/2018 11:11,Local PPO
NC,Iredell,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Norfolk City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
TN,Rhea,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Yates,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Broome,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Ponce,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Amelia,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
GA,Peach,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IN,Parke,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MO,Boone,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OK,Grady,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Pleasants,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
WV,Wetzel,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
WV,Harrison,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
VA,Appomattox,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
IN,Madison,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
GA,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Montgomery,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SD,Yankton,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
SD,Bennett,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Calcasieu,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
AL,Limestone,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
PR,Arecibo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Monroe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Sutter,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
IL,Wabash,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Mifflin,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Brown,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Kenosha,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Clackamas,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,13,Completed,07/27/2018 9:47,HMO/HMOPOS
MO,Gasconade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,White,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,2,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Columbia,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Summit,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,Cocke,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Acadia,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,Campbell,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
WA,Cowlitz,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
GA,Gwinnett,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Walton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Ontonagon,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IA,Humboldt,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IL,Madison,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Bee,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
TX,Stephens,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Clinton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Marion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WY,Campbell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Rincon,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Dade,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,24,0,Completed,07/25/2018 8:35,HMO/HMOPOS
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
KY,Spencer,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Anderson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
VA,Bedford,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
MI,Clinton,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,7,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MT,Chouteau,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
PA,Union,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
NC,Columbus,Humana Inc.,HumanaChoice H5525-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,33,0,Completed,07/24/2018 13:42,Local PPO
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marshall,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Maury,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Castro,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
ND,Stutsman,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
PA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lauderdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Rio Grande,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,5,0,Completed,07/30/2018 13:44,1876 Cost
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
OH,Mercer,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,5,0,Completed,07/13/2018 13:32,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Utah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,2,0,Completed,07/13/2018 13:55,Local PPO
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
GA,DeKalb,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Forsyth,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Wayne,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
OK,Tulsa,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CA,Alameda,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Miami,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Franklin,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
PA,Juniata,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,13,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Rowan,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Lamar,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Beaver,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Cabo Rojo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Dallas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Polk,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Floyd,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Jasper,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Stevens,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Westmoreland,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Columbia,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Polk,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
FL,Hernando,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,95,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Washington,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,10,0,Completed,06/27/2018 15:22,Local PPO
IN,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Cass,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IL,Cook,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Kane,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,N,Y,Y,100,0,0,482,0,241,H1415,21,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
TN,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Windsor,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,Trempealeau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Queens,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,3,0,Completed,07/27/2018 16:18,HMO/HMOPOS
GA,Gwinnett,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Grundy,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sevier,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,White,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,Boulder,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
WY,Teton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
IL,Cook,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,16,0,Completed,07/17/2018 11:44,Local PPO
PA,Bucks,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
PA,Chester,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
LA,Caddo,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Union,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PA,Elk,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
DE,New Castle,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,95,0,Completed,07/17/2018 11:44,Local PPO
KY,Oldham,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OR,Clackamas,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IN,Porter,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
AZ,Pima,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,34,0,Completed,07/24/2018 13:42,Local PPO
GA,Camden,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
NC,Forsyth,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
WI,Marathon,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
NM,Luna,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,137,0,Completed,07/24/2018 13:42,Local PPO
KY,Harlan,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
ME,Penobscot,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
TX,Aransas,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
PA,Adams,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
IN,Washington,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
NM,Bernalillo,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
IA,Bremer,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Montgomery,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,Laclede,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
MO,Stone,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
MO,Ozark,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Philadelphia,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H5141,39,0,Completed,07/26/2018 14:48,Local PPO
AZ,Pinal,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,30,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Elkhart,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Johnson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KS,Jefferson,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
WA,Skagit,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MO,Taney,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,West Feliciana,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus SNP-DE H1036-259 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,259,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
IN,Noble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,24,0,Completed,07/25/2018 8:35,Local PPO
FL,St. Lucie,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,35,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,St. Lawrence,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
WI,Wood,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
MN,Dakota,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
OH,Fairfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Madera,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,56,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,31,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Powhatan,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
OH,Butler,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,3,0,Completed,07/03/2018 11:24,HMO/HMOPOS
KY,Carroll,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Kent,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Jo Daviess,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IA,Madison,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
NM,Otero,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
MA,Hampden,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9585,1,0,Completed,07/17/2018 18:22,HMO/HMOPOS
TX,Sabine,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Wayne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Jay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
AL,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Rhea,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
AL,Etowah,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
AL,Lauderdale,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
AL,St. Clair,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Gonzales,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Jessamine,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
OH,Guernsey,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
PA,Venango,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
IL,Cook,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
PA,Union,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Rincon,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
MS,Tunica,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
MS,Jefferson Davis,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WI,Manitowoc,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MI,Clare,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
WV,Summers,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Buena Vista,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
NC,Clay,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
WV,Boone,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
WI,Kewaunee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Marinette,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
SC,Orangeburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Dutchess,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
IL,McHenry,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
NC,Martin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,5,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Cherokee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
AR,Greene,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Cass,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Owyhee,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,8,0,Completed,07/13/2018 13:55,Local PPO
FL,Clay,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Kankakee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Jay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Taylor,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
WI,Waukesha,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
FL,Indian River,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Queens,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
ME,Sagadahoc,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,Rogers,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Clay,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Cidra,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Missoula,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,40,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Boone,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
LA,Grant,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lorain,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Carbon,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Venango,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
AR,Lonoke,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Brown,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
OR,Harney,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
FL,Polk,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,30,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Dade,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,York,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,73,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sumner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Sampson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Florence,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Clay,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KY,Fulton,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Elk,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Escambia,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Maury,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
SD,Hyde,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
TX,Dallas,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Shelby,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Preferred Complete Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Stark,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,1,Completed,07/17/2018 15:41,HMO/HMOPOS
IL,Macon,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
NY,Nassau,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
HI,Hawaii,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Hawaii Island (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,Iberville,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lake,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
VA,Floyd,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Petersburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Salem City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Richmond,"QHP Financial Group, Inc.",Advantage Health NYC - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,17,0,Completed,07/27/2018 15:56,HMO/HMOPOS
GA,Talbot,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Clay,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
IA,Fayette,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Cleveland,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro Plus (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,7,0,Completed,06/25/2018 20:32,Local PPO
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Rock,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
OR,Grant,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
NH,Rockingham,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,11,0,Completed,07/17/2018 11:44,Local PPO
CA,Santa Clara,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Grant,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Outagamie,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
NC,Avery,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lyon,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
AL,Colbert,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
GA,DeKalb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Howard,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IL,Crawford,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Medina,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Manassas Park City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OH,Lucas,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
GA,Banks,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
WV,Doddridge,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MN,Todd,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WV,Nicholas,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MO,Ste. Genevieve,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Jackson,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
OR,Deschutes,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
OR,Jefferson,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
WV,Fayette,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IN,Washington,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
OH,Ottawa,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Escambia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
OH,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
PR,Juncos,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Escambia,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,116,0,Completed,07/17/2018 11:44,Local PPO
IN,Montgomery,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
TX,Wilson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
NY,Kings,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,40,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,3,0,Completed,07/24/2018 10:50,HMO/HMOPOS
IA,Butler,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
MN,Dakota,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Chester,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Washington,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
PA,Wyoming,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
FL,Pasco,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,75,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Plymouth,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,2,Completed,07/23/2018 15:54,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
KS,Leavenworth,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Dickinson,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Adams,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
AL,Autauga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
FL,St. Lucie,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
NY,New York,Humana Inc.,HumanaChoice H5970-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,23,0,Completed,07/24/2018 13:42,Local PPO
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,9,0,Completed,06/29/2018 15:38,HMO/HMOPOS
CA,Orange,California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,21,0,Completed,07/20/2018 14:52,HMO/HMOPOS
KY,Christian,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NY,Franklin,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Colbert,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Walker,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Castro,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hays,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Collier,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
IN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
VA,Fairfax,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
OH,Geauga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
GA,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NY,Ontario,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,Avoyelles,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
NC,Durham,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,168,0,Completed,07/17/2018 11:44,Local PPO
OH,Wood,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
FL,Pinellas,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PA,Adams,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
IL,Will,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
NY,Ulster,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Chatham,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
KY,Owen,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
PA,Juniata,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MS,Sharkey,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
FL,Dixie,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
IN,Wells,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Jackson,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
KY,Clark,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
MO,Miller,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Newton,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Llano,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Lubbock,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TN,Lawrence,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Smith,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Roane,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
MA,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
NC,Johnston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
IA,Hancock,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
NY,Dutchess,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Bollinger,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
AL,Macon,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
TX,Lee,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
GA,Barrow,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
MA,Worcester,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,160,0,Completed,07/17/2018 11:44,Local PPO
PA,Luzerne,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
ID,Ada,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
WV,Pocahontas,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Buena Vista,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
KY,Jackson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
GA,Newton,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
WI,Waukesha,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
KY,Martin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ND,Logan,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,McPherson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Meriwether,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Cameron,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clinton,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Dodge,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Delaware,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
PA,Elk,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Otero,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
CO,Weld,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
WV,Mercer,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
IL,Edgar,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IN,Hancock,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Whiteside,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Caroline,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MD,Garrett,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
GA,Camden,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Robeson,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,5,0,Completed,07/26/2018 10:44,Local PPO
OR,Lane,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,8,0,Completed,07/06/2018 16:48,Local PPO
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Howard,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Dickens,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hawkins,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Rooks,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Hancock,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
GA,Clarke,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PA,Fayette,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Pickens,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Shelby,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MS,Tate,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Ida,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Lucas,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
PA,Crawford,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
PA,Montour,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
GA,Sumter,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Fayette,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
MN,Mower,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
MN,Faribault,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Ulster,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NH,Rockingham,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Chippewa,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,20,0,Completed,07/26/2018 11:48,Local PPO
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Pulaski,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Screven,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AR,Crittenden,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,38,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Angelina,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Knox,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Cameron,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
AL,Lee,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
FL,Lee,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MI,Wayne,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7844,1,0,Completed,07/26/2018 20:45,Medicare-Medicaid Plan HMO/HMOPOS
CA,San Joaquin,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,6,0,Completed,07/26/2018 15:08,HMO/HMOPOS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Clinton,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Dallas,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
NM,Sierra,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,42,0,Completed,07/26/2018 11:48,Local PPO
SD,Bennett,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
PA,Delaware,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,9,0,Completed,07/16/2018 13:15,Local PPO
TX,Dallas,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Winnebago,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Terry,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MT,Sweet Grass,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Chesterfield,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Trujillo Alto,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Josephine,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,12,0,Completed,07/24/2018 19:18,Local PPO
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Ralls,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,35,0,Completed,07/17/2018 11:44,Local PPO
WV,Wood,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OK,Kingfisher,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
VA,Mathews,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,New York,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,1,0,Completed,06/07/2018 11:28,HMO/HMOPOS
MI,Lenawee,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Plus H5619-081 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Martin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
OK,Okfuskee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Whitley,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NH,Grafton,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Stearns,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
IL,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WV,Hancock,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
KS,Stanton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Cameron,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Alleghany,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Dorado,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OH,Jefferson,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Erie,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
WI,Langlade,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MN,Traverse,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TN,Marshall,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Colbert,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,7,0,Completed,07/24/2018 10:50,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Boone,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Green,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Clay,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,7,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,1,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Trumbull,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MI,Barry,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Benzie,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
IL,Cass,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Washington,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,McLean,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,Benzie,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
WV,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
VA,Augusta,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Bland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Walla Walla,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
CA,Los Angeles,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Johnston,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Bibb,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
MN,Lyon,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
NE,Cuming,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-077A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,245,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Redwood,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
NY,Kings,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Staunton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Des Moines,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Walker,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,66,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Pepin,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PA,Chester,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
CA,Riverside,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Guide HMO Rx 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,21,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
NM,Mora,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
MA,Suffolk,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9585,1,0,Completed,07/17/2018 18:22,HMO/HMOPOS
NC,Mitchell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Dickey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Kings,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Dubois,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Ohio,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Wabasha,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,1,0,Completed,07/25/2018 7:53,Local PPO
OK,Carter,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Hoke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,East Baton Rouge,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Botetourt,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Montcalm,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
LA,Sabine,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Perry,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
AR,Pope,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
MS,Marion,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,Dade,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Garvin,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
MN,Polk,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MO,Camden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Carroll,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,121,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sumter,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,92,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Cook,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Orange,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
IA,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,97,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Waynesboro City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ND,Morton,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,Sevier,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Landry,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OR,Washington,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5859,1,0,Completed,07/23/2018 20:16,HMO/HMOPOS
VA,Essex,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
VA,Lancaster,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
TX,Hidalgo,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Osceola,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
GA,Rabun,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Transylvania,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OR,Clackamas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Motley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Osborne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,New York,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
VA,Galax City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Shannon,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Shelby,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Campbell,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Stewart,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
NY,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,65,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WV,Barbour,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Storey,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,6,0,Completed,07/24/2018 17:55,Local PPO
GA,Newton,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Boone,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
PA,Fayette,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
PR,Barceloneta,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Jasper,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
OH,Summit,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Portage,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
MI,Arenac,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Mayes,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Special Needs Plan (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3814,7,0,Completed,07/28/2018 12:06,HMO/HMOPOS
OH,Pickaway,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
TN,Henry,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Adams,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Camden,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NJ,Morris,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Rensselaer,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
KY,Scott,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
SD,Kingsbury,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
VA,Spotsylvania,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
TN,Moore,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
IA,Cerro Gordo,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KY,Casey,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
TX,Gregg,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
TX,Rockwall,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
VA,Louisa,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,9,0,Completed,07/26/2018 11:48,Local PPO
PR,Comerio,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Waller,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
OH,Erie,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
NC,Lee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
AL,Colbert,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
KY,Butler,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
NY,Delaware,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
GA,Clay,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
SC,Oconee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
OH,Summit,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
GA,Oglethorpe,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
MO,Webster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Loudoun,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
AR,Franklin,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,101,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
MN,Wadena,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TX,Bowie,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Titus,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iron,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Sauk,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,St. Charles,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MO,Greene,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Miami-Dade,"Athena Healthcare Holdings, LLC",SOLIS SPF 002 (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H0982,2,0,Completed,07/20/2018 18:11,HMO/HMOPOS
GA,Fulton,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Johnson,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Lubbock,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hancock,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lake,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
PR,Vega Alta,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
NY,Oneida,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
GA,Hall,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,213,0,Completed,07/17/2018 11:44,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
VA,Lynchburg City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,Richmond,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
CO,Custer,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
VA,Bedford,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
MS,Wayne,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
NM,Sierra,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
NM,Torrance,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
WI,Iowa,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Polk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Tipton,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Barry,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
WA,King,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
MI,Houghton,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
GA,Clayton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
SD,Bennett,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Oconee,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
WI,Green Lake,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NJ,Morris,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Milwaukee,"Network Health, Inc.",Network Health Medicare Explore (HMO),Y,N,Y,Y,N,,,150,482,150,241,H5644,2,0,Completed,06/27/2018 15:22,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Gwinnett,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Pawnee,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Hale,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bexar,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Louis,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
TN,Cannon,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
IA,Jackson,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Houston,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MI,Genesee,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Grand Traverse,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
KS,Crawford,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SC,Hampton,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,75,0,Completed,07/24/2018 13:42,Local PPO
KS,Pottawatomie,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Morris,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
KY,Gallatin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
IL,Menard,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
NM,Rio Arriba,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
IN,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
PR,Naranjito,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Loving,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Scott,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
TX,Nueces,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,167,0,Completed,07/17/2018 11:44,Local PPO
VA,Hampton City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
GA,Marion,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
NY,Monroe,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
GA,Effingham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Gilmer,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
VA,Loudoun,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Putnam,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SD,Mellette,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Douglas,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Tripp,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Taylor,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
SD,Beadle,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Deuel,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Taylor,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,Porter,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Lawrence,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,McNairy,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Loudon,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Charles,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Lebanon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
AL,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
GA,Rockdale,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Villalba,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Broomfield,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
AL,Lauderdale,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
IN,Porter,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,223,0,Completed,07/17/2018 11:44,Local PPO
TX,Cooke,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
MO,Phelps,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Norton City,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
MS,Calhoun,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Clinton,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Grant,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Tucker,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
VA,Newport News City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
KY,Monroe,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
AL,Tallapoosa,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
TX,Palo Pinto,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
WV,Hancock,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IL,Sangamon,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
SC,Calhoun,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Webster,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Shelby,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Alger,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,7,Completed,07/16/2018 9:33,HMO/HMOPOS
MN,Washington,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Dickson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bexar,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IA,Polk,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Story,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lake,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Atlantic,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Monroe,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MO,Grundy,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,601,0,301,H0148,2,0,Completed,07/25/2018 12:48,Medicare-Medicaid Plan HMO/HMOPOS
IN,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
PA,Philadelphia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jackson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Los Angeles,"WellCare Health Plans, Inc.",Easy Choice Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
ME,York,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Cayey,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,New York,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
OK,Muskogee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Cherokee,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Brunswick,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Northampton,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Snyder,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
FL,Citrus,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,2,0,Completed,07/06/2018 11:25,HMO/HMOPOS
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Licking,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,Local Initiative Health Authority for LA County,L.A. Care Cal MediConnect Plan (Medicare-Medicaid Plan),Y,Y,N,Y,Y,100,0,0,601,0,301,H8258,1,0,Completed,07/27/2018 18:18,Medicare-Medicaid Plan HMO/HMOPOS
WA,King,Providence Health & Services,Providence Medicare Summit + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,47,0,Completed,07/03/2018 11:07,HMO/HMOPOS
GA,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
SD,Clark,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Roberts,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MI,Wexford,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Warren,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Madison,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Lee,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
OH,Gallia,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
WV,Putnam,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
MN,Nicollet,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
AR,Newton,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
SC,Horry,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
MI,Houghton,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,Dinwiddie,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Lucas,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
TX,Denton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TX,Nueces,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Pickens,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Missaukee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Taylor,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IN,Warren,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
OH,Ashland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OK,Pottawatomie,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
CA,San Bernardino,AHMC Central Health LLC,Central Health Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,2,0,Completed,07/27/2018 13:58,HMO/HMOPOS
TX,Lubbock,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Granville,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Sevier,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Wyoming,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Clinton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Montour,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MI,Eaton,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Haskell,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
TN,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Livingston,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Washington,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Duval,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Charles City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Essex,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
CO,Grand,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MO,Callaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Mobile,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lucas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
CA,Yolo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,185,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Amador,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,140,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Wyoming,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Saratoga,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
FL,Pinellas,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MA,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lawrence,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Osceola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
KY,Oldham,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Elliott,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Fairfield,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Jefferson,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Wharton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Forest,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WA,Whitman,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
NC,Forsyth,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Lake,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,22,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Randolph,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
AZ,Cochise,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,30,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Greenville,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,York,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Pulaski,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,4,Completed,07/16/2018 15:07,PFFS
KY,Ohio,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
MS,Stone,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Nicollet,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
MN,Cass,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
IA,Louisa,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Nueces,Humana Inc.,Humana Gold Plus H0028-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Rockingham,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,5,0,Completed,06/25/2018 20:32,Local PPO
NY,St. Lawrence,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
FL,Martin,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,226,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Okeechobee,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,226,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Rowan,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Duval,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Pickaway,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
OR,Umatilla,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,121,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Mifflin,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Marion,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Lake,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,26,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
VA,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
MN,Washington,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
KS,Rooks,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Pierce,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Monroe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Ashley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Onondaga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Aguada,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Orange,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Chester,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Cherokee,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MO,Dade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
GA,DeKalb,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Bradley,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Jackson,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Martin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,York,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
VA,Norfolk City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Curry,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
IL,Pike,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
NC,Iredell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Gloucester,"Clover Health Holdings, Inc.",Clover Health Choice Premier (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,32,0,Completed,07/26/2018 14:48,Local PPO
CA,San Diego,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
OH,Scioto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Sequoyah,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Tulsa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Dodge,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MS,Jones,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Polk,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
AZ,La Paz,Humana Inc.,Humana Gold Plus H0028-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Weld,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Butler,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Columbia,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,270,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Bartholomew,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Bond,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Cherokee,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Clay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Macon,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Medina,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Dutchess,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
VA,Hanover,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Eaton,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Tioga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Polk,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Arlington,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
SC,Chesterfield,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
PA,Bradford,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
PA,York,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
VA,York,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MT,Lake,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
TX,Hood,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
LA,Rapides,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Lafayette,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NY,Nassau,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
FL,Dade,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Washington,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Saratoga,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
AR,Faulkner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,1,0,Completed,07/26/2018 15:08,HMO/HMOPOS
AR,Baxter,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Larimer,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Charles,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Radford City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Ripley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
IN,Cass,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
AR,Scott,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Forest,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Floyd,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
PA,Lawrence,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Montgomery,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Yancey,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Alexander,Humana Inc.,Humana Gold Plus H6622-058 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,58,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Nueces,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,4,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,194,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Genesee,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
CA,Orange,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Knox,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Boone,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,16,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Morris,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Prairie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NH,Coos,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
NY,Fulton,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Galveston,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lincoln,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Essex,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
FL,Hernando,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
MD,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
PR,Corozal,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TN,Overton,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
PA,Lehigh,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
MS,Issaquena,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
VA,Caroline,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OH,Hamilton,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
KY,Nelson,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MS,Webster,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
ME,Waldo,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
SD,Lincoln,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Conejos,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
FL,St. Johns,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
KS,Cherokee,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
SC,Dorchester,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
KY,Franklin,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
AL,Lowndes,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Diego,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,65,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Chippewa,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Marshall,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Stafford,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
DE,New Castle,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
ND,Adams,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
WV,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Steuben,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Jackson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Will,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0281,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
GA,Fulton,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bradley,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Mason,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,1,Completed,07/13/2018 13:55,Local PPO
TX,Denton,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NC,McDowell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
KS,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
PA,Lackawanna,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Warren,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
PA,Allegheny,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
IN,Howard,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
SD,Marshall,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Wilkin,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
OH,Fairfield,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
SD,McCook,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
IL,Scott,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
NY,Sullivan,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Escambia,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,18,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TN,Roane,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Grimes,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Washington,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
PR,Loiza,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Kerr,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Cape Girardeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KY,Madison,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
ME,Waldo,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,143,0,Completed,07/17/2018 11:44,Local PPO
MI,Monroe,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
CT,Tolland,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
OH,Cuyahoga,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OK,Hughes,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
LA,St. Bernard,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
IN,Shelby,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Pennington,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
CO,Huerfano,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
WV,Lewis,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
MS,Harrison,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,66,0,Completed,07/24/2018 13:42,Local PPO
IA,Humboldt,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IN,Warren,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KY,Cumberland,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
IN,Union,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
KS,Sedgwick,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MS,Hinds,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
WA,Skagit,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
TX,Upshur,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Ozaukee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
SC,Newberry,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Henrico,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
VA,Fredericksburg City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Hampton City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Shelby,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,13,0,Completed,07/13/2018 13:32,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
ND,Barnes,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
TX,Kleberg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Adjuntas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PA,Columbia,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Elk,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
PA,Butler,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
IN,Madison,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wetzel,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WV,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
NC,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,18,Completed,07/27/2018 9:47,Local PPO
OK,Pottawatomie,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
SD,McCook,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,4,0,Completed,07/17/2018 11:44,Local PPO
IA,Mills,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Alamance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Richmond,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
KY,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Benton,Providence Health & Services,Providence Medicare Enrich + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,45,0,Completed,07/03/2018 11:07,HMO/HMOPOS
MO,Jackson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
PA,Lebanon,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
SD,Jones,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Bleckley,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,Tulare,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,2,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Brown,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MI,Genesee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
TX,Reeves,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
IN,Johnson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
TX,Llano,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
TN,Wilson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
TX,Randall,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Carroll,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
WV,Wyoming,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MN,Red Lake,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
VA,Gloucester,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
KS,Sumner,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
TX,El Paso,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TN,Cocke,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
TN,Roane,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KS,Butler,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Toombs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
ND,Stutsman,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
CA,San Bernardino,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,16,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Medina,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Montgomery,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Adair,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,2,Completed,07/16/2018 9:33,HMO/HMOPOS
KY,Trimble,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Huron,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
OH,Lorain,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Hormigueros,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Yavapai,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Sagadahoc,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Coos,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
IL,Shelby,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
OK,McIntosh,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
LA,Ouachita,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Paulding,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
ID,Payette,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Huntington,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wetzel,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
CA,San Diego,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,9,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,Walton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Clay,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
NC,Catawba,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Falls Church City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Cambria,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Hampshire,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,123,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Washburn,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Escambia,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
IN,Madison,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MO,Laclede,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Greensville,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
VA,Middlesex,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
VA,Harrisonburg City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
KS,Clark,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Etowah,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
NM,Hidalgo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
ND,Stark,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
IA,Worth,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,42,0,Completed,07/18/2018 10:13,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Vernon,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
UT,Weber,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
AL,Etowah,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Putnam,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Hamilton,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
HI,Kauai,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,N,N,Y,N,,,482,482,241,241,H3832,11,0,Completed,07/16/2018 15:11,Local PPO
AZ,Yuma,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,8,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Mason,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NC,Davie,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
IA,Calhoun,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
PA,Chester,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
TX,Cameron,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Kent,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,1,Completed,07/26/2018 15:53,Local PPO
MI,Ionia,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Highland,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Weber,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,15,Completed,07/27/2018 9:47,Local PPO
IN,Ohio,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Potter,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,St. Clair,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MI,Delta,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Llano,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
VA,Portsmouth City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
VA,Bath,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
MI,St. Joseph,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
NY,Rockland,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Wyandot,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Simplete 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,23,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
KS,Kingman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Uintah,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Faulk,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Logan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Hardin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Arecibo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Lewis,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
WV,Harrison,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Allegheny,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Warren,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Knox,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Estill,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Pike,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
NY,Broome,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
NV,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Benton,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Clark,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Medina,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,74,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,95,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Goochland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Dorado,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Assumption,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Lafourche,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Custer,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Sullivan,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
PA,Warren,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
KS,McPherson,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
AZ,Yavapai,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,35,0,Completed,07/24/2018 13:42,Local PPO
TX,Rockwall,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
SC,Spartanburg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Black Hawk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
CA,Los Angeles,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,64,0,Completed,07/16/2018 13:40,HMO/HMOPOS
SC,Newberry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Martinsville City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Essex,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,2,Completed,07/23/2018 15:54,HMO/HMOPOS
LA,Ascension,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
TN,Maury,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Bay,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,143,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Yellow Medicine,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
CA,Los Angeles,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,1,0,Completed,07/03/2018 15:53,HMO/HMOPOS
IN,Hancock,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Union,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
FL,Orange,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Jefferson,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Trempealeau,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NE,Sarpy,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
WI,Waukesha,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,11,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Huntingdon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Somerset,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
IL,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7445,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Albany,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
UT,Davis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
AL,Lowndes,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,12,Completed,07/27/2018 9:47,Local PPO
ME,Hancock,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Seminole,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
OH,Warren,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,2,Completed,07/12/2018 15:19,HMO/HMOPOS
KY,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Schenectady,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Schuyler,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Warren,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NC,Yancey,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Henry,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NH,Sullivan,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
GA,Clayton,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,4,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Peach,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Queens,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Cook,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
AL,Geneva,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Elmore,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Van Buren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,DeKalb,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,Sequatchie,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,St. Johns,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
OH,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
PR,Humacao,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Grand Isle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,McMullen,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Hidalgo,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,167,0,Completed,07/17/2018 11:44,Local PPO
NC,Scotland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
CO,Boulder,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
TX,Dallas,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
KY,Kenton,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
GA,Appling,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Van Wert,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Pickaway,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
IA,Black Hawk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Mahaska,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Story,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Otero,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
DE,Sussex,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,127,0,Completed,07/24/2018 13:42,Local PPO
TX,Fort Bend,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Charlotte,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Winchester City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TX,Smith,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MO,Howell,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Greene,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
MS,Madison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Shelby,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Stewart,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Tarrant,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Jack,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IN,Huntington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
OH,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NY,Erie,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Erie,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,McIntosh,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
MS,Hancock,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,220,0,Completed,07/17/2018 11:44,Local PPO
AL,Blount,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MS,Choctaw,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
OK,Le Flore,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
CO,Morgan,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
FL,Dade,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,68,0,Completed,07/24/2018 13:42,Local PPO
CO,Morgan,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MO,Wayne,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
ME,Penobscot,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
IA,Adair,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
OH,Preble,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
GA,Ware,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,"Tufts Associated HMO, Inc.",CareAdvantage Preferred (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,1,0,Completed,07/03/2018 8:46,HMO/HMOPOS
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
WV,Logan,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Lake of the Woods,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Brown,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
ID,Kootenai,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,11,0,Completed,07/06/2018 16:48,Local PPO
NC,Wilkes,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
SC,Orangeburg,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
TN,Blount,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lake,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Benton,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
FL,Escambia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
WA,Spokane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
PR,Toa Alta,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Hernando,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
MI,Monroe,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
IN,Warrick,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,152,0,Completed,07/17/2018 11:44,Local PPO
WA,Snohomish,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
NY,Tioga,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Barrow,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,DeKalb,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,Newton,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
OK,Pottawatomie,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Kittson,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
FL,Miami-Dade,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,68,0,Completed,07/24/2018 13:42,Local PPO
SD,Davison,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
ND,Stutsman,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Madison,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
TX,Harris,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Clinton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
VA,Richmond City,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
WV,Hampshire,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
AR,Arkansas,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Bradford,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
PA,Mercer,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
OH,Lorain,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,21,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Hendricks,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Hampton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
OH,Clermont,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Holmes,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
SC,Hampton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
AR,Madison,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Elite Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,24,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Miller,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Turner,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
AL,Hale,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Grant,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Ada,PacificSource Health Plans,PacificSource Medicare MyCare Rx 32 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,32,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NH,Hillsborough,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 8 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,57,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Onondaga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
WI,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
IN,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
FL,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clark,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Sandusky,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,3,0,Completed,07/20/2018 11:11,Local PPO
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,1,Completed,07/16/2018 9:33,HMO/HMOPOS
GA,Oglethorpe,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,Pierce,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,3,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WV,Monroe,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Pope,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MA,Plymouth,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
TX,Wichita,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Carbon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Morgan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Brazoria,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
FL,Bay,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Montour,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
LA,Pointe Coupee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Glynn,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Jones,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,Taliaferro,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Southampton,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IA,Wapello,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NC,Lincoln,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
WV,Webster,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
IN,Putnam,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
OR,Deschutes,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
GA,Rockdale,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyd,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Greenup,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
OR,Crook,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
AZ,Navajo,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
SD,Day,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
MA,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jefferson,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Eaton,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
LA,Terrebonne,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Des Moines,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Hardin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Jackson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Newaygo,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,15,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,18,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Otsego,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,15,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WV,Ohio,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,482,0,241,H3018,1,0,Completed,07/26/2018 14:21,Medicare-Medicaid Plan HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
KS,Labette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Jim Hogg,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Mercer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,DeSoto,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Dade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Taney,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MT,Sanders,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
PA,Montgomery,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,5,0,Completed,07/24/2018 13:42,Local PPO
NY,Greene,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
SC,Greenville,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,1,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
LA,East Feliciana,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,St. Lawrence,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,4,0,Completed,07/13/2018 13:32,HMO/HMOPOS
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
PA,Butler,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
NC,McDowell,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Swain,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Loiza,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MN,Morrison,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
PR,Villalba,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Carroll,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
NY,Schenectady,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Kalamazoo,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
MO,Cooper,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Franklin,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
KY,Lawrence,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MT,Lewis and Clark,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
OH,Adams,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Wyandot,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
PA,Lehigh,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
PA,Lehigh,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
OH,Ottawa,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Douglas,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,16,2,Completed,07/24/2018 19:18,Local PPO
ME,York,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,202,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Carroll,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
NY,Nassau,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Lincoln,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
HI,Maui,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
HI,Honolulu,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,Pointe Coupee,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Renown Health,Senior Care Plus: Value Rx Complete (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2960,19,0,Completed,07/24/2018 17:58,HMO/HMOPOS
PA,Forest,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Luzerne,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
OH,Clermont,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
GA,Floyd,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WA,Cowlitz,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Pickens,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,8,Completed,06/22/2018 9:28,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
KS,Crawford,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Dallas,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Titus,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Jefferson,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Benton,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
IA,Black Hawk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
KS,Miami,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MO,Jackson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
SD,Turner,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Turner,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Dooly,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Talladega,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Columbia,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Brevard,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lake,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Butler,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Fairfield,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
PA,Lehigh,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,15,Completed,07/27/2018 9:47,Local PPO
PA,Dauphin,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,17,Completed,07/27/2018 9:47,Local PPO
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
TN,Davidson,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
OR,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Thurston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Forsyth,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,Davidson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Juniata,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
GA,Henry,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
KY,McCracken,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
GA,Schley,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Grayson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Fulton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
IL,Lake,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
IN,Dubois,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
IA,Webster,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
OH,Fairfield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Lyon,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Wise,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,8,1,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Lane,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
AR,Sebastian,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Dallas,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Wapello,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Louis,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,West Feliciana,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,269,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Charlotte,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,217,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
CA,Riverside,InterValley Health Plan,Inter Valley Health Plan Desert Preferred Choice (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,12,0,Completed,07/03/2018 15:53,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,44,0,Completed,07/16/2018 13:15,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Warren,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Northampton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Lucie,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IA,Wright,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Sarasota,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Clinton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
OH,Stark,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Baja,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Juncos,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Cass,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
FL,Brevard,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,10,0,Completed,07/26/2018 11:48,Local PPO
LA,Madison,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ottawa,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
MI,Livingston,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,8,0,Completed,07/25/2018 16:54,HMO/HMOPOS
TN,Sullivan,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Huntington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
TN,Cannon,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NJ,Camden,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
WA,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
PR,Cidra,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Clark,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
AZ,Mohave,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,200,0,Completed,07/17/2018 11:44,Local PPO
OH,Franklin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
IN,Lake,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,223,0,Completed,07/17/2018 11:44,Local PPO
IN,La Porte,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,223,0,Completed,07/17/2018 11:44,Local PPO
GA,Fannin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Isabela,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Troup,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
PA,Berks,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
GA,Effingham,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
OK,Lincoln,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
FL,Gulf,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
IA,Cherokee,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Lawrence,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Marshall,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Gilmer,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
PA,Tioga,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
ND,Richland,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MO,Clay,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
SC,Barnwell,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
OR,Deschutes,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
MI,Wayne,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,11,0,Completed,07/24/2018 13:42,Local PPO
IA,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Pipestone,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Delaware,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Bryan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
NV,Nye,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Prairie,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Marion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Cumberland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Danville City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
IL,Monroe,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
AL,Escambia,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
NY,Tioga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Lincoln,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
CO,Teller,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Harris,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sumner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Cleveland,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,6,0,Completed,06/25/2018 20:32,Local PPO
VA,Fredericksburg City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Sherburne,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Fayette,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,3,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Boulder,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Tippecanoe,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
GA,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clinton,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
NY,Allegany,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Cayuga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
WI,Shawano,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Steuben,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Dane,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Pierce,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PA,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,St. Lucie,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
GA,Clayton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Davidson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Clinton,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
MA,Hampden,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
NY,Yates,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Champaign,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
AL,Blount,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
MI,Saginaw,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Bibb,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Trumbull,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MO,Warren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MT,Sanders,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
IL,Livingston,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
TN,Perry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marion,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Parker,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NC,Brunswick,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Muskingum,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
AL,Fayette,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,216,0,Completed,07/17/2018 11:44,Local PPO
AL,Coosa,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
TX,Wood,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
IN,De Kalb,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,190,0,Completed,07/17/2018 11:44,Local PPO
NY,Richmond,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,40,0,Completed,07/17/2018 11:44,Local PPO
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
TN,Bedford,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
WA,Spokane,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
GA,Hart,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,George,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
MN,Kittson,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
OH,Ross,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
NJ,Burlington,Humana Inc.,HumanaChoice H5216-185 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,185,0,Completed,07/24/2018 13:42,Local PPO
WV,Cabell,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
OH,Crawford,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
WI,Winnebago,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Houston,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Berrien,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Loudoun,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,Peoria,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
SC,Saluda,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Franklin,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
CO,Fremont,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NV,Nye,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Berkeley,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Gibson,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Kiowa,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Adams,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Rock,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,102,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Orleans,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
SC,Dorchester,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Sanborn,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Jasper,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clermont,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Montcalm,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
OH,Vinton,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Price,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Lee,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
MO,Osage,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Morgan,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,33,0,Completed,07/16/2018 9:33,HMO/HMOPOS
VA,Essex,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Montgomery,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Potter,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
OH,Fulton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Bailey,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Walker,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cheatham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
IN,Jasper,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,223,0,Completed,07/17/2018 11:44,Local PPO
TX,Bastrop,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
NY,Putnam,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
GA,Laurens,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Dorado,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
SC,Fairfield,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Lincoln,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lebanon,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Juniata,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
AR,Crawford,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Nobles,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TN,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Preble,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,2,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Arapahoe,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Elkhart,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,54,0,Completed,07/16/2018 13:15,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,28,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Waukesha,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,12,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Seminole,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
SD,Miner,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TN,Warren,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Branch,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Hillsdale,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Hot Spring,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Marshall,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
WV,Wyoming,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
TX,Harris,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
KY,Casey,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
UT,Tooele,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Gem,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,17,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Iredell,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Harper,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Teton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Fairfax,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,El Paso,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Jackson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
NM,Santa Fe,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,1,0,Completed,07/30/2018 11:21,HMO/HMOPOS
KY,Clay,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
OK,Johnston,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
FL,Alachua,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
KY,Letcher,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
OK,Pawnee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Oglethorpe,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MT,Flathead,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
IL,Kane,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,Humana Inc.,HumanaChoice H5216-168 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,168,0,Completed,07/24/2018 13:42,Local PPO
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
SD,Buffalo,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
LA,Iberia,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Smyth,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Portsmouth City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Carver,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
MD,Prince George s,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,McCormick,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
IN,Marion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,Merrimack,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,7,2,Completed,07/13/2018 13:55,HMO/HMOPOS
PA,Clearfield,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Greene,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
LA,Plaquemines,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Richmond City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Clinton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Logan,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Moniteau,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Barry,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Armstrong,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Sarasota,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,40,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Loiza,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,Yauco,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Hillsborough,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Somerset,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,Riverside,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
OK,Jackson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Chase,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KY,Johnson,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Wallace,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
VA,Prince George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Cumberland,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Okmulgee,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
GA,Fannin,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Sherburne,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Watonwan,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
MN,Stearns,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
IA,Osceola,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Dallas,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
IN,Shelby,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Steuben,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
VA,Waynesboro City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,McDonald,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Washington,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Taney,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NJ,Warren,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Middlesex,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,39,0,Completed,07/26/2018 11:48,Local PPO
ID,Ada,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,32,0,Completed,07/26/2018 11:48,Local PPO
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
MN,Itasca,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
ND,Stutsman,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
PA,Philadelphia,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,1,0,Completed,07/16/2018 13:15,Local PPO
GA,Pickens,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Monongalia,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Newton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
OK,Sequoyah,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
TX,Collin,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Logan,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Dougherty,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Talbot,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Heard,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Charles,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Franklin,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Hardin,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Francois,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,Spartanburg,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IN,Vigo,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
GA,Troup,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
AR,Newton,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
TX,Gray,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
MI,Barry,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NH,Coos,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
IL,Ogle,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
IA,Buchanan,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
IA,Jones,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Genesee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Dutchess,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Washington,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Montgomery,Humana Inc.,Humana Gold Plus H0028-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,42,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cheatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus H1036-062C (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,62,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Dade,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Hamilton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Bartholomew,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Monroe,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,St. Joseph,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
NJ,Morris,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Stoddard,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,McPherson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Clay,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Randolph,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,3,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York PlanWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,8,0,Completed,07/27/2018 16:18,HMO/HMOPOS
WV,Barbour,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
AL,Talladega,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
PR,Arecibo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,2,Completed,07/20/2018 11:11,HMO/HMOPOS
MT,Deer Lodge,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
GA,Bacon,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,DeKalb,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
NY,Putnam,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Marion,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
MI,Genesee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
PA,Monroe,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/13/2018 10:20,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Seneca,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
AR,Pike,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Coweta,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
KY,Fayette,Humana Inc.,HumanaChoice H5216-187 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,187,0,Completed,07/24/2018 13:42,Local PPO
SD,Lincoln,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
GA,Rockdale,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
KY,Whitley,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
GA,Burke,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
AR,Polk,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
IN,Gibson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
GA,Crisp,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Otter Tail,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Williamsburg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Garland,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
OH,Columbiana,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Maricao,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
WA,Lewis,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IA,Jackson,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
WV,Wyoming,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
AR,Newton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Newport News City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Warren,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
VA,Suffolk City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
TX,Hunt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Durham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,DeKalb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Jefferson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Walker,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
ID,Ada,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,31,0,Completed,07/26/2018 11:48,Local PPO
SD,Brule,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Davison,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
KY,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cumberland,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Collier,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Prairie,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MI,Wayne,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
FL,Clay,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
NY,Bronx,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,121,0,Completed,07/17/2018 11:44,Local PPO
NC,Anson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Franklin,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
MA,Plymouth,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
VA,Campbell,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
AR,Fulton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Murray,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
CO,Adams,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MN,Redwood,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Madison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SC,Dorchester,Humana Inc.,HumanaChoice H5216-153 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,153,0,Completed,07/24/2018 13:42,Local PPO
IA,Kossuth,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
AR,Pike,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
OH,Noble,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Wake,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
KY,Johnson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Raleigh,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Mercer,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Larimer,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,136,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Scott,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Geauga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Columbiana,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
MN,Blue Earth,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
SD,Clay,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
ND,Stutsman,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TX,Hill,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Sutton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Armstrong,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Buncombe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Warren,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Snyder,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,5,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Standard Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,15,0,Completed,06/22/2018 9:28,HMO/HMOPOS
KY,Caldwell,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Gallia,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Clinton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Jefferson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Decatur,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Medina,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Knox,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,39,0,Completed,07/26/2018 11:48,Local PPO
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
MD,Talbot,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
PR,Arroyo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Schuyler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Harrison,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
AL,Chambers,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,224,0,Completed,07/17/2018 11:44,Local PPO
GA,Emanuel,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,115,0,Completed,07/17/2018 11:44,Local PPO
VA,Fairfax City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
NV,Lyon,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5945,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
VA,Bedford,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
MN,Blue Earth,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
SC,Spartanburg,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
AL,Autauga,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
AR,Conway,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
ME,Kennebec,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
WI,Jefferson,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
MN,Le Sueur,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
TX,Jones,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
SC,Georgetown,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Anasco,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Fajardo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PR,San Sebastian,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Benton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,King William,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Linn,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Kane,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6080,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
OR,Washington,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
PR,Dorado,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Luquillo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WV,Nicholas,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
ME,Waldo,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,Rockingham,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
NH,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,24,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Huntingdon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Rio Arriba,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Greene,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Marion,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Tammany,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Jefferson,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Hillsborough,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Cortland,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Kenton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,San Sebastian,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Catano,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
CA,Riverside,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,15,0,Completed,07/26/2018 15:08,HMO/HMOPOS
MO,Butler,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Pickett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henderson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Comal,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,La Salle,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Newton,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,Rutherford,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
VA,Lynchburg City,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
GA,Burke,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
TN,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Iberville,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
FL,Pasco,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,265,1,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
IN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Hendricks,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,67,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Page,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Wayne,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Salem,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Hernando,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Miami-Dade,"Athena Healthcare Holdings, LLC",SOLIS SPF 001 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,1,0,Completed,07/20/2018 18:11,HMO/HMOPOS
CA,Stanislaus,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
TN,Marshall,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
NY,Monroe,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Albany,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
MI,Genesee,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,McIntosh,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Hancock,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
WA,Cowlitz,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
IA,Pottawattamie,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WI,Menominee,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
SC,Lexington,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Morgan,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
OH,Lucas,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
SC,Beaufort,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
AR,Clark,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
TX,Falls,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Ector,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OH,Tuscarawas,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
MN,Jackson,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
AR,Polk,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
IL,Macoupin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
SD,Brookings,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
PA,Beaver,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Wilson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Gibson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Santa Clara,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,180,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Henry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Breckinridge,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
OH,Wayne,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,8,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Allegheny,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,8,Completed,06/22/2018 9:28,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henry,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Obion,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Lafayette,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
AL,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Cayuga,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Montgomery,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Saratoga,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,Wake,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,168,0,Completed,07/17/2018 11:44,Local PPO
OH,Pickaway,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
FL,Seminole,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
GA,Elbert,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
MI,Macomb,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IA,Tama,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IN,Lagrange,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Vigo,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,57,0,Completed,07/24/2018 13:42,Local PPO
OR,Multnomah,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
GA,Cobb,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Elbert,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
OH,Columbiana,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
WV,Roane,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
GA,Ben Hill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,1,Completed,07/20/2018 13:43,HMO/HMOPOS
TN,Chester,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
TN,Meigs,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
GA,Columbia,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Spalding,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
UT,Utah,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,Jefferson,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
IA,Iowa,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Kandiyohi,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
PR,Coamo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
TX,Orange,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,McDowell,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Waukesha,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Greene,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
LA,Avoyelles,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
KS,Kingman,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
GA,Toombs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,George,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
KS,Wyandotte,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Kleberg,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
ID,Canyon,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1969,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
MN,Winona,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Glascock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Richmond,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Baxter,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,Caddo,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Iberia,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CO,Adams,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,Attala,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,151,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,8,0,Completed,07/16/2018 13:15,HMO/HMOPOS
AL,Franklin,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Platte,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Hickory,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Volusia,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",WellCare Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Sumner,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Madison,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Dane,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
GA,McIntosh,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
OK,Craig,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Accomack,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
MN,Morrison,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Jasper,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Upshur,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
IN,Knox,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OH,Allen,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
GA,Polk,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
LA,Beauregard,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
NJ,Morris,Humana Inc.,HumanaChoice H5216-174 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,174,0,Completed,07/24/2018 13:42,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
SC,Clarendon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Sumter,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
TX,Austin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
CT,Middlesex,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
NY,Seneca,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
TN,Cannon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
NV,Douglas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,201,0,Completed,07/17/2018 11:44,Local PPO
MI,Grand Traverse,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
TX,Tom Green,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MI,Gratiot,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Colleton,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
ND,Slope,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
TN,Rutherford,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Seminole,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Washington,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SC,Berkeley,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
KY,Hancock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Door,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
PA,Adams,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Talladega,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Wirt,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Cortland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New Haven,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
GA,Clayton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Cross,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Russell,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
SD,Yankton,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
CA,Yolo,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Union,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,12,0,Completed,07/20/2018 11:11,Local PPO
IN,Warren,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
NM,Luna,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
SD,Miner,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Bennett,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Broadwater,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MT,Silver Bow,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Douglas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Guaynabo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Falls Church City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Boone,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Washington,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
PA,Cambria,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Mercer,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NE,Dodge,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Boyd,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
GA,Cherokee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Hubbard,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Wabasha,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
FL,Hillsborough,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
MO,Stone,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Jefferson,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,236,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Rowan,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Obion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MD,Garrett,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Plus H1036-266 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,266,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Montgomery,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,2,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Tipton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
AL,Baldwin,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,St. Johns,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,McPherson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
SC,Abbeville,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MA,Suffolk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
WI,Sawyer,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MA,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Fayette,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Montgomery,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Caroline,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Delaware,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Talbot,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Mississippi,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Williamsburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Howard,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Switzerland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jasper,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Newton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Clay,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
PA,Beaver,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,17,0,Completed,07/24/2018 13:42,Local PPO
KY,Knox,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
PA,Cumberland,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Mercer,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Weakley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Jackson,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Warren,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Grant,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Jo Daviess,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
WV,Monongalia,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,McDowell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Mercer,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
VA,Roanoke City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Beaver,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
PA,Clearfield,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
VA,Scott,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
GA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Mills,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Caldwell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hardeman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,82,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marquette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
IL,Bond,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
SD,Campbell,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
PR,San Juan,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Kane,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,5,0,Completed,07/26/2018 11:48,Local PPO
KY,Clinton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Rewards Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,14,0,Completed,07/18/2018 14:47,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,6,0,Completed,07/20/2018 11:11,Local PPO
PA,Mifflin,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,13,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,13,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H8133,9,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Brown,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
FL,Calhoun,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,1,Completed,07/26/2018 15:53,HMO/HMOPOS
IA,Adair,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
PA,York,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
KS,Crawford,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Muskegon,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
PR,Sabana Grande,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Brooke,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
TN,McMinn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Manassas Park City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Otsego,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Houston,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Ashland,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Dade,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,16,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Cumberland,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Madison,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
PA,Sullivan,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,18,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TN,Hancock,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Shiawassee,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Roscommon,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
WA,Skagit,Premera,Premera Blue Cross Medicare Advantage Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,6,0,Completed,07/17/2018 16:12,HMO/HMOPOS
MN,Freeborn,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MN,Waseca,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
KS,Cherokee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AL,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Lagrange,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
OR,Curry,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
OR,Polk,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
NY,Oneida,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Shelby,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
OH,Wood,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
NY,Monroe,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
PA,Berks,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
NV,Washoe,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,130,0,Completed,07/17/2018 11:44,Local PPO
VA,Prince William,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Washington,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Columbiana,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
VA,Prince George,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,Radford City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Decatur,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
OH,Licking,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
CO,Montezuma,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
GA,Talbot,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WI,Calumet,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
WV,Roane,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MN,Lac qui Parle,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
CO,Arapahoe,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MO,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Kosciusko,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Auglaize,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Lycoming,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Trimble,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Monroe,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Cumberland,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
TX,Bastrop,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Monmouth,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Seminole,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OK,Atoka,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
SC,Lee,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
IN,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
NE,Cedar,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TX,El Paso,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TN,DeKalb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,San Bernardino,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
AL,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Brown,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Cochran,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Henrico,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
FL,Miami-Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
TX,Harris,Imperial Health Plan of California,Imperial Insurance Company of Texas Value HMO SNP (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Perkins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PA,Centre,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Rockwall,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
NV,Clark,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,22,0,Completed,07/17/2018 11:44,Local PPO
GA,Franklin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Bryan,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Pike,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
TX,Collin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Tift,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Belmont,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
OH,Jefferson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TX,Medina,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
NY,Seneca,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Mercer,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
AR,Union,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SC,Anderson,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MO,Ray,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MS,Panola,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
VA,Stafford,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
IA,Decatur,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
AL,Lowndes,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
WV,Logan,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Tippecanoe,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Anderson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Warren,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Webb,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Hot Spring,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
SC,Lexington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SD,Hyde,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
PA,Montgomery,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,9,0,Completed,07/16/2018 13:15,Local PPO
NH,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
VT,Caledonia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
PA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Decatur,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Cullman,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
OH,Defiance,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Loudon,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Lee,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Scott,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Prince William,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Guadalupe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Valley,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,17,Completed,07/27/2018 9:47,Local PPO
TX,Live Oak,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Grant,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Oktibbeha,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Ciales,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Montgomery,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sumner,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Hancock,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
TN,Marshall,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
WV,Mineral,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Coos,PacificSource Health Plans,PacificSource Medicare Explorer Rx 7 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,7,0,Completed,07/06/2018 16:48,Local PPO
PA,Northampton,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
SC,Spartanburg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Darlington,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Gloucester,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Williamsburg City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Wasco,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Grant,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Fentress,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
OK,Cleveland,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Decatur,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Macon,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
FL,Suwannee,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
SC,Saluda,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
WV,Ohio,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Wayne,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
KY,Hardin,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
AR,Yell,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
WV,Brooke,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
NM,Valencia,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SD,Jerauld,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
VT,Orleans,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
VT,Lamoille,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Elmore,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Okaloosa,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Fleming,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Mingo,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Walker,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
OR,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Franklin,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,16,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Pottawatomie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Shawnee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
HI,Honolulu,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,San Sebastian,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guayanilla,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Knox,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,Bates,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Pope,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Perquimans,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
OH,Paulding,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Miami,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Clinton,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
TX,Brazoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Pinal,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,34,0,Completed,07/24/2018 13:42,Local PPO
GA,Hancock,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Heard,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MS,Tishomingo,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
AL,Shelby,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
SC,Lancaster,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OH,Hamilton,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
GA,Morgan,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Hidalgo,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Taylor,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IL,Jasper,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
IL,Macoupin,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",Preferred Special Care Miami-Dade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pasco,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Bath,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Marshall,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
MA,Plymouth,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,122,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Calhoun,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Mackinac,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OK,Murray,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Ogle,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
TX,Walker,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
FL,Charlotte,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,27,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Macon,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Gove,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Kiowa,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
NY,Rensselaer,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Mahoning,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
TX,Falls,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Columbia,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5859,1,0,Completed,07/23/2018 20:16,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
CO,Adams,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Heard,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
TX,Hill,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,42,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,San Bernardino,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Inland Empire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Champaign,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Jerome,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,4,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,Orange,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,28,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,45,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WI,Waushara,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
SC,Charleston,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
PA,Venango,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
SC,Union,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,99,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
OH,Miami,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Pittsylvania,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Marathon,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juncos,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Delaware,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Wood,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Uintah,Aetna Inc.,Aetna Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,8,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,18,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Victoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Nassau,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,19,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Patrick,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Wayne,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Whitley,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Pike,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Will,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,106,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,19,1,Completed,07/13/2018 13:32,HMO/HMOPOS
VA,Chesapeake City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AL,Autauga,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
GA,Hart,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
PA,Butler,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
PA,Warren,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
PA,Cambria,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
VA,Montgomery,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,2,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Lancaster,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Allen,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Roanoke,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
SC,Greenville,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Pulaski,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,6,Completed,07/16/2018 15:07,PFFS
AL,Cleburne,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Baldwin,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Morrison,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
LA,West Feliciana,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Forsyth,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,5,0,Completed,06/25/2018 20:32,Local PPO
FL,Sarasota,Humana Inc.,Humana Gold Plus SNP-DE H1036-261 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,261,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Okeechobee,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,229,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,Madison,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Salem City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,54,0,Completed,07/16/2018 13:15,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
OR,Jackson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,4,0,Completed,07/17/2018 11:44,Local PPO
CA,Riverside,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,153,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Fulton,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Seminole,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
VA,Norton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Bradley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Oneida,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
MO,St. Louis City,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Laclede,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Tyler,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Scott,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Brooke,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Delaware,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
MN,Otter Tail,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Pennington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
KS,Harvey,Humana Inc.,Humana Gold Plus H0028-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Sedgwick,Humana Inc.,Humana Gold Plus H0028-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Grant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Mateo,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,7,0,Completed,07/18/2018 17:46,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
MO,Ray,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,York,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Adams,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Tioga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NY,Washington,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
TN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Las Piedras,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Lake,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AL,Montgomery,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
SC,Richland,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Potter,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Hettinger,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
SD,Bennett,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hood,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Rutherford,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cocke,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KY,Campbell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Grundy,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lawrence,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Anderson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wilson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
AL,Talladega,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Tompkins,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Ralls,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
GA,Rockdale,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
AR,Calhoun,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Toa Alta,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Oklahoma,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
AR,Grant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Houston,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Haywood,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Comal,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Maricao,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Presidio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
PA,Perry,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
ME,Sagadahoc,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,142,0,Completed,07/17/2018 11:44,Local PPO
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OK,Tulsa,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
IL,St. Clair,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
TN,DeKalb,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MN,Pipestone,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Summit,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
OR,Malheur,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
OK,Ottawa,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,McDuffie,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Delaware,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
FL,Orange,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SC,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Union,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
IN,Vigo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
ND,Traill,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
AL,Walker,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Bibb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Clinton,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
NY,Queens,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Hunt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Yancey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Harris,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Hoke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,6,Completed,06/22/2018 9:28,HMO/HMOPOS
NC,Ashe,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
MS,Attala,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Noble,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
TN,Dickson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Tuscarawas,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
GA,Glascock,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,Hardin,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Carlton,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Raleigh,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
IN,Marion,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Fayette,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
OH,Lorain,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
WI,Lafayette,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
OK,Nowata,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
WV,Raleigh,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
WI,Racine,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,35,0,Completed,07/26/2018 11:48,Local PPO
NY,Schuyler,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WY,Natrona,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CO,Jefferson,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
TX,Willacy,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
PA,Northampton,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
GA,Bibb,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NY,Delaware,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PA,Forest,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
PR,Juana Diaz,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MO,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Fayette,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Fairfax City,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,Ventura,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,63,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Clarion,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MO,Platte,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Orange,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Blue Shield Promise TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,601,0,301,H5928,1,0,Completed,07/25/2018 12:48,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MO,Madison,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
TN,DeKalb,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Carter,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
OH,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NC,Burke,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
TX,El Paso,Imperial Health Plan of California,Imperial Insurance Company of Texas Dual (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,4,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NY,Fulton,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CO,Denver,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
SC,Fairfield,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,251,0,Completed,07/17/2018 11:44,Local PPO
TX,Liberty,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
ME,Lincoln,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
GA,Fayette,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
WV,Wood,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
KS,Cherokee,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MI,Emmet,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Henry,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
PA,Lebanon,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
IN,Jefferson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
IL,Kankakee,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
VA,Radford City,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
NY,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Gurabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
GA,Taylor,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
VA,Arlington,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
OH,Trumbull,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Barrow,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
NJ,Cumberland,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
VA,Manassas Park City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Tulsa,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Warren,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
AL,Houston,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,96,0,Completed,07/24/2018 13:42,Local PPO
NC,Union,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
SD,Meade,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
CO,El Paso,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
IL,Lake,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
GA,Jefferson,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Collin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Comal,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
WV,Doddridge,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
GA,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,11,0,Completed,07/24/2018 10:50,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Camuy,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
KY,Henderson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,7,Completed,07/16/2018 9:33,HMO/HMOPOS
VA,Middlesex,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Cook,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/24/2018 13:42,Medicare-Medicaid Plan HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
MI,Menominee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IA,Adair,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
MI,Wexford,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
OH,Crawford,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Smith,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Angelina,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",Preferred Choice Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Holmes,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Brown,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
MN,Wilkin,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WA,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Kings,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Scott,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
IA,Bremer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Douglas,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,1,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Bingham,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
AR,Stone,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Franklin City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Nottoway,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
VA,Loudoun,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Union,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,189,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Terrebonne,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
PR,Hatillo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
ME,Oxford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Bronx,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arroyo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Washington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cocke,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Arroyo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IA,Crawford,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Rowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,West Baton Rouge,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
CA,Stanislaus,Humana Inc.,Humana Gold Plus H5619-032 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Johnson,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Pulaski,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,Kent,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
VA,Russell,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Halifax,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
ME,Sagadahoc,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
SC,Beaufort,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Grand,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Wabash,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
AL,Henry,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IL,Tazewell,Aetna Inc.,Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Erie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Toa Alta,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Utuado,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
NY,New York,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,11,0,Completed,07/27/2018 16:18,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MI,Schoolcraft,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
NM,Hidalgo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,42,0,Completed,07/26/2018 11:48,Local PPO
FL,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
IA,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
MI,Gladwin,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MI,Osceola,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
GA,DeKalb,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Butler,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Benton,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
TN,Grundy,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Shelby,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Hardin,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
TN,Greene,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Hanover,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
GA,Barrow,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Cass,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MS,Lauderdale,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
PR,Humacao,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SC,Aiken,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
KY,Bath,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Westchester,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Madison,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
KY,Clark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Callaway,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Newton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Clay,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
PA,Centre,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,13,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CO,Pueblo,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
OH,Ross,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IN,Hendricks,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Medina,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IN,Grant,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
CA,Yolo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,146,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
PA,Berks,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,47,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Ozark,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
PA,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
CO,Broomfield,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
VA,Nottoway,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MI,St. Clair,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
OH,Ashland,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MO,Warren,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,Rice,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Dearborn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Forest,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Lycoming,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
AZ,Pima,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Stephenson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Phillips,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,San German,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Arecibo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Villalba,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Benton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Orange,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,Callaway,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MO,St. Charles,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
PA,Clinton,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
TN,Knox,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,4,0,Completed,06/15/2018 10:34,1876 Cost
NY,Orange,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Brewster,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CO,Arapahoe,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
AL,Talladega,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
AL,Coffee,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MD,Baltimore City,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,22,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Cumberland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Roanoke City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NC,Orange,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Greene,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Lee,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Jones,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Bexar,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Crockett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Tammany,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Wake,Humana Inc.,Humana Gold Plus H1036-233 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,233,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Delaware,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
NY,Yates,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Herkimer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,La Salle,Aetna Inc.,Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
GA,Columbia,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Meade,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
SC,Fairfield,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
MA,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
ND,Ramsey,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TN,Sumner,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Anderson,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Moore,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Jackson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,2,0,Completed,06/15/2018 10:34,1876 Cost
PR,Humacao,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WI,Brown,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
ND,Divide,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Naranjito,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Barranquitas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Seminole,Guidewell Mutual Holding Corporation,FHCP Medicare Premier Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,11,0,Completed,07/25/2018 8:35,HMO/HMOPOS
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Warren,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,2,Completed,07/12/2018 18:43,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Tioga,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
AL,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Benton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Will,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Hunt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Gordon,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Saline,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Washington,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MD,Garrett,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,129,0,Completed,07/24/2018 13:42,Local PPO
MN,Sibley,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Delta,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
VA,Buchanan,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
IA,Union,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
DE,Sussex,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,28,0,Completed,07/24/2018 13:42,Local PPO
MN,Rice,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
PR,Juana Diaz,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Tuscaloosa,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,216,0,Completed,07/17/2018 11:44,Local PPO
IN,Daviess,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,211,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Schley,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
TN,Carroll,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
IL,Madison,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
SC,Fairfield,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
WI,Grant,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
GA,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PR,Dorado,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Gurabo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AZ,Maricopa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Hot Spring,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Williamson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Putnam,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Warren,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Rio Grande,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Daviess,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
GA,Turner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
FL,Sumter,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
MI,Kalamazoo,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
OH,Lake,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
CO,Montrose,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,2,Completed,07/24/2018 13:42,Local PPO
GA,Columbia,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Redwood,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
CO,Gilpin,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MS,Lowndes,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Pendleton,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Monroe,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Woodbury,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Codington,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WV,McDowell,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
OH,Medina,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
TX,Fort Bend,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
MN,Kandiyohi,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NH,Strafford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
WV,Clay,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Morovis,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MO,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,McLeod,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
TN,Rutherford,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,1,0,Completed,07/20/2018 15:07,Local PPO
KY,Boone,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Sussex,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Gurabo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,San Joaquin,"Vitality Health Plans, Inc.",Vitality Choice (HMO),Y,N,N,Y,N,,,601,601,301,301,H1426,1,0,Completed,06/25/2018 4:30,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
LA,Jefferson Davis,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Monroe,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NJ,Morris,Humana Inc.,HumanaChoice H5216-170 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,170,0,Completed,07/24/2018 13:42,Local PPO
MN,Lincoln,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Logan,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
MS,Clarke,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
FL,Calhoun,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Lucas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Monongalia,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MS,Attala,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
AR,Clark,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Carroll,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
WV,Webster,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Henderson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
FL,Seminole,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,10,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Bayamon,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IL,Jo Daviess,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
PA,Fayette,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
FL,Lake,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Louisa,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
PA,Northampton,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Butler,Humana Inc.,Humana Gold Plus H6622-054 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,New Castle,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,10,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Stark,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Gold Plus SNP-CLD H6622-030 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Fayette,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
PA,Crawford,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Somerset,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
MI,Barry,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,Geauga,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,22,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Hopewell City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Lincoln,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Stoddard,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
MS,Tate,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,218,0,Completed,07/17/2018 11:44,Local PPO
TX,Waller,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
OH,Brown,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Jefferson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Callaway,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Harrison,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Benton,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AL,Marshall,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
VA,Norton City,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-187 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,187,0,Completed,07/24/2018 13:42,Local PPO
PA,McKean,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
KY,Magoffin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
HI,Honolulu,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Ottawa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Nassau,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MD,Montgomery,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,97,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Seneca,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Lake,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
TN,Loudon,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Floyd,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Ionia,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
SC,Spartanburg,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
TX,Midland,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
AL,Walker,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Columbia,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
NY,Lewis,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Racine,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
MN,Washington,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Lincoln,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Rawlins,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
VA,Campbell,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
NH,Rockingham,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Fairfield,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AR,Scott,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Weld,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Polk,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Humphreys,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Dickenson,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Ripley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
FL,Osceola,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,22,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Oneida,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
MO,Christian,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Christian,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
CA,Los Angeles,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,4,0,Completed,07/27/2018 13:58,HMO/HMOPOS
VA,Lynchburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Scott,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,2,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Cayuga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Greene,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
FL,Collier,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
OH,Franklin,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IN,Harrison,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
PA,Centre,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
SD,Davison,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
PR,San Lorenzo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
DE,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Conway,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Casey,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Washington,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
PA,Schuylkill,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
IL,McLean,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Van Wert,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
AL,Bullock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cannon,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Williamson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Cayey,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Coamo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
SC,Jasper,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
IN,Vanderburgh,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
UT,Salt Lake,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2486,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Chesterfield,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Champaign,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Juana Diaz,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
TX,Dallas,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Lincoln,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Levy,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,189,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Chelan,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Fulton,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,St. Clair,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Calcasieu,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,1,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Helena,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Paulding,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
PA,Columbia,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
AR,Baxter,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Floyd,Humana Inc.,Humana Gold Plus SNP-DE H5619-076 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,76,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Clinton,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Huntington,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Tillman,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
MS,Jones,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Jackson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TX,Bandera,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Wright,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Lafourche,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Columbia,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IN,Dubois,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Wheeler,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,164,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
LA,West Carroll,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
WV,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
AL,Autauga,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Jefferson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Dane,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Delaware,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Garrard,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Meade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,1,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Delaware,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Brevard,"Health First, Inc.",Health First Secure Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,9,0,Completed,07/18/2018 14:47,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MI,Muskegon,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
IN,Union,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Taylor,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
VA,Petersburg City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Presque Isle,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
TX,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Connected (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7833,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,6,0,Completed,07/20/2018 11:11,Local PPO
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,17,Completed,07/27/2018 9:47,Local PPO
PA,Northampton,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,15,Completed,07/27/2018 9:47,Local PPO
PA,Jefferson,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
SD,Walworth,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Clarion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Frederick,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Prentiss,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Dallas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Clarke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Buena Vista City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Portsmouth City,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Arapahoe,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Lee,Humana Inc.,HumanaChoice H5525-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,32,0,Completed,07/24/2018 13:42,Local PPO
PA,Lehigh,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TX,Lamb,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Knox,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Sully,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Wilkinson,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Wilson,CIGNA,Cigna-HealthSpring Alliance Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,42,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Tyler,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Jefferson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Marshall,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Los Angeles,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,17,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,White,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Jasper,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
AL,Tallapoosa,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
VA,Richmond City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
GA,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Gladwin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
WA,Clark,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,244,0,Completed,07/17/2018 11:44,Local PPO
SC,Edgefield,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,252,0,Completed,07/17/2018 11:44,Local PPO
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Taylor,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NV,Clark,Humana Inc.,HumanaChoice H5216-141 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,141,0,Completed,07/24/2018 13:42,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MO,Platte,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
LA,Evangeline,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,135,0,Completed,07/24/2018 13:42,Local PPO
NM,Sandoval,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
TN,Decatur,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
MO,Lincoln,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
DE,New Castle,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,127,0,Completed,07/24/2018 13:42,Local PPO
IN,Elkhart,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
PA,Lackawanna,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
PA,McKean,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AR,Union,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
GA,Liberty,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Rusk,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
TX,Comanche,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,1,Completed,07/20/2018 13:43,HMO/HMOPOS
TN,Shelby,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Kings,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Berks,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Warren,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
GA,Catoosa,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
FL,Brevard,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,62,0,Completed,07/24/2018 13:42,Local PPO
GA,Bryan,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
PA,Lackawanna,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Wetzel,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NM,Taos,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
AR,Montgomery,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Hudspeth,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
WV,Mineral,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
AR,Poinsett,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
SC,Williamsburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
NC,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Rincon,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Saline,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Nemaha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Coweta,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
FL,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Clinton,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
MO,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Clinton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lackawanna,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Stevens,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
PA,Jefferson,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PR,Orocovis,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Searcy,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
IN,Hamilton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Greene,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NJ,Gloucester,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Somerset,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NH,Grafton,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,Stanislaus,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,182,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Montgomery,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NC,Davie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
AL,Crenshaw,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NY,Richmond,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NJ,Mercer,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Kennebec,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
OK,Bryan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Ionia,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MO,Pemiscot,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
WV,Monroe,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MO,Pemiscot,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MT,Lincoln,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
SD,Turner,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
KY,Anderson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
AL,Barbour,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cheatham,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Nassau,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Sullivan,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Richmond,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
OR,Yamhill,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
IA,Worth,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
TX,Travis,Imperial Health Plan of California,Imperial Insurance Company of Texas Dual (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,4,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NY,Fulton,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Gregg,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
GA,Upson,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
GA,Terrell,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NC,Haywood,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
MI,Midland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
LA,St. Landry,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,234,0,Completed,07/17/2018 11:44,Local PPO
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OK,Noble,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
AR,Polk,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Lake,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
SD,Sanborn,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Lowndes,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WV,Fayette,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IN,Wells,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
CO,Chaffee,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
TX,Rockwall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
IA,Ringgold,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Toa Baja,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KS,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
IN,Vanderburgh,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,211,0,Completed,07/17/2018 11:44,Local PPO
GA,Gwinnett,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Licking,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
NC,Halifax,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,243,0,Completed,07/17/2018 11:44,Local PPO
PR,Guanica,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
IA,Lyon,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Delaware,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Winneshiek,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SD,Union,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Erie,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
AR,St. Francis,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
MO,Christian,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
NE,Douglas,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
VA,Roanoke City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
FL,Bay,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
WV,Berkeley,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Falls Church City,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,Union,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PA,Fulton,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
ID,Ada,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
NV,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Galax City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Franklin City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Dallas,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Falls Church City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Graham,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
WV,Mercer,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
AR,Johnson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
FL,Holmes,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,12,0,Completed,07/26/2018 11:48,Local PPO
KY,Casey,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
OH,Allen,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,McKean,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
SC,Anderson,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
WA,Snohomish,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,2,0,Completed,07/17/2018 16:12,HMO/HMOPOS
FL,Okeechobee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MS,Monroe,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
OK,Mayes,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,Miller,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Wilcox,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
OR,Deschutes,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Simplete 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,25,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NC,Transylvania,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Marshall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Boone,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Steuben,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
MN,Waseca,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Spalding,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
NY,Onondaga,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,6,Completed,07/19/2018 14:35,Local PPO
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
GA,Harris,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Craig,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Bexar,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,4,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Franklin,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
TN,Stewart,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Toa Alta,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Jasper,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
FL,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,14,0,Completed,07/26/2018 11:48,Local PPO
NC,Yadkin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Webster,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Mifflin,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
PA,Jefferson,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Elite Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,25,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Beaufort,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Assumption,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
TX,Rains,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Wilson,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Sumter,Humana Inc.,Humana Gold Plus H1036-277 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,277,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Douglas,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
WI,La Crosse,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Warren,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
MA,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Somerset,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Orocovis,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OH,Lorain,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
VA,Tazewell,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Wayne,The Carle Foundation,Reid Health Alliance Medicare POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,22,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Chesapeake City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Williams,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
TN,Greene,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
TX,Bexar,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wilson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bledsoe,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Maury,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
MA,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
KS,Neosho,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,St. Mary,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
IN,Clay,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/13/2018 10:20,HMO/HMOPOS
NY,Montgomery,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
CO,Arapahoe,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
FL,Palm Beach,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,68,0,Completed,07/24/2018 13:42,Local PPO
IA,Grundy,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,Camden,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
MO,Ray,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
CO,Jefferson,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
TX,Medina,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
AR,Randolph,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
KY,Marion,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
IN,Clay,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Clay,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
TX,Kenedy,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Zavala,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
OH,Hancock,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
SD,Gregory,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
LA,East Carroll,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Decatur,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Champaign,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
VA,Stafford,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,DeKalb,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Cameron,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,St. Joseph,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Charlevoix,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalkaska,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Montcalm,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
CO,Fremont,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
MO,Benton,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MO,Montgomery,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
MI,Monroe,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
NC,Swain,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,17,Completed,07/27/2018 9:47,Local PPO
PA,Schuylkill,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
MN,Lake,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MN,Stearns,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Lea,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
AR,Jefferson,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,2,Completed,07/16/2018 15:07,HMO/HMOPOS
NC,Union,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Bell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Sanborn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Oglala Lakota,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Isabela,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Bartholomew,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Johnson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WA,Thurston,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
MI,Clinton,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Butler,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
KY,Jackson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
GA,Monroe,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
GA,Toombs,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
SC,Chester,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MN,Winona,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
NE,Douglas,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,Valencia,Humana Inc.,Humana Gold Plus H0028-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,DeSoto,Humana Inc.,Humana Gold Plus H1036-223 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,223,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
PA,Lycoming,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Allegany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
NC,Wake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Columbiana,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Vance,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,61,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Madison,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,Jackson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Cobb,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Bledsoe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henderson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
FL,Citrus,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
NC,Harnett,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NY,Ulster,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Daviess,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Bladen,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Terrell,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MS,Smith,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
MI,Jackson,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Oceana,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Decatur,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
VA,Southampton,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Washington,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
KY,McCracken,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
SC,Jasper,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
CO,Boulder,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Rapides,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Grant,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MD,Baltimore,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Marion,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Saratoga,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Bronx,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Lewis,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NY,Albany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
IA,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Boone,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Barry,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Charlotte,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Dade,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Warren,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
GA,Cobb,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
SD,Meade,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
SD,Dewey,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
AL,Marshall,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Crockett,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Dallas,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Unicoi,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Carroll,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Van Buren,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Tom Green,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
SC,Dorchester,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,247,0,Completed,07/17/2018 11:44,Local PPO
TN,Madison,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
SC,Chester,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MO,McDonald,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Campbell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Whitley,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,3,Completed,07/19/2018 7:40,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,Juana Diaz,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Seminole,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,DeKalb,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Bibb,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MA,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Orange,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Gooding,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,4,0,Completed,07/19/2018 19:35,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
VA,Henrico,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Ravalli,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Anasco,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guanica,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NY,Suffolk,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
WV,Ritchie,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Wright,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,St. Louis,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NE,Saunders,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
GA,Fulton,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Avery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Howell,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,New Hanover,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Adams,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
VA,Portsmouth City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Stearns,Medica Holding Company,Medica Advantage Solution H6154-002 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MD,Talbot,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
GA,Bibb,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Grayson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Bonner,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,4,0,Completed,07/13/2018 13:55,Local PPO
NY,Delaware,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,2,Completed,07/20/2018 11:11,Local PPO
NM,Bernalillo,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2134,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sumner,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
OH,Guernsey,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Chambers,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
MD,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
PR,Arroyo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
IN,Hendricks,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
PA,Bedford,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
NV,Carson City,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,130,0,Completed,07/17/2018 11:44,Local PPO
IN,St. Joseph,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,226,0,Completed,07/17/2018 11:44,Local PPO
GA,Bartow,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Stephens,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Henry,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
PA,York,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Tyler,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
WA,Pierce,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IA,Boone,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Hamilton,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MO,Polk,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
PA,Washington,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
IN,Grant,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
KY,Edmonson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
NV,Nye,Humana Inc.,HumanaChoice H5216-036 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,36,0,Completed,07/24/2018 13:42,Local PPO
WV,Harrison,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Kanawha,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Florence,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
AR,Nevada,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Comal,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
OH,Greene,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clermont,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cabo Rojo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San German,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Sebastian,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Franklin,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
KS,Sumner,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
NC,McDowell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
KY,Simpson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,Humana Inc.,HumanaChoice H5216-168 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,168,0,Completed,07/24/2018 13:42,Local PPO
AR,Grant,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
FL,Polk,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,22,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
IN,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Bedford,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Forest,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Deaf Smith,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Boyd,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
TN,Bradley,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Clinton,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Stephens,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,Thurston,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,2,0,Completed,07/17/2018 16:12,HMO/HMOPOS
NC,Richmond,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
OK,Pottawatomie,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Hardy,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MO,Taney,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OK,Oklahoma,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Montgomery,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Rock Island,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,Muskegon,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Brown,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Traverse,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
MN,Anoka,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
MN,Ramsey,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
NY,Erie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Mobile,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
CA,Stanislaus,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,6,0,Completed,07/26/2018 15:08,HMO/HMOPOS
GA,Twiggs,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Wood,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
MS,Lauderdale,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MI,Isabella,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
KS,Miami,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
TX,Bexar,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Gwinnett,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
FL,Palm Beach,InnovaCare Inc.,MMM - ELITE (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,2,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,17,0,Completed,07/13/2018 13:32,HMO/HMOPOS
CT,Windham,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Wharton,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
KY,Grayson,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
CO,Delta,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
CO,Larimer,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Fulton,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
VA,Bland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Lawrence,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hancock,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,7,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Sullivan,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Fairfield,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Culpeper,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Fredericksburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IA,Cherokee,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IL,Grundy,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,Schuyler,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Clark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Union,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Tripp,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Guilford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Union,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KY,Marshall,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NC,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
GA,Butts,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
SD,Butte,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Price,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Morgan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Noble,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lorain,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
TN,McMinn,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Grainger,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Patrick,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WV,Barbour,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IL,Crawford,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
TX,Upton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Meade,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Wyoming,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Scott,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Focus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,168,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Simpson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Shelby,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Potter,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
TN,Fentress,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lauderdale,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Cooke,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,St. Louis,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
PR,Arroyo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OK,Latimer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VA,Staunton City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Rooks,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Cumberland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
VA,Gloucester,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
DE,Kent,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,262,0,Completed,07/17/2018 11:44,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Alliance Assisted Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,20,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Centre,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Oswego,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
TX,McLennan,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Andrews,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,3,0,Completed,07/26/2018 11:48,Local PPO
TN,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,5,0,Completed,07/25/2018 15:07,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
SD,McCook,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WV,Pocahontas,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MO,Dent,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KY,Martin,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
AL,Marion,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,San Jacinto,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hamilton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Robertson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Kleberg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Indian River,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
CO,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
IA,Humboldt,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Aguada,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Valley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Perkins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
WY,Natrona,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VA,Colonial Heights City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Monmouth,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,29,0,Completed,07/24/2018 12:52,HMO/HMOPOS
LA,St. Martin,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Evans,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
GA,McDuffie,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MN,Le Sueur,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
GA,Muscogee,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Tucker,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
WV,Hancock,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
AL,Lawrence,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Decatur,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Jackson,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Gibson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lewis,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wilson,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Rockland,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Coos,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,35,0,Completed,07/26/2018 11:48,Local PPO
PR,Las Piedras,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Bourbon,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
SC,Lexington,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,245,0,Completed,07/17/2018 11:44,Local PPO
TX,Liberty,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
LA,Jefferson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
LA,Lafayette,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
AL,Lauderdale,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
ME,Oxford,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Adams,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Hancock,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Owen,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
TX,Bandera,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
WI,Vilas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
WI,Menominee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MN,Cook,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
SD,Day,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TX,Kendall,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
ID,Ada,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,2,0,Completed,07/26/2018 11:48,Local PPO
IN,Elkhart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
PA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hickman,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Polk,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Carter,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Iron,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Calloway,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
AR,Scott,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
AR,Franklin,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
IL,Stephenson,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Monroe,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Williams,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
AL,Lauderdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bedford,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Blount,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
NH,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
PR,Rincon,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Live Oak,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,Bossier,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
TX,Parker,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
PA,Mercer,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Fayette,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,Chatham,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
VA,Amherst,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Davidson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
KY,Adair,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
NC,Caldwell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Itasca,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Ohio,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
AL,Blount,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
AL,Butler,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
IA,Wayne,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
ME,Oxford,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
KY,Scott,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
UT,Salt Lake,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,131,0,Completed,07/24/2018 13:42,Local PPO
IL,Will,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
VA,Prince George,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
CT,New London,"Tufts Associated HMO, Inc.",CareAdvantage Prime (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,2,0,Completed,07/03/2018 8:46,HMO/HMOPOS
GA,Treutlen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NM,Luna,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
MN,Yellow Medicine,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Arlington,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
ME,Waldo,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Coosa,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
OH,Putnam,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
PA,Westmoreland,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
TN,Madison,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
GA,Pike,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Vernon,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MS,Smith,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Wayne,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
IA,Carroll,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
TX,Johnson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
CT,New London,"Tufts Associated HMO, Inc.",CareAdvantage Preferred (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,1,0,Completed,07/03/2018 8:46,HMO/HMOPOS
MI,Saginaw,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Orange,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MO,Stone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lehigh,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Kittson,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Montgomery,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Montgomery,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,2,0,Completed,06/26/2018 17:06,HMO/HMOPOS
SC,Clarendon,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
TX,Jefferson,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Wadena,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
SC,Greenville,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8170,2,0,Completed,07/27/2018 13:46,HMO/HMOPOS
MS,Harrison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Hubbard,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
NC,Stokes,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Deschutes,Humana Inc.,Humana Gold Plus H1036-219 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,219,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fairfield,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Douglas,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
IL,Will,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
NY,Albany,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Gold Plus Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,32,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Adams,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Franklin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
CA,San Bernardino,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,601,601,301,301,H5810,1,0,Completed,07/26/2018 20:29,HMO/HMOPOS
MS,Stone,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Burke,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Ness,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Walworth,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Fort Bend,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Juniata,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
MN,Rice,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
OH,Allen,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
PA,Lehigh,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
ND,Wells,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Stephens,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AL,Tuscaloosa,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
OH,Wyandot,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Greene,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Benzie,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Luce,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
SC,Abbeville,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Grayson,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
WV,Hardy,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
OH,Lake,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Newton,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
AL,Shelby,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IL,Pulaski,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Guanica,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IL,Will,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
VA,Grayson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Brown,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Todd,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Rock,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Perry,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
IL,Cass,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
PA,Dauphin,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
PR,Caguas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
NJ,Monmouth,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Gila,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
WV,Mineral,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Scott,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,17,0,Completed,07/13/2018 13:32,HMO/HMOPOS
OH,Hamilton,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
HI,Honolulu,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,N,N,Y,N,,,482,482,241,241,H3832,11,0,Completed,07/16/2018 15:11,Local PPO
TN,Rhea,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Muskegon,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Paulding,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,16,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CO,Huerfano,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Independence,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Roanoke City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
CA,Sutter,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Lake,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Franklin,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,16,Completed,07/27/2018 9:47,Local PPO
MO,Callaway,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
NM,Curry,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
AZ,Pima,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/22/2018 13:23,HMO/HMOPOS
TX,Karnes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Villalba,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Barceloneta,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Perry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Carroll,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Ste. Genevieve,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Blair,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
PR,San Sebastian,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PA,Bucks,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,88,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Marion,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Latimer,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Monroe,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Tarrant,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
ME,Waldo,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,7,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,East Feliciana,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Suffolk City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Barnstable,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,8,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Chester,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Barrow,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Kittson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
IA,Montgomery,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Overton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Acadia,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Bernard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Knox,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Monroe,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
IN,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Brown,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
NY,Queens,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Riverside,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,601,601,301,301,H8677,1,0,Completed,07/26/2018 20:59,Medicare-Medicaid Plan HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
NY,Essex,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
VA,Frederick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Ashland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,Carter,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Fayette,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
MI,Lake,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Logan,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Meigs,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Person,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marion,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Scott,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
FL,Madison,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,209,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Pierce,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Piatt,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
FL,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,12,0,Completed,07/26/2018 11:48,Local PPO
PA,Jefferson,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
PA,Lehigh,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
AR,Franklin,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Tom Green,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,3,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Comal,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,5,0,Completed,07/26/2018 11:48,Local PPO
WI,Outagamie,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Washington,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
IA,Chickasaw,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Cumberland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Chisago,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
IL,Kane,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
MI,Alpena,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OH,Miami,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Union,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,2,0,Completed,07/20/2018 11:11,Local PPO
PA,Mifflin,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,13,Completed,07/27/2018 9:47,Local PPO
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Steele,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
MN,Sherburne,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MN,Wright,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,15,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,McDowell,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,10,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IN,Hamilton,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
PA,Union,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
FL,Gadsden,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
IN,Wabash,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MI,Crawford,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
NC,Montgomery,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
CO,Weld,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OK,Garvin,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KS,Marion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Cascade,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
KS,Leavenworth,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KS,Miami,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Gregg,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SD,Lincoln,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Kendall,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,101,2,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-257 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,257,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Jay,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Nevada,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Kern,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,121,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NC,Caswell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Shawano,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Jefferson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Wright,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
AL,Lauderdale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
PA,Butler,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Branch,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Montrose,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
PA,Snyder,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
VA,Appomattox,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
VA,Floyd,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
VA,Prince Edward,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
VA,York,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
TX,Cooke,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
NM,Otero,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
FL,Broward,"Devoted Health, Inc.",Devoted Health Prime Broward (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,7,0,Completed,07/25/2018 11:54,HMO/HMOPOS
TX,Archer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Terrell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Crawford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
OR,Douglas,ATRIO Health Plans,ATRIO Special Needs Plan (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3814,7,0,Completed,07/28/2018 12:06,HMO/HMOPOS
WV,Hancock,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
TX,Liberty,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sullivan,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IN,St. Joseph,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
IA,Marion,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Cabo Rojo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Jefferson,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
SC,Saluda,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,251,0,Completed,07/17/2018 11:44,Local PPO
WI,Ozaukee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
VA,Pulaski,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
KY,Spencer,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Select (HMO-POS),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,33,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,Morrison,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
WV,Hancock,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
VA,Page,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
SD,Spink,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WV,Randolph,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
ME,Cumberland,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
ND,Burleigh,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
NJ,Bergen,Humana Inc.,HumanaChoice H5216-172 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,172,0,Completed,07/24/2018 13:42,Local PPO
GA,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
SD,Brookings,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hanson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
IL,Boone,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
OH,Auglaize,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Ritchie,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Guanica,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,39,0,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,Mason,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,127,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
GA,White,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Ottawa,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WI,Clark,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
SC,Bamberg,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Prince Edward,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
OH,Preble,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IL,Sangamon,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
VA,Brunswick,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
TX,Kleberg,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
IL,Lake,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Niagara,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,San German,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Yakima,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IA,Cedar,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Lucas,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Platte,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Forsyth,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Burlington,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,41,0,Completed,07/26/2018 14:48,Local PPO
AL,Lawrence,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Washington,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WA,Asotin,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,1,0,Completed,07/13/2018 13:55,Local PPO
ID,Boise,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,9,0,Completed,07/13/2018 13:55,Local PPO
MN,Mille Lacs,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WA,Pierce,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Sussex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
VA,Roanoke,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Polk,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TX,Galveston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard DC (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2172,3,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Montcalm,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MN,Rice,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
AR,Cleburne,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Oceana,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
WV,Webster,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
IN,Johnson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Parker,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Newton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Calloway,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Edmonson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Classic Care I Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,25,0,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Tyler,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,24,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Greene,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Pottawatomie,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lorain,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TN,Sequatchie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Quebradillas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,San Francisco,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,186,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Travis,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Baxter,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
AR,Garland,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Coshocton,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Decatur,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rutherford,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
PR,San Lorenzo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Roosevelt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Crane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Clark,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
GA,Harris,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
TX,Caldwell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Winchester City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
KY,Henry,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
KY,Marion,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MN,Fillmore,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Butler,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Huerfano,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
IN,Cass,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Henry,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
IL,Madison,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,Greenville,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OH,Montgomery,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
IN,Adams,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
LA,Evangeline,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
TX,Burleson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Wharton,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Morgan,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Jim Wells,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Nueces,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Jo Daviess,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,5,0,Completed,06/15/2018 10:34,1876 Cost
PR,Aibonito,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Greensville,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WY,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MI,Livingston,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
CO,Broomfield,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
GA,Jasper,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NY,Columbia,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PA,York,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/13/2018 10:20,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
AR,St. Francis,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OH,Fayette,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
VA,Bristol City,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
MN,Polk,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
NM,Dona Ana,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,1,Completed,07/24/2018 13:42,Local PPO
IN,Grant,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Orange,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Hickory,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
OH,Muskingum,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
KY,Henry,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
KY,Scott,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Navarro,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Fond du Lac,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
CT,Tolland,"Tufts Associated HMO, Inc.",CareAdvantage Prime (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,2,0,Completed,07/03/2018 8:46,HMO/HMOPOS
CT,Middlesex,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ID,Canyon,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,32,0,Completed,07/26/2018 11:48,Local PPO
MN,Cook,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Rabun,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Creek,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
KY,Whitley,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
UT,Weber,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,2,0,Completed,07/13/2018 13:55,Local PPO
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
TN,Washington,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Manistee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Alcona,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mercer,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
MN,Norman,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NC,Alexander,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Duval,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Cheyenne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Blaine,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Holmes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Luquillo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Dade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Randolph,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Stone,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Washington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Perry,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Rice,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Washington,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,17,0,Completed,07/24/2018 13:42,Local PPO
LA,Claiborne,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
SC,Marion,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Charleston,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Meriwether,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,Lyon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NV,Washoe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,99,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Buchanan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
TX,Dallas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,3,Completed,07/24/2018 19:18,HMO/HMOPOS
OR,Douglas,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,13,0,Completed,07/24/2018 19:18,Local PPO
PR,Hormigueros,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NC,Johnston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Vermilion,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Cameron,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
PA,Erie,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
WA,Kitsap,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
VA,Amherst,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
MI,Lapeer,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OK,Johnston,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
MN,Kittson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Marshall,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hardin,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Knox,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Hopkins,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
VT,Franklin,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Monroe,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Bladen,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
UT,Utah,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,101,0,Completed,07/17/2018 11:44,Local PPO
IN,Marshall,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,223,0,Completed,07/17/2018 11:44,Local PPO
PA,Sullivan,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
IN,Madison,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
PA,Lancaster,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
TX,Montgomery,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,482,482,241,241,H7115,1,0,Completed,07/26/2018 9:38,HMO/HMOPOS
GA,Putnam,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Wood,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
VA,Northampton,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
LA,LaSalle,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
NC,Watauga,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
VA,Westmoreland,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Floyd,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Marathon,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
HI,Hawaii,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,7,0,Completed,07/16/2018 15:11,Local PPO
MI,Gladwin,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
MN,Dakota,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lake of the Woods,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Lincoln,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
NY,Kings,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,19,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Lake,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hancock,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
VA,Martinsville City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,99,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
IL,Madison,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
TX,Howard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Beadle,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AZ,Gila,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,1,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Putnam,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
WV,Kanawha,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Adams,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Carver,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Le Sueur,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pope,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Beaufort,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Lee,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
SC,Greenville,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
MN,Sherburne,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
MO,Taney,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Manassas Park City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Morgan,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NJ,Sussex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Alameda,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,32,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Seneca,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
OR,Lane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
TN,Loudon,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Mason,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
IN,Howard,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Knox,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
NC,Durham,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Rappahannock,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,New York,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
MI,Calhoun,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OH,Trumbull,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
TX,San Jacinto,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
WV,Gilmer,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
TX,Sherman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Elkhart,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Mason,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
AZ,Pima,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ME,Waldo,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
FL,St. Lucie,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,249,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Huron,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Yates,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
OH,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
MO,McDonald,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NE,Gage,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
IA,Benton,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Osceola,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Los Angeles,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Early,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
KS,Wilson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
GA,Treutlen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
GA,Clinch,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Parker,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marinette,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Hale,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
AL,Geneva,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,La Porte,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Houston,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Williamson,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hays,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Broward,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Morovis,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,Forsyth,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
TX,Navarro,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
LA,St. Martin,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,234,0,Completed,07/17/2018 11:44,Local PPO
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Dodge,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Lumpkin,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
IN,Harrison,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
AR,Greene,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MI,Macomb,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,2,Completed,07/24/2018 13:42,Local PPO
MS,Jasper,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
OK,Nowata,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,73,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Rock,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Vilas,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NE,Otoe,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
PA,Lancaster,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,1,Completed,07/16/2018 9:33,HMO/HMOPOS
GA,Dawson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Crowley,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
IA,Dickinson,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
FL,Pinellas,"Devoted Health, Inc.",Devoted Health Prime Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,9,0,Completed,07/25/2018 11:54,HMO/HMOPOS
UT,Garfield,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Winnebago,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Cross,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Naguabo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Hopewell City,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Lubbock,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Washington,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Suffolk,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
OH,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NY,Schuyler,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WY,Crook,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NC,Harnett,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
FL,Orange,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
VA,Powhatan,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
GA,Irwin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
GA,Baldwin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Juniata,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
TN,Grundy,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Scott,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Oceana,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Pocahontas,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Monroe,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MI,Allegan,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,4,Completed,07/26/2018 15:53,Local PPO
MI,Berrien,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Lucas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Noble,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Carroll,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Buncombe,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
PA,Schuylkill,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Harris,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,482,482,241,241,H7115,1,0,Completed,07/26/2018 9:38,HMO/HMOPOS
TX,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Bergen,Humana Inc.,HumanaChoice H5216-170 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,170,0,Completed,07/24/2018 13:42,Local PPO
AR,Clark,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
AZ,Maricopa,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,34,0,Completed,07/24/2018 13:42,Local PPO
GA,White,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
WV,Taylor,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
CO,Weld,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
PA,Warren,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
IN,Daviess,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
MI,Van Buren,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
SD,Beadle,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NH,Grafton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
MA,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
FL,Leon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lorain,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Marathon,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Philadelphia,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Beaver Valley Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,51,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Matagorda,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
MI,Oceana,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Coweta,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MN,Beltrami,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,34,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Stevens,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
CO,Larimer,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
UT,Washington,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
KS,Johnson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Morris,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lehigh,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Floyd,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Multnomah,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,1,Completed,07/24/2018 19:18,Local PPO
MN,Steele,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Marshall,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
KS,Leavenworth,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Weakley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,8,0,Completed,07/13/2018 13:55,Local PPO
OH,Warren,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
PA,Perry,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Henry,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Putnam,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
CO,Boulder,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Wahkiakum,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,195,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,La Salle,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
MO,Knox,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
NC,Harnett,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Pamlico,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
WA,Skagit,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
NC,Johnston,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ND,Dickey,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ID,Ada,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Van Buren,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Spokane,"Cambia Health Solutions, Inc.",Asuris TruAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5010,1,0,Completed,07/13/2018 13:55,Local PPO
LA,Ouachita,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Appling,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
IA,Cherokee,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
IN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Juneau,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
IN,Vanderburgh,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Gilliam,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
TX,Dallas,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,2,0,Completed,06/20/2018 12:01,Local PPO
FL,Pinellas,"BayCare Healht System, Inc.",BayCarePlus Rewards (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,2,0,Completed,07/26/2018 15:03,HMO/HMOPOS
PA,Indiana,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Saratoga,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NY,Yates,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
NY,Schuyler,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
OH,Preble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Carroll,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Winnebago,University of Wisconsin Hospitals and Clincs Autho,SwedishAmerican Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,18,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Durham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Putnam,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
SC,Cherokee,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,DeKalb,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
SC,Beaufort,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Key (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,22,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Cook,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NE,Nemaha,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Pennington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TX,Nueces,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Apache,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,Strafford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Warren,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
AL,Talladega,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,20,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Flagler,Guidewell Mutual Holding Corporation,FHCP Medicare Rx Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,2,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,Chemung,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Jefferson,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NY,Steuben,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
MN,Dakota,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
VA,Newport News City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,67,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cortland,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Crenshaw,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Pinellas,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Orange,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,Vega Alta,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MN,Morrison,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Fayette,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,13,0,Completed,06/15/2018 12:33,Local PPO
KS,Riley,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Polk,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Wyoming,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Randolph,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Watauga,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Brown,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,McKean,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Ward,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
VA,Amelia,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Obion,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
TN,Grundy,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
CA,Riverside,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,61,0,Completed,07/16/2018 13:40,HMO/HMOPOS
KY,Anderson,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Butler,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Bryan,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,San German,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
WI,Sheboygan,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hopewell City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Corozal,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Clackamas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Anasco,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
MO,St. Louis,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
LA,Ouachita,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Monroe,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
IN,Marshall,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Marion,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Dakota,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
VA,Botetourt,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,Macomb,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
WI,Dodge,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
OH,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Indiana,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
GA,Bryan,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
AR,Franklin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,La Salle,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
MO,Polk,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
NC,Pamlico,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Monmouth,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
PA,Bedford,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Montour,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
OH,Medina,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,22,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WV,Gilmer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
SC,Richland,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
OH,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Newton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Raleigh,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Colfax,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Kane,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1475,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,San Diego,Community Health Group,CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5172,2,0,Completed,06/01/2018 19:20,Medicare-Medicaid Plan HMO/HMOPOS
FL,Columbia,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Polk,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,230,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Miami,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,2,Completed,07/12/2018 15:19,HMO/HMOPOS
MO,Miller,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Somerset,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Martin,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,35,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Allegany,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Marquette,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
MN,Anoka,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
NC,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Cass,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Citrus,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Stanislaus,"Alignment Healthcare USA, LLC",Alignment Health Plan AllCare Preferred Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,11,0,Completed,07/26/2018 15:08,HMO/HMOPOS
KS,Atchison,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
GA,DeKalb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,De Kalb,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,4,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Marion,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Salinas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MN,Freeborn,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Carter,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Tuscaloosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AR,Cross,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Cass,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
IN,Dearborn,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Johnson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Williamson,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Dane,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,42,0,Completed,07/26/2018 11:48,Local PPO
NC,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Aguadilla,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Brooks,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
AL,Chilton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
WA,Mason,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
MI,Saginaw,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Peach,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Stark,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TX,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Carver,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
GA,Coweta,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Adair,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SC,Aiken,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
SD,Union,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
IN,Union,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MS,Wilkinson,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
OH,Auglaize,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
SC,Horry,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IN,Wabash,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
TX,Robertson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Allen,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
AR,Boone,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
NM,Otero,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
NM,Torrance,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MA,Hampden,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
SD,Beadle,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Faulk,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
TX,Jefferson,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Alexandria City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
NC,Sampson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Guayanilla,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Petroleum,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NH,Belknap,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Anderson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
MI,St. Clair,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
GA,McIntosh,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
ME,Cumberland,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,142,0,Completed,07/17/2018 11:44,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Bartow,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,Monroe,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WV,Mingo,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Pocahontas,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Meade,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Arenac,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
ND,Stutsman,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
ME,Androscoggin,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,57,0,Completed,07/24/2018 13:42,Local PPO
GA,Gordon,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
OK,Cherokee,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
IL,Pike,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
NY,Putnam,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
WI,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
WI,Oconto,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
GA,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
SD,Hanson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Lawrence,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lawrence,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,43,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Green,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Columbia,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
FL,Suwannee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CA,San Joaquin,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
NY,Orange,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,100,0,Completed,07/20/2018 11:11,Local PPO
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
IN,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,50,0,Completed,07/16/2018 13:15,HMO/HMOPOS
RI,Bristol,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,10,0,Completed,07/17/2018 11:44,Local PPO
OH,Jefferson,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,McCracken,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,68,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Nassau,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
CA,Sacramento,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,89,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lebanon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,St. Johns,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Broward,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,13,0,Completed,06/15/2018 12:33,Local PPO
CA,Riverside,California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,40,0,Completed,07/20/2018 14:52,HMO/HMOPOS
IL,Cook,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0281,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
TN,Henry,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Montgomery,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
TX,Bastrop,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MT,Carbon,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,89,0,Completed,07/24/2018 13:42,Local PPO
NC,Person,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
ND,Cass,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
FL,Volusia,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
SC,Oconee,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Scott,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
MO,Webster,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,McCormick,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MT,Lincoln,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
OH,Fayette,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
LA,De Soto,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
PA,Venango,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
VA,Chesterfield,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Summit,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Isabela,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Josephine,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
NY,Genesee,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
IN,Hendricks,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
NY,Clinton,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
NC,Mitchell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Austin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Valencia,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
WV,Roane,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
FL,St. Lucie,Humana Inc.,HumanaChoice H5216-060 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,60,0,Completed,07/24/2018 13:42,Local PPO
SC,Colleton,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Humana Inc.,HumanaChoice H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,133,0,Completed,07/24/2018 13:42,Local PPO
MO,Pulaski,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Palo Pinto,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
WI,Waukesha,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
SC,Berkeley,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
ND,Ramsey,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
LA,Morehouse,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Wilcox,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Bibb,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Harrison,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,Amador,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Midland,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
MI,Montcalm,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
GA,DeKalb,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Jefferson,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Swain,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Morgan,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Rowan,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Baltimore,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Guanica,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Patillas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Greene,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Tensas,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
LA,Tensas,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NH,Merrimack,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Dewey,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Gem,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,10,0,Completed,07/13/2018 13:55,Local PPO
FL,St. Lucie,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,229,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Gold Rx (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,4,0,Completed,07/28/2018 12:06,Local PPO
OR,Douglas,ATRIO Health Plans,ATRIO Silver Rx (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,3,0,Completed,07/28/2018 12:06,Local PPO
CO,Adams,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Berks,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Schenectady,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Waldo,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
IA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Roanoke City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,McNairy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,81,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Lake,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MS,DeSoto,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Wayne,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Saline,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MI,Macomb,Henry Ford Health System,HAP Empowered MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9712,1,0,Completed,07/24/2018 15:11,Medicare-Medicaid Plan HMO/HMOPOS
TN,Claiborne,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Grundy,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Johnson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Linn,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
TN,Giles,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NJ,Gloucester,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
PA,Mercer,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
GA,Gwinnett,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Walton,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
NC,Guilford,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,17,0,Completed,07/24/2018 13:42,Local PPO
OK,Noble,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Kossuth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Howard,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Monona,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
OK,Oklahoma,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
PR,Catano,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,7,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Isanti,Medica Holding Company,Medica Advantage Solution H8889-002 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,2,0,Completed,07/18/2018 10:13,Local PPO
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TN,Davidson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Cheboygan,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Missaukee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Presque Isle,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Kalamazoo,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AL,Baldwin,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
MS,Calhoun,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
VA,Wythe,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
KS,Anderson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
NM,Rio Arriba,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
AZ,Pinal,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Riverside,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Scott,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,13,Completed,07/27/2018 9:47,Local PPO
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
IN,Clinton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Cedar,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
OH,Jefferson,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Mercer,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Richland,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Fond du Lac,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
SC,Georgetown,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Delaware,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
CO,Fremont,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Crawford,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,1,0,Completed,06/15/2018 10:37,1876 Cost
VA,New Kent,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,San Lorenzo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Plymouth,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,2,Completed,07/23/2018 15:54,HMO/HMOPOS
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,De Soto,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
TN,Sumner,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Cidra,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Ogle,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
OK,Noble,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Muscatine,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Granville,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Tangipahoa,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Berks,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Elite Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,24,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Hopewell City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Ascension,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
WI,Grant,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
CA,Kings,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Socorro,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WA,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Berkshire,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Pontotoc,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NM,Bernalillo,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6526,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Noble,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Clinton,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AL,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Steuben,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Forest,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Edmonson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,97,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Geneva,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Geneva,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NE,Seward,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Warren,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Mercer,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
OH,Carroll,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
TN,Sevier,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Huntingdon,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
WI,Racine,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Meeker,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Hopkins,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
SC,Anderson,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,Bath,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
PR,Vega Alta,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Acadia,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
NY,Orange,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
OH,Geauga,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
FL,Osceola,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,10,0,Completed,07/26/2018 11:48,Local PPO
NC,Pitt,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Douglas,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Rutherford,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,34,0,Completed,07/26/2018 14:48,Local PPO
PA,York,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
IN,Porter,Humana Inc.,Humana Gold Plus H5619-053 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,53,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Greensville,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Wythe,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
OK,Grady,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Greene,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
LA,Terrebonne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Harrison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TN,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
RI,Kent,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,07/12/2018 10:53,Medicare-Medicaid Plan HMO/HMOPOS
VA,Northumberland,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
IA,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Radford City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,91,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Montgomery,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Jefferson,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
FL,Broward,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,18,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,San Diego,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,601,601,301,301,H5810,1,0,Completed,07/26/2018 20:29,HMO/HMOPOS
KS,Ford,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
IN,Bartholomew,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KS,Labette,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
KY,Livingston,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
NC,Polk,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
MN,Houston,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
IL,Vermilion,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
MN,Mower,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Guayanilla,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Clare,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
NV,Douglas,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,130,0,Completed,07/17/2018 11:44,Local PPO
PR,Patillas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Rx Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,39,2,Completed,07/20/2018 13:43,HMO/HMOPOS
SC,Saluda,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NM,Dona Ana,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,42,0,Completed,07/26/2018 11:48,Local PPO
IN,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
IN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
SD,Lake,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Spink,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Faulk,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
PA,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Chambers,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Allen,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
NY,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
PR,Manati,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Knott,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
ND,Stutsman,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
AZ,Greenlee,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,1,0,Completed,07/26/2018 13:57,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Van Buren,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
GA,White,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
KY,Madison,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MI,Saginaw,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
OH,Belmont,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Monroe,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Ramsey,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
PR,Naguabo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Cascade,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,2,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,174,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,190,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Penuelas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NE,Cass,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
NC,McDowell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Wagoner,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
KY,Oldham,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Hennepin,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WV,Ritchie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WV,Doddridge,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
SC,Orangeburg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
NY,Richmond,"QHP Financial Group, Inc.",Advantage Silver - NY City (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,20,0,Completed,07/27/2018 15:56,HMO/HMOPOS
FL,Charlotte,Humana Inc.,HumanaChoice Florida H7284-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,2,0,Completed,07/24/2018 13:42,Local PPO
OH,Stark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Snyder,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
LA,Pointe Coupee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
FL,Pasco,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Pottawattamie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
AL,Tallapoosa,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Eau Claire,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Grant,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Franklin,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Ozark,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
TN,Johnson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Blanco,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pasco,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
PR,Aguas Buenas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Patrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,St. Charles,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
NY,Niagara,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,65,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Aetna Medicare PinnacleHealth Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,91,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MI,Berrien,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Columbiana,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
MI,Ingham,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Arapahoe,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CO,Douglas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Braxton,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IL,Edwards,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Jackson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Roane,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Jack,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Brevard,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
GA,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Midland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
OH,Brown,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,87,0,Completed,07/17/2018 11:44,Local PPO
NC,Yadkin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
NV,Nye,Humana Inc.,HumanaChoice H5216-141 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,141,0,Completed,07/24/2018 13:42,Local PPO
MO,Ozark,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OK,Adair,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Murray,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
SD,Yankton,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,White,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Screven,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Callahan,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Clinton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Owen,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
FL,Polk,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
GA,Turner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Nicollet,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
PA,Clearfield,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
NJ,Middlesex,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
KS,Rush,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Summit,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Crockett,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
AR,Nevada,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TN,Dickson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Barron,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Fayette,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Madison,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Rutland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
AL,DeKalb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Maury,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
PA,Philadelphia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
IA,Mitchell,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
TX,Harris,Imperial Health Plan of California,Imperial Insurance Company of Texas Traditional (HMO),Y,Y,Y,Y,N,,,482,482,20,20,H2793,3,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Delaware,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
IL,Carroll,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Baldwin,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,Butts,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
ID,Boise,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
PA,Montour,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
SD,Roberts,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
KS,Jefferson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Benton,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SD,Lincoln,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,4,0,Completed,07/17/2018 11:44,Local PPO
GA,Rockdale,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Pender,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Orange,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,Lafourche,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,St. Joseph,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,19,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,Wood,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,11,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NH,Rockingham,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Boone,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Charlotte,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
PA,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
PA,Wyoming,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Lebanon,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,8,Completed,06/22/2018 9:28,HMO/HMOPOS
ID,Gooding,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
AZ,Santa Cruz,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/22/2018 13:23,HMO/HMOPOS
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Henderson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
WI,Outagamie,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,Canadian,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Columbiana,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
SC,Barnwell,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Richland,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PA,Perry,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lake,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Pondera,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Licking,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Suffolk City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Rutherford,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,San Juan,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
PR,San German,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Ford,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IA,Fremont,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
WA,Snohomish,Humana Inc.,Humana Gold Plus H5619-059 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,59,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. James,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Iberville,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Jackson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MO,Jasper,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Sullivan,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
FL,Volusia,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,156,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Broomfield,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MN,Lake,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
PA,McKean,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Nassau,Humana Inc.,Humana Gold Plus H3533-010 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,10,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
TX,Collin,Humana Inc.,HumanaChoice H0473-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,2,0,Completed,07/24/2018 13:42,Local PPO
NY,Cortland,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Amherst,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Delaware,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,Wayne,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
GA,Harris,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Oconee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Hocking,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,12,Completed,07/27/2018 9:47,Local PPO
PA,Cameron,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
MO,Lawrence,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vermillion,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Marshall,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Perry,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
TN,Carter,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
MN,Morrison,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Grant,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,1,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
UT,Salt Lake,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Clark,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Washington,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
NY,Orange,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Somerset,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,2,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
WV,Boone,Humana Inc.,Humana Gold Plus H5619-113 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,113,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Anne Arundel,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
LA,St. James,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
IN,Elkhart,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Hampton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
KS,Pottawatomie,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Sandusky,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Carbon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Atlantic,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Calhoun,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
MS,Perry,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Latah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,4,0,Completed,07/13/2018 13:55,Local PPO
MN,Winona,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IL,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MO,St. Francois,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Ogle,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
WI,Green,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
NM,Los Alamos,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,1,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NY,Albany,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
SC,Pickens,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
KY,Campbell,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,202,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Fayette,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
IA,Poweshiek,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NJ,Somerset,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
ND,Hettinger,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ND,Nelson,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Beaver,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
OH,Fulton,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,10,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
OH,Summit,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Wyoming,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,8,Completed,06/22/2018 9:28,HMO/HMOPOS
MN,Brown,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
MO,Polk,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Coffee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Hinds,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,151,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chemung,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
MO,Stone,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Bates,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Clay,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,Colfax,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NJ,Cumberland,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Carver,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
MN,Norman,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TX,Dallas,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Bernard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stanly,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Madison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
FL,Miami-Dade,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,24,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Juniata,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Sumter,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Suffolk,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Chenango,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Bronx,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NC,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Washington,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
FL,Duval,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Floyd,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Rush,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Winston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
PA,Lehigh,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,17,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MI,Wexford,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
PA,Tioga,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
KS,Crawford,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
KS,Harvey,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
KS,Osage,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IN,Lagrange,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Aransas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Cidra,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
WV,Raleigh,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
NC,Avery,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Crawford,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Crawford,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Lawrence,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Dutchess,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Coffee,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,Cleveland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Ciales,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MA,Essex,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,221,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Lucie,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PA,Clinton,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,31,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
VA,King George,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Pope,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MO,McDonald,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
SD,Kingsbury,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Benton,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
IA,Mahaska,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WI,Waupaca,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MI,Kent,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Leelanau,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Washington,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Fulton,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Porter,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Cass,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
OH,Mahoning,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
KS,McPherson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,6,Completed,07/24/2018 13:42,Local PPO
IN,Whitley,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
MO,Callaway,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Cherokee,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NV,Clark,Humana Inc.,HumanaChoice H5216-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,37,0,Completed,07/24/2018 13:42,Local PPO
TX,Hill,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OH,Wood,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
MI,Keweenaw,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MI,Ontonagon,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
SD,Haakon,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ransom,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Tripp,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
VT,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Jasper,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Greene,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,Lancaster,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NY,Nassau,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,2,0,Completed,07/02/2018 16:20,HMO/HMOPOS
MS,Panola,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Woodward,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Montgomery,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
GA,Newton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Allegan,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,13,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Kent,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,15,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WA,Thurston,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,3,0,Completed,07/17/2018 16:12,HMO/HMOPOS
AR,Jackson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Marion,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
TX,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Anderson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Greene,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Florida,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Wright,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
PA,McKean,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Columbiana,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Knox,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Polk,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NC,Stokes,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
TX,Grayson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
NC,Scotland,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
SC,Marlboro,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,249,0,Completed,07/17/2018 11:44,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Peach,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Saratoga,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NJ,Camden,Humana Inc.,HumanaChoice H5216-184 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,184,0,Completed,07/24/2018 13:42,Local PPO
IN,Wabash,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
PA,Columbia,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Herkimer,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
MO,Webster,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Lonoke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
WI,Chippewa,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Clayton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Rabun,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,White,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Humphreys,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AL,Russell,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Washington,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Kerr,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Kendall,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
ME,Hancock,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
CA,Fresno,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,206,0,Completed,07/17/2018 11:44,Local PPO
IL,Ogle,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
MO,Jasper,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MS,Kemper,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MI,Chippewa,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Crawford,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Newton,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Switzerland,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OH,Paulding,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
GA,Heard,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IL,Rock Island,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
IN,Pike,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
GA,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,1,Completed,07/12/2018 18:43,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,12,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Jackson,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,24,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Tulsa,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
LA,St. James,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Bernard,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Portsmouth City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Value (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Macoupin,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
OR,Union,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5852,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,60,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Knox,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Dale,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Chippewa,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,St. Charles,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,Stanton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Coosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AL,Pickens,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Greene,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Ellis,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Erie,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Washington,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
SC,Jasper,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,252,0,Completed,07/17/2018 11:44,Local PPO
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Roanoke,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IN,Warren,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Miami,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
VA,Roanoke,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
IA,Mills,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Otsego,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
VA,Dickenson,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
KS,Franklin,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,57,0,Completed,07/24/2018 13:42,Local PPO
AR,Madison,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AL,Cleburne,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
TX,Orange,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
GA,Paulding,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Jefferson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Leelanau,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MI,Lenawee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
WV,Brooke,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MO,Platte,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KS,Johnson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,Otsego,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Hancock,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Carver,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
MO,Crawford,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
TX,Stonewall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Bertie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Hancock,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Wyandotte,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Randolph,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Hormigueros,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Cole,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Houston,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
MN,Benton,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Bedford,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
IL,Woodford,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Crawford,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
GA,Lamar,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
NY,Clinton,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
GA,Marion,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
VA,Chesapeake City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,Henry,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Berks,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
OH,Clermont,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,190,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Nowata,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
LA,Terrebonne,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Geauga,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,21,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Chautauqua,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,New York,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
GA,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
SD,Brule,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Oliver,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Heard,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AL,Chilton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Defiance,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,4,0,Completed,07/20/2018 11:11,Local PPO
NC,Henderson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Nicollet,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
WV,Jefferson,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Brunswick,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Bristol City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Seminole,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WI,Winnebago,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
IA,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OH,Montgomery,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Assumption,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Gallatin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SD,Lake,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Knox,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Kleberg,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,San Patricio,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,St. James,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Norton City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Alleghany,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marshall,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
PA,Blair,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Franklin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Marion,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,San Diego,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,601,601,301,301,H8677,1,0,Completed,07/26/2018 20:59,Medicare-Medicaid Plan HMO/HMOPOS
ME,Somerset,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
NY,Madison,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Calumet,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Florence,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Somerset,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Queens,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,12,2,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Finney,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
MI,Keweenaw,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
GA,Hart,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Mason,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
VT,Windham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Lawrence,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,38,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Limestone,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Wayne,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Loudon,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Mobile,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Morgan,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Flagler,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
VA,Isle of Wight,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Charles City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Houston,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
MI,Van Buren,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Calhoun,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
OK,Ottawa,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Van Zandt,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Candler,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Falls Church City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
TX,Refugio,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Ingham,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Pickaway,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Richland,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,2,0,Completed,07/20/2018 11:11,Local PPO
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NY,Dutchess,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
MO,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
MD,Wicomico,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
WV,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
NH,Cheshire,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Upshur,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Lamb,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
MI,Ionia,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Crawford,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MI,Ingham,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
CA,Amador,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Davis,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
IN,Gibson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,San German,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Norfolk City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Roane,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MN,Big Stone,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
PA,Bradford,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
SC,Charleston,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
PA,Somerset,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,Duplin,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
PA,Clarion,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
SC,Horry,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Morris,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Madison,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Queens,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
NY,Rensselaer,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
OK,Tulsa,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
AL,Madison,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Russell,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Morgan,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hancock,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Madera,Humana Inc.,Humana Gold Plus H5619-013 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Colleton,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Logan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
MD,Prince George s,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Warren,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,1,Completed,07/12/2018 18:43,HMO/HMOPOS
VA,Campbell,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
PA,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Randolph,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,St. Bernard,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Houston,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,McIntosh,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Tulsa,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Sarpy,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MS,Hancock,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus SNP-DE H1036-209 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,209,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Duval,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MO,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Starke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
FL,Escambia,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
IN,Starke,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NH,Rockingham,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,12,0,Completed,07/17/2018 11:44,Local PPO
FL,Pasco,"BayCare Healht System, Inc.",BayCarePlus Rewards (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,2,0,Completed,07/26/2018 15:03,HMO/HMOPOS
PA,Union,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Tioga,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
CA,San Bernardino,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,601,601,301,301,H8677,1,0,Completed,07/26/2018 20:59,Medicare-Medicaid Plan HMO/HMOPOS
TX,Robertson,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Ontario,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
VA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,"Clover Health Holdings, Inc.",Clover Health Classic Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8010,9,0,Completed,07/26/2018 14:48,HMO/HMOPOS
NJ,Hudson,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,71,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Washington,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Venango,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
KS,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IN,Warrick,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MT,Lake,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Venango,UPMC Health System,UPMC for Life HMO Rx Choice (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,49,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MO,Dallas,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Jackson,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Holmes,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Snyder,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Dorchester,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,3,0,Completed,06/21/2018 16:47,Local PPO
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Hudspeth,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,4,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Atascosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Northampton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
MO,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Christian,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PA,Susquehanna,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Butts,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,30,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
GA,Pierce,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Columbia,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MN,Lake,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WI,Marinette,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IN,Lake,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Hancock,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
TX,Camp,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
IA,Story,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IA,Des Moines,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MN,McLeod,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
SD,Clark,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
VT,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
PR,Aibonito,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,Darke,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OR,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Scott,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Attala,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Hickory,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Brown,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Gibson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Overton,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
KY,Rockcastle,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
TN,Roane,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Spotsylvania,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
NY,Orange,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Saratoga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WY,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
FL,Palm Beach,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PA,Fulton,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Limestone,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
MI,Clare,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
GA,Stephens,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Taliaferro,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
TX,Hays,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,White,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Baker,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Douglas,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
MO,Perry,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Tyrrell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
WA,Clark,Humana Inc.,Humana Gold Plus H5619-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Roane,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MS,Quitman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Covington City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Williamsburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
WA,Spokane,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5010,2,0,Completed,07/13/2018 13:55,Local PPO
NH,Carroll,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
TX,Rusk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Hart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Wetzel,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,11,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Payne,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
AL,Cullman,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Cleveland,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Hall,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Redwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Marshall,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Washington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
CO,Boulder,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Dallas,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,La Paz,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MD,Baltimore City,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,92,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Value Plus H1036-264 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,264,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,56,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Allen,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Suffolk,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Nassau,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
FL,Marion,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Lake,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Benton,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
OH,Trumbull,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Hampton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Franklin,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Jefferson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Lehigh,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Montgomery,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,St. Johns,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Ventura,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,29,0,Completed,07/20/2018 14:52,HMO/HMOPOS
IA,Greene,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,38,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Madison,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Randolph,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
PA,Dauphin,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Coleman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Hudspeth,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Leavenworth,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Christian,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Shelby,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Wise,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Forrest,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Guayanilla,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Yabucoa,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,1,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Newton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Mifflin,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Indiana,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Adams,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
PA,Dauphin,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
TX,Tarrant,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Hudson,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wayne,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Putnam,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
PR,Camuy,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PA,Carbon,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Fulton,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
SC,Colleton,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Norton City,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Wilkinson,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Burke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,6,Completed,06/22/2018 9:28,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Ogle,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SD,Clay,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
MI,Lake,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
OH,Portage,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,McLean,The Carle Foundation,Simplete 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,25,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Chisago,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
KS,Saline,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Vega Alta,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Rappahannock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Southampton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Rhea,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Lake,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
WI,Green Lake,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Nobles,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,DeKalb,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Surry,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Durham,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MT,Meagher,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
GA,Toombs,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
AR,Dallas,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Seminole,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Buena Vista City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
VA,Galax City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Page,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Mahoning,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Manati,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Lincoln,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Conway,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Wagoner,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TN,Cannon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,West Feliciana,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,97,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
NC,Caldwell,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Boulder,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iowa,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
FL,Lake,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,New York,Humana Inc.,HumanaChoice H5970-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,22,0,Completed,07/24/2018 13:42,Local PPO
ME,Kennebec,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
NC,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Jefferson,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
AR,Phillips,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Ozaukee,"Network Health, Inc.",Network Health Medicare Explore (HMO),Y,N,Y,Y,N,,,150,482,150,241,H5644,2,0,Completed,06/27/2018 15:22,HMO/HMOPOS
CA,Santa Clara,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,16,0,Completed,07/25/2018 12:48,HMO/HMOPOS
NJ,Bergen,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Smith,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
WI,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
IN,Posey,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
MN,St. Louis,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. Martin,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Monroe,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cheatham,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Breckinridge,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Utah,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,1,0,Completed,07/13/2018 13:55,Local PPO
MN,Dakota,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
GA,Spalding,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Knox,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
VA,Suffolk City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MO,Sullivan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Barbour,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
NY,Rensselaer,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Comanche,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,St. James,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
AL,Henry,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
NC,Davidson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PA,Washington,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
MI,Osceola,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
VA,Bland,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
OH,Lorain,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Carver,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
PA,Cumberland,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,17,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Hutchinson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Val Verde,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Mellette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Steele,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Stanly,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Camuy,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Chesapeake City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,St. Joseph,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Fulton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Jackson,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
SC,Chesterfield,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Miami-Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrExtra (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,4,0,Completed,07/25/2018 17:00,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
FL,Seminole,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,86,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Oxford,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,7,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Amelia,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Naguabo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
OR,Tillamook,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
CO,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Knox,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NC,Montgomery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Polk,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Mohave,Humana Inc.,Humana Gold Plus H0028-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Bradley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NE,Burt,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Oswego,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NY,Chautauqua,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WA,Snohomish,Providence Health & Services,Providence Medicare Summit + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,47,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Geneva,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Madera,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,87,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PA,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Scott,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MS,Stone,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Barrow,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Crawford,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Camden,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
SC,Horry,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Cook,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
LA,Red River,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Jefferson,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Oconto,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
AL,Winston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Carter,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Williamson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Dickson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Smith,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sequatchie,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Ulster,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,San Patricio,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pinellas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
PR,Arecibo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Neosho,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Clermont,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TX,San Patricio,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,105,0,Completed,07/17/2018 11:44,Local PPO
NC,Gaston,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Screven,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NJ,Atlantic,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
VA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Hardin,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
OH,Sandusky,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,14,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Clark,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Clarke,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NC,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Osage,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
KY,Carlisle,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Steele,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
KS,Sumner,Humana Inc.,Humana Gold Plus H0028-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Humphreys,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ME,Kennebec,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
IN,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Autauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,Kent,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,9,0,Completed,07/17/2018 11:44,Local PPO
PA,Union,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NC,Wilson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lowndes,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Greene,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,Kingfisher,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,16,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,Tate,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Fayette,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,12,2,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
PR,Toa Alta,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Queens,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Jones,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
OH,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
LA,East Baton Rouge,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,1,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Penobscot,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Salem City,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,1,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Knox,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,DuPage,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Genesee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Haskell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Philadelphia,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Moultrie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Aguada,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Moore,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
OH,Pickaway,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
NY,Niagara,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
AL,Dale,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Macon,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Washington,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,1,0,Completed,06/15/2018 10:34,1876 Cost
IA,Union,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Las Marias,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Boone,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,85,0,Completed,07/17/2018 11:44,Local PPO
FL,Dade,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
IL,Kane,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
NY,Madison,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Comerio,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,15,Completed,07/27/2018 9:47,HMO/HMOPOS
AL,Jefferson,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
FL,Broward,"Devoted Health, Inc.",Devoted Health Broward (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,2,0,Completed,07/25/2018 11:54,HMO/HMOPOS
KS,Pratt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Luzerne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Naranjito,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Benton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Putnam,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Polk,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
ME,Penobscot,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Huntingdon,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Knox,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
NC,Chatham,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Surry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Lucas,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
VA,Loudoun,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Pike,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Dorchester,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Pittsylvania,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
TX,Midland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Chattahoochee,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Swift,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
NC,Rowan,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Southampton,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
NE,Seward,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Falls Church City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
FL,Charlotte,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Polk,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IN,Franklin,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,124,0,Completed,07/24/2018 13:42,PFFS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,3,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NY,Kings,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,11,0,Completed,07/27/2018 16:18,HMO/HMOPOS
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Putnam,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Victoria,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,39,0,Completed,07/26/2018 11:48,Local PPO
NC,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
GA,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Lucas,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Juncos,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Prairie,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Merrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MO,Iron,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Muscogee,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
AL,Madison,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
PA,Fayette,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Madison,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Monroe,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
MO,Newton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Montour,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
SC,Georgetown,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Marion,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Vanderburgh,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,Jones,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OK,Comanche,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Tillman,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Dewey,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Watonwan,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
IA,Clay,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,270,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Sarasota,Humana Inc.,Humana Gold Plus H1036-267 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,267,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,146,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Amelia,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Giles,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Brown,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,16,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Clermont,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,17,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
CA,San Bernardino,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,1,0,Completed,07/03/2018 15:53,HMO/HMOPOS
IN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Champaign,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
OH,Scioto,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Saratoga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NC,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Rankin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MS,Madison,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WV,Brooke,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Jefferson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
SD,Deuel,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
WI,Price,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Lucas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
GA,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
LA,Caddo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Hinds,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,6,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Osage,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Owyhee,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NE,Butler,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Talbot,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MS,Forrest,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,Clay,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Hawaii,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Bernardino,INLAND EMPIRE HEALTH PLAN,IEHP DualChoice (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H5355,1,0,Completed,06/26/2018 11:45,Medicare-Medicaid Plan HMO/HMOPOS
OH,Butler,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
OH,Delaware,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
NY,Otsego,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
FL,Bay,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,271,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Columbia,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,St. Joseph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Bedford,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Luzerne,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Franklin,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Richmond,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Brown,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
IA,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Columbiana,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Cedar,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Calhoun,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Huntingdon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Lancaster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Clayton,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
MO,Clark,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KY,Letcher,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
AL,Conecuh,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Marathon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
ND,Kidder,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
AR,Craighead,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Lincoln,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Madison,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Wilson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Volusia,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
NC,Polk,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Alta,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,194,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,West Feliciana,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
PR,Loiza,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
MO,Webster,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,McDowell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Taney,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Craig,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Northumberland,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
NH,Rockingham,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Orange,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Franklin,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
IN,Madison,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,Grafton,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Spartanburg,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8170,2,0,Completed,07/27/2018 13:46,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Brooke,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Jefferson,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
SC,Calhoun,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
LA,East Baton Rouge,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
VA,Alexandria City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Halifax,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
CO,Teller,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
AL,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Gem,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
PA,Greene,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
TN,Hickman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Cooper,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Jasper,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Marinette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Josephine,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Defiance,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
WV,Jefferson,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,22,0,Completed,07/24/2018 13:42,Local PPO
MN,Carlton,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Plymouth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Wayne,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
WV,Taylor,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Jackson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WV,Calhoun,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Summers,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
CA,Santa Clara,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Clark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Erie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Ross,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Guthrie,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Pettis,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
ND,Morton,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Henry,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
KY,Allen,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
SD,Todd,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Muskingum,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
OK,Logan,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,Platte,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
TX,Fort Bend,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
NM,Harding,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
TX,Zapata,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Greenwood,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Menard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Gray,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,York,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Summit,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Washtenaw,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
PR,Penuelas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Durham,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
IA,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
VA,Fairfax City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Oscoda,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Dawson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Jefferson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
PA,Cameron,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
OK,Tulsa,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IL,Logan,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
AZ,Pinal,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Fulton,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3572,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Wright,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
SD,Hamlin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Martinsville City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Carroll,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Posey,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Bartow,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Richmond City,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6528,6,0,Completed,07/26/2018 11:48,Local PPO
MI,Ingham,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
TN,Lake,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Overton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Westchester,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IL,McHenry,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,16,0,Completed,07/17/2018 11:44,Local PPO
TX,Matagorda,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
TN,Shelby,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,154,0,Completed,07/17/2018 11:44,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,White,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
NJ,Cape May,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,13,0,Completed,07/24/2018 12:52,HMO/HMOPOS
VA,Loudoun,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
FL,Marion,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,74,0,Completed,07/24/2018 13:42,Local PPO
GA,Elbert,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Richmond,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
NM,Grant,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
WI,Douglas,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MI,St. Joseph,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
GA,Baker,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
AR,Conway,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
MD,Howard,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
ND,Ransom,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MA,Hampden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Chester,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Seminole,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
VA,Manassas Park City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MI,St. Joseph,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Allegan,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,15,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Wexford,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
KS,Wyandotte,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Kankakee,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IA,Harrison,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
MI,St. Clair,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
OH,Warren,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Utah,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
MN,Washington,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
NY,Cattaraugus,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),N,N,N,N,N,,,,,,,H3227,1,0,Completed,07/29/2018 10:12,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,11,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,18,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Brown,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Finney,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Logan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Elk,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Desha,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Lajas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Harrison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Henry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Denver,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Chelan,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
FL,Leon,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,12,0,Completed,07/26/2018 11:48,Local PPO
OH,Paulding,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Venango,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Elite Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,24,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Wells,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Jefferson,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Smyth,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Barbour,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
TX,Wilson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Allegany,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,35,0,Completed,07/26/2018 11:48,Local PPO
VT,Orange,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Lares,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Scotts Bluff,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Galveston,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
NJ,Hudson,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Wake,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
GA,Dooly,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Trumbull,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
GA,Jasper,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Harris,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
PA,Potter,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Wirt,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NC,Rockingham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MI,Montmorency,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
UT,Davis,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,131,0,Completed,07/24/2018 13:42,Local PPO
MT,Ravalli,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Berkeley,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IN,Orange,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
ND,McIntosh,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Crawford,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Kane,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
SC,Beaufort,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
SC,Hampton,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,Lunenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Madison,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Staunton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Powhatan,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Marias,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Marion,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,New York,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MN,Waseca,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,202,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
CA,Sacramento,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,146,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,7,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Coffee,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Fulton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Jefferson,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Brewster,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Blaine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Fulton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
WA,Clark,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,237,0,Completed,07/17/2018 11:44,Local PPO
TX,Collin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Morris,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,32,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NJ,Bergen,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,30,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
GA,Cherokee,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Jefferson,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,McDonald,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Glascock,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WV,Mineral,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
AL,Conecuh,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
IA,Decatur,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KY,Carter,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WI,Manitowoc,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Wright,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Hardin,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Mecklenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
PA,Lackawanna,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Atascosa,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Bandera,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
AL,St. Clair,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Alachua,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cortland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Camuy,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
FL,Palm Beach,InnovaCare Inc.,MMM - PLATINUM (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,4,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Franklin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MI,Midland,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,16,0,Completed,06/26/2018 15:07,HMO/HMOPOS
TX,Willacy,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
WI,Marinette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,18,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Oldham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Morton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Hill,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Henry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Rosebud,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Custer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Kings,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,27,0,Completed,07/25/2018 11:36,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Monroe,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
NY,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Washington,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Warren,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
SC,Saluda,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Columbia,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,King and Queen,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Hudson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Delaware,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Hawaii,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5969,2,0,Completed,07/27/2018 20:10,HMO/HMOPOS
SC,Newberry,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
WA,Kitsap,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
GA,Upson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Cherokee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
TX,Bexar,Aetna Inc.,Aetna Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8597,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
KY,Magoffin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Chenango,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
NY,Herkimer,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TN,Campbell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Campbell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Pike,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,3,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pinellas,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
GA,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Henry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Carbon,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NE,Saunders,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
NC,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Franklin,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Saline,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,1,0,Completed,07/26/2018 15:08,HMO/HMOPOS
WV,Monongalia,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Stafford,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
TX,Goliad,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
ME,Knox,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,143,0,Completed,07/17/2018 11:44,Local PPO
GA,Lee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Clermont,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Morgan,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
GA,Wilkes,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
PR,Culebra,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Ponce,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PR,Rincon,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Queens,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Cabell,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
MO,Warren,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Pike,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Muskogee,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
WA,Stevens,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
NC,Bertie,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Kent,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Adams,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hancock,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Cleburne,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Lee,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
MI,Branch,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
LA,West Baton Rouge,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
MI,Lenawee,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Canadian,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
IL,McHenry,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Trimble,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
MN,Washington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
TN,Sumner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hardeman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IN,Gibson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
FL,Brevard,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Warren,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Kenosha,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
VA,Bland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Alexander,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Black Hawk,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Hillsborough,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Hillsborough,"Athena Healthcare Holdings, LLC",SOLIS SPF 009 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,9,0,Completed,07/20/2018 18:11,HMO/HMOPOS
GA,Walton,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Richmond,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Crenshaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AR,Izard,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
PA,Bedford,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
IN,Kosciusko,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Greenville,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,87,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Noble,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Scott,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MO,Mercer,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
MI,Dickinson,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
MD,Baltimore City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
OR,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
IN,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
PA,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
SD,Lyman,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
SD,Mellette,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Sabine,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TN,Hickman,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Erie,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
OK,Rogers,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
MA,Middlesex,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,122,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Adams,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Pierce,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,11,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CO,Mesa,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
TX,Tyler,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
OH,Lake,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ID,Franklin,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,5,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,15,Completed,07/27/2018 9:47,Local PPO
MO,St. Louis City,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Washington,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NC,Yadkin,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Jones,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Billings,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Fannin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Prince George,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
GA,Fulton,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Logan,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
IN,Blackford,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
NC,Alleghany,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,New Hanover,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Union,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Aguada,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Rockland,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IL,DeKalb,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
KS,Miami,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
MO,Lawrence,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
WV,Taylor,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
VA,Fairfax,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Carbon,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Lancaster,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
IN,Boone,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,Hillsborough,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,York,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Gila,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Orleans,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Mayes,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Adair,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Clinton,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Wright,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Red River,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Johnson,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Gibson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Ada,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,10,0,Completed,07/13/2018 13:55,Local PPO
OH,Madison,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
FL,Charlotte,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
IN,White,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Sacramento,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
FL,Marion,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OH,Ashland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Essex,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
IA,Winneshiek,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
MN,Chisago,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Stearns,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
PA,Chester,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
SD,Butte,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SC,Horry,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,58,0,Completed,07/24/2018 13:42,Local PPO
MO,Jefferson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
WV,Monroe,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
KY,Clay,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
GA,Madison,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MO,Cass,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MO,Lawrence,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
VA,Amherst,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
SC,Beaufort,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
KY,Jackson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
ND,Grant,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
PR,Barranquitas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Taylor,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Mason,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Cabarrus,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Newton,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Missaukee,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NC,Avery,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
WI,Manitowoc,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IA,Buena Vista,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MO,Callaway,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
KS,Sedgwick,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Neosho,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Pawnee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MN,Brown,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
PA,Union,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
NC,Henderson,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,7,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IN,Porter,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,4,0,Completed,07/24/2018 19:18,Local PPO
NY,Richmond,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Manassas City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Fulton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Madison,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
NE,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Juniata,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
TX,Montgomery,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Gonzales,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
AL,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
PR,Comerio,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Karnes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Union,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
TX,Henderson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
NC,Orange,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
OH,Muskingum,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
WI,Milwaukee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
TX,Tarrant,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
VA,Petersburg City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Seminole,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
PA,Cumberland,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Monongalia,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
IA,Marshall,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
GA,Cobb,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,71,0,Completed,07/24/2018 13:42,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
TN,Dyer,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
IN,Franklin,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
WV,Mingo,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
WV,Webster,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Iowa,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
GA,Talbot,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
AR,Clark,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
AR,Carroll,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
AR,St. Francis,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
CT,New London,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,2,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IA,Carroll,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
WV,Tucker,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
OK,Osage,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
VA,Falls Church City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Acadia,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Roanoke City,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Ramsey,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WV,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
DE,Kent,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,Marlboro,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Prince Edward,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
AL,Lauderdale,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Washington,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Tarrant,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Nance,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NY,Niagara,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,212,0,Completed,07/17/2018 11:44,Local PPO
LA,Tangipahoa,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
GA,Camden,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,115,0,Completed,07/17/2018 11:44,Local PPO
NY,Yates,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Appomattox,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
GA,Carroll,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,Sioux,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Clark,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Rush,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Miami,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
GA,Murray,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Taylor,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MI,Branch,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Saguache,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,5,0,Completed,07/30/2018 13:44,1876 Cost
CA,Orange,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,7,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Indiana,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
SC,Greenwood,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Middlesex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
VA,Lancaster,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Northampton,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Grant,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Union,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Marion,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
LA,Union,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
AL,Jackson,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Braxton,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,24,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,Ouachita,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,8,Completed,06/22/2018 9:28,HMO/HMOPOS
NM,Catron,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
IN,Johnson,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
NJ,Burlington,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
KS,Graham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Wayne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Wayne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Powell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Foster,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
AR,Polk,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Morovis,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Loudon,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
PA,Monroe,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Watonwan,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Hart,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,51,0,Completed,06/26/2018 15:07,Local PPO
PA,Bedford,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PR,Culebra,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Boulder,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,93,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Hatillo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Rockwall,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,2,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,184,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,194,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Shelby,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Arecibo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PR,Vieques,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
ME,Kennebec,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Yell,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,3,0,Completed,07/25/2018 16:54,HMO/HMOPOS
LA,Bienville,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
KS,Butler,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Lorain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Forest,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Spokane,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NE,Webster,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Gwinnett,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
TN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Bamberg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Kennebec,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
SC,Fairfield,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Crawford,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
PR,Guayanilla,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,190,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Nassau,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,3,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IL,Henry,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
WV,Grant,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
SD,Hutchinson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
WV,Brooke,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
NC,Scotland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Yadkin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,McDonald,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Rapides,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,1,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
NH,Carroll,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Perry,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Chester,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
NY,Suffolk,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
IN,Tippecanoe,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Dane,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
CA,Orange,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Erie,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NY,Westchester,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Mower,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
TX,Rusk,Humana Inc.,Humana Gold Plus H0028-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Stanislaus,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,45,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Cortland,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
MN,Carlton,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
FL,Lee,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
IL,Kankakee,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,07/25/2018 17:17,Medicare-Medicaid Plan HMO/HMOPOS
NY,Suffolk,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
ME,Piscataquis,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
OR,Yamhill,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
NM,Quay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Lamar,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
MN,Scott,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
MN,Big Stone,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
AZ,Yavapai,Humana Inc.,Humana Gold Plus H0028-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Howard,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,92,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Kootenai,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,2,0,Completed,07/13/2018 13:55,Local PPO
OK,Kingfisher,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
NE,Wayne,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MS,Jackson,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,171,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Marion,Humana Inc.,Humana Gold Plus H1036-277 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,277,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Saline,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Marion,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
IN,Morgan,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Solano,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,179,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Northampton,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,York,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
OH,Lorain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Richmond,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
NJ,Bergen,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
IL,Madison,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,San Diego,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
GA,Lowndes,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Autauga,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Warren,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Decatur,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Madison,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Burnet,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Albany,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,1,0,Completed,06/15/2018 10:34,1876 Cost
NY,Saratoga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Morrill,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Heard,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
WA,Pierce,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
NJ,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waukesha,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MI,Delta,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
PA,Lancaster,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
OK,Ottawa,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
OH,Athens,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
OH,Clermont,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IL,Lawrence,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
OH,Carroll,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CT,New Haven,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,Cowlitz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,17,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Guilford,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Donley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Lane,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,McIntosh,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,New York,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Greene,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Henderson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
CA,Los Angeles,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,45,0,Completed,07/16/2018 13:40,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
OH,Hancock,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Cameron,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
VA,Manassas City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Lake,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Lorenzo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,1,Completed,07/17/2018 15:41,HMO/HMOPOS
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Naranjito,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NY,Albany,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Kings,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,18,0,Completed,07/26/2018 11:48,Local PPO
TN,Williamson,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,34,0,Completed,07/26/2018 14:48,Local PPO
PA,Centre,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Clinton,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
VA,Buchanan,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Cumberland,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Helena,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
TN,Williamson,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,33,0,Completed,07/26/2018 14:48,Local PPO
OH,Wood,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OK,Seminole,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Canyon,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NE,Otoe,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Fleming,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Sullivan,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
OK,Lincoln,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
MN,Freeborn,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
PA,Northampton,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,15,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H8133,9,0,Completed,06/20/2018 12:01,HMO/HMOPOS
VA,Roanoke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Fredericksburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Ohio,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Rhea,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Williamson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
AZ,Mohave,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,131,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Marion,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,3,Completed,07/24/2018 19:18,Local PPO
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SD,Union,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
LA,Grant,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Sandusky,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,Putnam,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
NH,Carroll,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,2,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Marengo,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
CA,San Francisco,Imperial Health Plan of California,Imperial Senior Value (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,601,601,25,25,H5496,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NY,Washington,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
FL,Indian River,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Mahnomen,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
KS,Rawlins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
SC,Richland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,245,0,Completed,07/17/2018 11:44,Local PPO
KY,Henry,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
WV,Mercer,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NM,Cibola,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
IA,Palo Alto,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SC,Georgetown,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Bracken,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
LA,Plaquemines,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Nassau,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Emporia City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
WI,Bayfield,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
OH,Van Wert,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Osceola,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
FL,Polk,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,60,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Yates,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Menominee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,12,0,Completed,07/23/2018 10:18,HMO/HMOPOS
IA,Shelby,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,88,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Wood,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
GA,Lanier,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
MO,Chariton,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
IA,Emmet,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
GA,Pickens,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
UT,Cache,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
AL,Lawrence,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,McDowell,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MO,Christian,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
IA,Keokuk,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,8,0,Completed,07/26/2018 11:48,Local PPO
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Forsyth,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Garrard,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KY,Livingston,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Preferred Choice Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Vega Alta,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Ballard,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Bullitt,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Taylor,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Clayton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,42,0,Completed,07/16/2018 9:33,HMO/HMOPOS
VA,Manassas City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Tioga,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Hancock,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Shelby,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
UT,Salt Lake,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,4,0,Completed,07/13/2018 13:55,Local PPO
WI,Milwaukee,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MI,Iosco,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
CO,Costilla,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
WI,Kenosha,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
GA,Washington,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
MT,Teton,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
OH,Greene,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Gallia,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Davis,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NJ,Camden,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NC,Davidson,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Linn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Butler,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Marion,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Menominee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Rock,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Morris,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
IL,Kendall,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Judith Basin,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
NC,Lincoln,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Noble,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Belmont,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
FL,Osceola,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,74,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Essex,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
WA,Thurston,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
FL,Charlotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
NJ,Essex,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
OH,Ottawa,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Lycoming,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
IN,Marion,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
VA,Appomattox,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
WV,Harrison,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MI,Wayne,Centene Corporation,Michigan Complete Health (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9487,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
AL,Morgan,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Pawnee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Adair,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MS,Hinds,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Gibson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Sequatchie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ME,Kennebec,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
NE,Sarpy,Aetna Inc.,Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Harrison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vermillion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Hardin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
TX,Leon,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Richland,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Goochland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Webster,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Hot Spring,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Kittson,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MO,Mississippi,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Elk,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
PA,Washington,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
TN,Marshall,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
GA,Twiggs,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
GA,Spalding,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/13/2018 10:20,HMO/HMOPOS
SC,Lexington,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,1,Completed,07/24/2018 13:42,Local PPO
TN,Macon,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
SD,Marshall,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
GA,Towns,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
IN,De Kalb,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
FL,Jefferson,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
IA,Wright,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NC,Henderson,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,10,0,Completed,07/24/2018 9:02,HMO/HMOPOS
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Hillsdale,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
PR,Juncos,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Maricopa,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,130,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
IN,Hancock,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Tyler,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Jefferson,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IL,Jasper,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,St. Clair,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Hale,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Itawamba,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Tippah,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KY,Hart,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
TX,Gregg,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MT,Lake,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
GA,Fannin,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
TN,Hancock,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Saline,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Mills,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
MO,Clay,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,4,0,Completed,06/15/2018 10:34,1876 Cost
WA,Thurston,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
VA,Middlesex,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
GA,Hancock,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NY,Kings,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
GA,Dodge,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
MO,Cass,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Randolph,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
VA,Spotsylvania,Humana Inc.,HumanaChoice H5216-151 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,151,0,Completed,07/24/2018 13:42,Local PPO
IA,Crawford,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IA,Wright,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IL,St. Clair,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Morgan,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,138,0,Completed,07/24/2018 13:42,Local PPO
AZ,Mohave,Humana Inc.,Humana Value Plus H5216-197 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,197,0,Completed,07/24/2018 13:42,Local PPO
AR,Crawford,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
PR,Maunabo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Clay,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Winona,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
GA,Taliaferro,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wayne,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Los Alamos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,York,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,18,Completed,07/27/2018 9:47,HMO/HMOPOS
AZ,Pinal,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,1,0,Completed,06/22/2018 13:23,HMO/HMOPOS
NC,Richmond,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
AL,Jefferson,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NC,Gaston,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Kenosha,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Sevier,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Warren,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
MO,Dent,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Pickett,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
KY,Edmonson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MD,Baltimore,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
IA,Sioux,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
PR,Anasco,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guayama,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Lackawanna,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Allen,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Noble,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Hancock,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Winnebago,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Magoffin,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Chatham,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
TN,Macon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Perry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Forest,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
PA,Mercer,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
OH,Henry,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,11,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Russell,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Washington,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Doddridge,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
LA,Bossier,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
WV,Preston,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MS,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Panola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
MN,Redwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
KS,Douglas,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
FL,Martin,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,229,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Nottoway,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
NE,Sarpy,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Warrick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,20,0,Completed,07/16/2018 13:15,HMO/HMOPOS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Focus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,170,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Lee,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
PA,Fayette,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
LA,Caddo,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Person,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,97,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,77,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Pickaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Fulton,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Crenshaw,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IL,Lake,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0281,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
TN,Maury,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Motley,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Coffee,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Virginia Beach City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
OH,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
GA,Bleckley,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
MT,Fallon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MI,Livingston,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,De Kalb,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
AL,Russell,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
SC,Horry,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
MO,Clay,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
PA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
SD,Lawrence,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
PA,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Madison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Blount,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Sevier,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Johnson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Union,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
HI,Hawaii,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,8,0,Completed,07/16/2018 15:11,Local PPO
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
CO,Park,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
IN,Blackford,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
VA,Lee,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
MI,Jackson,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
OR,Yamhill,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,2,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Iron,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,2,0,Completed,07/19/2018 19:35,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
TX,Hill,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Venango,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Nelson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Cherokee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Guaynabo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ponce,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Louis,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Fountain,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Posey,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Cass,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,McMinn,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
MN,Chisago,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
UT,Utah,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
IN,Floyd,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
VA,Petersburg City,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Clinton,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
WI,Ozaukee,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
SC,Laurens,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,41,0,Completed,06/26/2018 15:07,Local PPO
AR,Washington,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Ouachita,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MN,Steele,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Watonwan,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Roseau,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TX,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H0028-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Grant,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Caswell,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Frederick,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,198,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Mayes,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,Johnson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,7,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Elite Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,25,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Adams,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Union,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Montgomery,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
WA,Pierce,PacificSource Health Plans,PacificSource Medicare MyCare 35 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,35,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,Washington,PacificSource Health Plans,PacificSource Medicare MyCare Rx 40 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,40,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Spalding,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
GA,Clayton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MO,St. Francois,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Cass,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Bledsoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Trousdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Acadia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. James,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Tompkins,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
VA,Prince Edward,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IN,Hendricks,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Orange,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Kings,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Broward,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WA,King,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
AL,Mobile,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
GA,Richmond,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
VA,Goochland,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
OH,Marion,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Orocovis,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Buffalo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Coffee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,30,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
VA,Isle of Wight,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IN,Starke,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
KS,Johnson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
KY,Franklin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
OH,Lawrence,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
KS,Linn,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
KY,Leslie,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MI,Calhoun,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
VA,Pulaski,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Sussex,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NM,Santa Fe,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
CA,Santa Clara,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,20,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Jefferson,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
WI,Winnebago,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
IL,Sangamon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
UT,Cache,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3251,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
NM,Sandoval,Humana Inc.,Humana Gold Plus H0028-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cheatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Duval,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,270,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Jefferson,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,234,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Nicollet,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
AZ,Greenlee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Palo Pinto,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
AR,Johnson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Hormigueros,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Decatur,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Warren,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MO,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Renville,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Churchill,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,7,0,Completed,07/24/2018 17:55,Local PPO
GA,Henry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Osage,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
KY,Mercer,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MT,Broadwater,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
OH,Logan,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
PA,Huntingdon,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PA,Lawrence,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PA,Lebanon,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
PR,Guanica,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Denver,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Cleburne,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,98,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Southampton,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NJ,Somerset,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Bucks,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Douglas,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,12,0,Completed,07/24/2018 19:18,Local PPO
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Anderson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Naguabo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,Kitsap,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WA,Okanogan,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Suffolk,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
NY,Bronx,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,New York,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Logan,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
OK,Garvin,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,St. Louis City,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
WV,Hampshire,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
WV,Marshall,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Essex,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
AL,Morgan,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,Belknap,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Valley,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
NC,Montgomery,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
PA,Snyder,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,6,0,Completed,06/26/2018 15:07,Local PPO
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
PR,Carolina,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,Rapides,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
IL,Calhoun,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Howard,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
MO,Ozark,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
KY,Jessamine,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Prince William,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Anoka,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
WV,Mingo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
WA,Walla Walla,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
WA,King,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,7,1,Completed,07/13/2018 13:55,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Wyandot,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Wyoming,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Wilcox,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
NE,Harlan,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Medina,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
LA,Iberville,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Overton,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MS,Quitman,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
VA,Tazewell,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
KS,Crawford,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
KY,Lincoln,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
AR,Grant,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Green,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Cherokee,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
TX,Palo Pinto,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Emanuel,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Peach,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Dutchess,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Martin,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Schenectady,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashtabula,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lee,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,Buena Vista,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Jackson,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,13,0,Completed,06/15/2018 12:33,Local PPO
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
OK,Johnston,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KY,Harlan,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KY,Taylor,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,DeKalb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
PA,Mifflin,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Davis,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,1,0,Completed,07/13/2018 13:55,Local PPO
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MI,Huron,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Hardee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MS,Rankin,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
OK,Seminole,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Barrow,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
WA,Thurston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Morris,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
TX,Gillespie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Fall River,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Toa Baja,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Coweta,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Jasper,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Buckingham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Harrison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Warren,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Sevier,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Weakley,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
SC,Aiken,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Henrico,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Miami,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
RI,Kent,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,10,0,Completed,07/17/2018 11:44,Local PPO
FL,Polk,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,19,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MO,Pike,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Camden,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,31,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Morgan,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Geary,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cocke,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Liberty,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Henry,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
MT,Lake,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Cascade,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,8,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Lewis and Clark,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,8,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Brown,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,200,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Avoyelles,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
WA,Snohomish,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NE,Madison,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
NV,Carson City,Renown Health,Senior Care Plus: Value Rx Enhanced Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,4,0,Completed,07/24/2018 17:58,HMO/HMOPOS
PA,Lehigh,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
AR,Izard,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Carroll,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
OH,Miami,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Washington,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NC,Caswell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,75,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Appanoose,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
GA,Laurens,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
CA,San Diego,Sharp Healthcare,Sharp Direct Advantage Platinum Card (HMO),Y,Y,N,Y,Y,100,0,0,601,0,301,H5386,4,0,Completed,07/27/2018 14:15,HMO/HMOPOS
AL,Fayette,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Kings,Humana Inc.,Humana Gold Plus H5619-015 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Frederick,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Washington,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Calcasieu,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
TX,Victoria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Benton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
WA,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,DeSoto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Lamar,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Winona,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
TN,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Bronze Rx (Basin) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,1,0,Completed,07/28/2018 12:06,Local PPO
OH,Lorain,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
FL,St. Johns,Guidewell Mutual Holding Corporation,FHCP Medicare Flagler Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,16,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Adams,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NC,Transylvania,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,105,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Cedar,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Dallas,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Cleburne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Racine,"Network Health, Inc.",Network Health Medicare Explore (HMO),Y,N,Y,Y,N,,,150,482,150,241,H5644,2,0,Completed,06/27/2018 15:22,HMO/HMOPOS
NJ,Camden,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H4922,10,0,Completed,07/27/2018 16:18,HMO/HMOPOS
UT,Salt Lake,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9455,1,0,Completed,07/30/2018 15:49,HMO/HMOPOS
TN,Henry,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,McMinn,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Seneca,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
SC,Richland,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,1,Completed,07/24/2018 13:42,Local PPO
TN,Lawrence,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
CO,Jefferson,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
IA,Delaware,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
WV,Mason,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Huntington,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MS,Wilkinson,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
TX,San Patricio,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
OH,Cuyahoga,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MN,Rock,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
VT,Chittenden,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
TN,Humphreys,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Crosby,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Union,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
PR,Aibonito,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Naranjito,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Jones,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Putnam,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Hays,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Franklin,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
OR,Multnomah,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,1,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Coshocton,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Seneca,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Union,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marion,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Isanti,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
ID,Payette,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Pennington,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NY,New York,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
VA,Newport News City,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Randolph,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Brooks,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
WI,Waukesha,Independent Care Health Plan Inc.,Aurora CompleteCare (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,9,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Yellow Medicine,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Itasca,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Fayette,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
TX,Galveston,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Nottoway,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Weld,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,21,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Chester,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Washington,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,3,0,Completed,07/20/2018 16:01,Local PPO
TN,Union,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
MO,Lawrence,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Decatur,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Trousdale,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Wyoming,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
AL,Dale,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
TN,Hickman,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
AZ,Pima,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,186,0,Completed,07/17/2018 11:44,Local PPO
LA,Ascension,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
ME,York,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,142,0,Completed,07/17/2018 11:44,Local PPO
PA,Snyder,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/13/2018 10:20,HMO/HMOPOS
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
AR,Washington,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Screven,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,Poweshiek,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NC,Chatham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
WI,Forest,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Dallas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,Rolette,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Charlotte,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Graham,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aibonito,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Lewis,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Douglas,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IL,Kendall,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
NC,Davie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Bertie,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,St. Landry,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Williams,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
VA,Wise,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,King,Humana Inc.,Humana Gold Plus H5619-057 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Bourbon,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
GA,Butts,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NH,Merrimack,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Midland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,3,0,Completed,07/26/2018 11:48,Local PPO
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,St. Johns,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Stephenson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
AZ,Pima,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
FL,Bay,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Manatee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Charlotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
OH,Medina,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
CA,Ventura,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Ventura (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,34,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Nassau,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Floyd,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
ID,Gem,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
GA,Taliaferro,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
FL,Santa Rosa,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
SD,Moody,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
IN,Jasper,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Montgomery,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Menifee,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
PA,Lycoming,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
GA,Heard,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
OK,Grady,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,Murray,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TN,Union,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KY,Whitley,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
CA,Orange,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,61,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
GA,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
MN,McLeod,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
MD,Baltimore,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
GA,Forsyth,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Cumberland,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Jefferson,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Loudon,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Mahoning,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Peoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
WI,Forest,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MI,Cass,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Crawford,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Keweenaw,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
FL,Charlotte,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
PR,Lajas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Lyon,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Fayette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,3,Completed,07/16/2018 9:33,HMO/HMOPOS
OH,Franklin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Fulton,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Traverse,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MN,Faribault,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MO,Christian,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Tyler,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MI,Newaygo,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,4,Completed,07/26/2018 15:53,Local PPO
GA,Greene,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Marion,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,17,Completed,07/27/2018 9:47,Local PPO
PA,Bucks,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,15,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Davie,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WY,Hot Springs,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Fayette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Wilkinson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Humacao,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Waynesboro City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Crawford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Tazewell,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Mathews,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,14,0,Completed,07/23/2018 14:30,Local PPO
KY,Carter,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Halifax,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
SC,Aiken,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Johnson,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,72,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,94,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Brunswick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Hopewell City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Amelia,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Preble,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Miami,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Fountain,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
AL,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
FL,Martin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
MT,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Wilson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
TX,Polk,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
FL,Pasco,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PA,Clinton,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
KY,Hardin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
PR,Florida,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MN,Big Stone,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Boundary,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
MT,Fergus,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
LA,Bienville,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
OH,Putnam,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
ME,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Lares,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Morovis,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TN,Giles,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NY,Westchester,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Delaware,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Cass,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
AR,Franklin,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
WV,Doddridge,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Hyde,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Berks,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
FL,Miami-Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Dinwiddie,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,La Porte,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
SC,Williamsburg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
SC,Colleton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
OH,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Mercer,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,13,0,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,Coweta,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
IL,St. Clair,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Dyer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ross,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,3,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Jefferson,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MO,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,Santa Cruz,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,8,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Newaygo,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Richmond,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,19,0,Completed,07/25/2018 11:36,HMO/HMOPOS
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Washington,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
NC,Mecklenburg,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
DE,Kent,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,102,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Douglas,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Vilas,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IN,Knox,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Burleson,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Brantley,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
KS,Chase,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Carbon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Campbell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Logan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Tarrant,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,2,0,Completed,06/20/2018 12:01,Local PPO
PA,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Hancock,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Logan,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
AR,Madison,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
SC,Oconee,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
OK,Creek,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Lincoln,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
MO,Ozark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Camden,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
MT,Pondera,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
LA,De Soto,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
OH,Tuscarawas,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
TN,Carter,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,4,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
MS,Washington,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
NJ,Burlington,Humana Inc.,HumanaChoice H5216-184 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,184,0,Completed,07/24/2018 13:42,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Casey,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Dawson,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
AL,Colbert,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
SD,Lawrence,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KS,Butler,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Becker,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
FL,Palm Beach,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
OH,Guernsey,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Richland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Crawford,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Daggett,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Polk,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Jewell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Vigo,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Sargent,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Champaign,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Covington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Goochland,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Smith,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Williamson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MN,Stevens,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Greene,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Crawford,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
GA,Houston,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Clark,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Charles City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OK,Logan,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Luzerne,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Vega Baja,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Shelby,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
WV,Cabell,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
PA,Berks,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Adams,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
MN,Hennepin,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
MD,Baltimore,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Shelby,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Spartanburg,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NH,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,24,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Logan,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OR,Curry,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,26,1,Completed,07/06/2018 16:48,HMO/HMOPOS
OH,Fairfield,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
MN,Lyon,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Lafayette,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,DeSoto,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Hatillo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Salinas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,186,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,218,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Madison,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,218,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Loudon,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Adams,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Hancock,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
WV,Doddridge,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
KS,Franklin,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
VA,Halifax,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Wahkiakum,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
LA,Pointe Coupee,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
NC,Durham,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Forest,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Boise,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
KS,Wyandotte,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Douglas,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,99,0,Completed,07/20/2018 11:11,Local PPO
OK,Seminole,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
RI,Newport,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,07/12/2018 10:53,Medicare-Medicaid Plan HMO/HMOPOS
OH,Defiance,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IN,Parke,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Carroll,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Susquehanna,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
FL,Marion,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Lewis,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
WI,Langlade,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Crook,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,38,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,Crook,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,39,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Henry,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Henry,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Mercer,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Hardy,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Thomas,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Greene,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Dyer,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lincoln,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wise,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Ellis,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
NY,Albany,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,123,0,Completed,07/17/2018 11:44,Local PPO
SC,Hampton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,252,0,Completed,07/17/2018 11:44,Local PPO
GA,Washington,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Richmond,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
SD,Lake,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Pueblo,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
SC,Hampton,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
WV,Wirt,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Jackson,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Greene,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
VA,Frederick,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
TX,Brooks,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyle,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
AR,Phillips,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
GA,Wilcox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Jefferson,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
KY,Kenton,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MI,Crawford,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
GA,Morgan,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Hancock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,2,0,Completed,07/20/2018 11:11,Local PPO
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Franklin,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,16,Completed,07/27/2018 9:47,HMO/HMOPOS
NY,Westchester,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
KS,Comanche,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Tyler,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Rockland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Macon,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
ID,Ada,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1969,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
TX,Franklin,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
OH,Fairfield,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
TN,Fentress,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KY,Owen,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalamazoo,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
MI,Oceana,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
CT,Windham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
SC,Beaufort,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,252,0,Completed,07/17/2018 11:44,Local PPO
AL,St. Clair,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
FL,Santa Rosa,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,DuPage,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
WI,Walworth,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
SC,Cherokee,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Lonoke,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
IA,Linn,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NJ,Atlantic,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
SD,Lincoln,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Coweta,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Cape Girardeau,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Colbert,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CT,Middlesex,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,21,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,Tolland,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,21,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,15,Completed,07/27/2018 9:47,Local PPO
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
TX,Collin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Juana Diaz,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
LA,Red River,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
NE,Wayne,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
KS,Labette,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
OH,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
PA,Snyder,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
OH,Summit,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,21,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Tuscaloosa,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Hardy,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
OR,Multnomah,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,8,0,Completed,07/17/2018 11:44,Local PPO
FL,Miami-Dade,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Onondaga,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Richmond,Humana Inc.,HumanaChoice H5970-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,21,0,Completed,07/24/2018 13:42,Local PPO
VA,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Francisco,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,57,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,McClain,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,13,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,McLennan,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Leelanau,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
OH,Stark,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
MI,Eaton,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
OK,McClain,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Pickens,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,1,0,Completed,07/20/2018 11:11,Local PPO
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Newton,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,18,Completed,07/27/2018 9:47,Local PPO
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
OR,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WY,Natrona,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Genesee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Cabo Rojo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Pittsylvania,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Morgan,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Broome,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Big Stone,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Crawford,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx (HMO),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,4,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Allegheny,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
VA,Alexandria City,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,McLean,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Columbia,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
WI,Green,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
AR,Garland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Trousdale,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
VA,Rappahannock,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
WA,Walla Walla,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
GA,Catoosa,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
PA,Allegheny,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
PA,Delaware,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
PA,Beaver,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
AR,Union,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
MS,Scott,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
TX,Victoria,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TN,Grainger,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
TX,Martin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Floyd,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,Marshall,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,"Tufts Associated HMO, Inc.",CareAdvantage Preferred (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,1,0,Completed,07/03/2018 8:46,HMO/HMOPOS
GA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
CO,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
IA,Buchanan,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
IL,Jo Daviess,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,3,0,Completed,06/15/2018 10:34,1876 Cost
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Vega Alta,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Huron,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
OH,Delaware,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
LA,Ouachita,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,230,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,1,Completed,07/20/2018 13:43,HMO/HMOPOS
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,2,0,Completed,07/26/2018 11:48,Local PPO
MO,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
IN,Pike,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
SD,Turner,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Price,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Medina,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
ME,Androscoggin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
FL,Orange,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,98,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Charlottesville City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
WI,Ozaukee,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Giles,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Greene,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Cleveland,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Washington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OR,Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
ME,Kennebec,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
MA,Suffolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,2,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Clark,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IA,Dallas,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Hamilton,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Montgomery,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
OH,Lake,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
MO,Lincoln,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
MO,Ray,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Halifax,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Davie,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,East Feliciana,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Carson City,Renown Health,Senior Care Plus: Value Basic Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,9,0,Completed,07/24/2018 17:58,HMO/HMOPOS
PA,Perry,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
MI,Muskegon,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NH,Strafford,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Carroll,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Portsmouth City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Caldwell,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Cleburne,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,6,Completed,07/16/2018 15:07,PFFS
IA,Jackson,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Yates,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
OH,Delaware,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,51,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Suffolk,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Wayne,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
TN,Maury,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Person,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Winneshiek,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
AR,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,Creek,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Okmulgee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,1,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Delaware,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
KY,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Saratoga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
TX,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
ND,Morton,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Sanborn,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lake,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Taylor,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,15,Completed,07/27/2018 9:47,HMO/HMOPOS
AZ,Maricopa,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/22/2018 13:23,HMO/HMOPOS
NC,Scotland,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IN,Allen,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,2,0,Completed,07/24/2018 19:18,Local PPO
NC,Guilford,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
NY,Queens,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Marshall,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Warren,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,2,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Lewis,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Ottawa,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Warren,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
GA,Newton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Crawford,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Stone,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Jackson,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MT,Pondera,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IL,Wabash,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Brown,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IA,Louisa,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
TX,Armstrong,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
ME,Waldo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
NY,Otsego,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
ID,Ada,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,9,0,Completed,07/26/2018 20:21,HMO/HMOPOS
VA,Newport News City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Fremont,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NC,Madison,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Westmoreland,Humana Inc.,Humana Gold Plus H6622-053 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,53,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Warren,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Lane,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,1,Completed,07/24/2018 19:18,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,214,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,201,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Pickett,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
MO,Douglas,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
NJ,Gloucester,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,41,0,Completed,07/26/2018 14:48,Local PPO
PA,Cameron,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
SC,York,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Chesterfield,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Meriwether,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Worth,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
KY,Cumberland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Orange,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
LA,Ascension,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Teller,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Howard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Highlands,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
IN,Howard,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NY,Schuyler,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Chemung,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
IA,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Goochland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Jefferson,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Barry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Lehigh,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,8,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TX,Austin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Fulton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Washington,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
WV,Logan,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
TX,Burleson,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
IL,Fayette,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,Dona Ana,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
CA,Orange,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,6,0,Completed,07/27/2018 13:58,HMO/HMOPOS
IN,Starke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Houston,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Atascosa,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Anasco,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Arroyo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NM,Santa Fe,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,2,0,Completed,07/30/2018 11:21,HMO/HMOPOS
KY,Ohio,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
PA,York,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Fairfield,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Union,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
VA,Richmond,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Lexington City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Silver Bow,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barranquitas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,7,Completed,07/24/2018 14:36,HMO/HMOPOS
SD,Aurora,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
FL,Sumter,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,16,0,Completed,07/26/2018 11:48,Local PPO
PA,Lawrence,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Fayette,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
VA,Fluvanna,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Caddo,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Ouachita,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Union,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Carroll,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Douglas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Lee,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
MN,Cottonwood,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MI,Iron,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
VA,Lee,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
KS,Cheyenne,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
WI,Washburn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Stutsman,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Spink,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Oliver,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Bienville,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
AL,Shelby,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,DeKalb,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Anderson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
PR,Corozal,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Marion,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Banks,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,Jasper,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OR,Multnomah,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Morrison,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Oldham,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MO,Jefferson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WA,Kittitas,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IA,Van Buren,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Coffey,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
NC,Alleghany,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Durham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Pike,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
OH,Clinton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Muskingum,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Chowan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MA,Norfolk,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
SC,Greenville,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
MA,Essex,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Cherokee,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Bath,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KY,Clay,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
OH,Ottawa,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
IN,Ripley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Prince George s,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Brule,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
UT,Grand,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Santa Cruz,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,San Jacinto,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Carroll,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Ciales,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Greenbrier,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Stark,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Duplin,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NE,Burt,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
IN,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
GA,Butts,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,99,0,Completed,07/20/2018 11:11,Local PPO
CA,Santa Clara,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,2,0,Completed,07/18/2018 17:46,HMO/HMOPOS
FL,Indian River,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Erie,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Van Wert,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Union,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
AZ,La Paz,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,1,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Calhoun,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Arenac,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Presque Isle,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MO,Christian,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Lancaster,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Union,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Marion,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
IL,Mason,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MA,Franklin,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
FL,Pinellas,"Devoted Health, Inc.",Devoted Health Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,4,0,Completed,07/25/2018 11:54,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Orange,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,4,0,Completed,07/25/2018 12:48,HMO/HMOPOS
AL,Lee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Newport News City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
NC,Guilford,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
ND,Burleigh,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NM,Otero,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,1,Completed,07/24/2018 13:42,Local PPO
IA,Lucas,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Edwards,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Dooly,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
MA,Norfolk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
NM,Sierra,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
ND,Pierce,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
RI,Bristol,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Winnebago,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
LA,Bossier,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
DE,Sussex,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,102,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
HI,Kauai,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,7,0,Completed,07/16/2018 15:11,Local PPO
UT,Salt Lake,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,2,0,Completed,07/13/2018 13:55,Local PPO
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Sumner,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,La Paz,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,13,0,Completed,07/26/2018 13:57,HMO/HMOPOS
GA,Douglas,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Antrim,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Kent,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
VA,Roanoke City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
OH,Hamilton,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
SD,Hamlin,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Keokuk,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
AR,Baxter,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
IN,Lagrange,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
GA,Banks,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Swift,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Cameron,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
SC,Clarendon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Marion,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
OH,Trumbull,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
OH,Geauga,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Dunn,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
TN,Wilson,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
MI,Eaton,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Franklin,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
VA,Southampton,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
IN,Clay,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MI,Calhoun,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
MI,Ogemaw,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
IL,Whiteside,The Carle Foundation,Guide HMO Rx 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,21,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
MS,Madison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Toa Alta,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Mahoning,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Steuben,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Bucks,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Upshur,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
KY,Wolfe,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
NC,Bladen,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,Perry,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
NC,Columbus,Humana Inc.,HumanaChoice H5525-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,34,0,Completed,07/24/2018 13:42,Local PPO
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
SC,Chester,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Patillas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Carroll,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Montgomery,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Pike,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MN,Martin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
NY,Hamilton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
OH,Monroe,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,14,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IN,Lawrence,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Shelby,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,St. Charles,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
NJ,Ocean,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,2,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NJ,Camden,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Jones,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Rowan,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
IN,Wabash,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
ND,Benson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
VT,Windsor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
MA,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cocke,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Putnam,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
GA,Henry,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Pike,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Blount,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Obion,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,La Salle,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Butts,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,San Sebastian,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NC,Madison,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,239,0,Completed,07/17/2018 11:44,Local PPO
UT,Davis,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,197,0,Completed,07/17/2018 11:44,Local PPO
TX,El Paso,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,107,0,Completed,07/17/2018 11:44,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MN,Lake,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MN,Marshall,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
TX,Llano,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Fayette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Jim Wells,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Rockwall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Brookings,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Gurabo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MS,Simpson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Elmore,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
MT,Chouteau,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
NC,Sampson,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
PA,Butler,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Auglaize,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Dodge,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
TN,Humphreys,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Comal,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,31,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Albany,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Franklin,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IN,Vermillion,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Marion,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Oglethorpe,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Montgomery,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
VA,Tazewell,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MO,Gentry,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Page,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
SC,Dorchester,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,75,0,Completed,07/24/2018 13:42,Local PPO
OH,Butler,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
AR,Hot Spring,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MT,Cascade,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
TX,Tarrant,Imperial Health Plan of California,Imperial Insurance Company of Texas Dual (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,4,0,Completed,06/08/2018 19:20,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
CA,Kern,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,205,0,Completed,07/17/2018 11:44,Local PPO
GA,Peach,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NJ,Gloucester,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Loiza,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Maricao,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
FL,Palm Beach,InnovaCare Inc.,MMM - EXTRA (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,3,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KY,Bourbon,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MI,Sanilac,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MI,Isabella,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
GA,Forsyth,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Ada,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Davie,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ND,Rolette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Guadalupe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Tishomingo,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Grant,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Camuy,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguas Buenas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Polk,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Davidson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
IA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Mower,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NC,Burke,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
UT,Tooele,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
VA,Lynchburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
WI,Calumet,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ciales,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Hood,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
TN,Smith,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Bronx,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,6,0,Completed,07/30/2018 7:32,HMO/HMOPOS
NY,Kings,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Pocahontas,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
MO,Shelby,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Franklin,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
MO,St. Charles,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Johnson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
GA,Douglas,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
FL,Palm Beach,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,18,0,Completed,07/26/2018 11:48,Local PPO
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
TN,Davidson,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,34,0,Completed,07/26/2018 14:48,Local PPO
IN,St. Joseph,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,20,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Wise,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
AR,Sebastian,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Comal,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,20,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
NC,Mitchell,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Craig,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Franklin,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juana Diaz,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Roane,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Anasco,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
MI,Calhoun,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
WV,Mason,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
WV,McDowell,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
SD,Lake,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
WV,Ohio,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Montgomery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,St. Charles,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Tioga,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
OH,Fulton,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,11,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NH,Merrimack,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Kandiyohi,Medica Holding Company,Medica Advantage Solution H6154-002 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WV,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
OH,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Summers,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Fayette,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Faulkner,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
AR,Jefferson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,6,Completed,07/16/2018 15:07,PFFS
OK,Caddo,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
TN,Dickson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Merced,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
WI,Green Lake,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
OH,Union,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
CA,Santa Barbara,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Madera,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
KY,Warren,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashland,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
FL,Hardee,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,3,Completed,07/20/2018 13:43,HMO/HMOPOS
CO,Otero,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
IA,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Itasca,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Clearwater,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Norman,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MO,Bollinger,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Cooper,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
FL,Union,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
MN,Watonwan,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
ND,Stutsman,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
KY,Perry,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
IN,Franklin,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
TX,Wood,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Bourbon,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Wharton,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MN,Chisago,Medica Holding Company,Medica Advantage Solution H8889-002 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,2,0,Completed,07/18/2018 10:13,Local PPO
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Knox,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Franklin,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
FL,Martin,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
VA,Newport News City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
VA,Virginia Beach City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
OH,Seneca,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WV,Kanawha,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MI,Leelanau,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Butler,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wood,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wyandot,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Jackson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Wabash,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Henry,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NC,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Rutherford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Naguabo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Carter,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
IA,Clayton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Arapahoe,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
OK,Seminole,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Grant,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Chowan,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
NC,Surry,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MT,Fergus,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
MN,Le Sueur,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Christian,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
GA,Bibb,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Kings,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,06/26/2018 8:33,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
OR,Clackamas,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
TX,Parker,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
LA,Iberville,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Strafford,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
AR,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
NH,Strafford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
MN,Wabasha,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Summers,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
PA,Lackawanna,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Polk,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Allen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Arapahoe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
VA,Essex,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,St. Joseph,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
OH,Columbiana,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
WV,Lewis,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
GA,Glascock,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IL,Edgar,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Reeves,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Delaware,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WY,Sweetwater,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,McCook,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Treasure,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,New York,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Adjuntas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OH,Harrison,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Union,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Marshall,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NM,San Miguel,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Aiken,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
MA,Hampden,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,DeKalb,Aetna Inc.,Aetna Medicare Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Camden,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
TN,Hickman,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Knox,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Comal,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Carlton,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,5,0,Completed,07/26/2018 11:48,Local PPO
SC,Anderson,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Charlotte,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,LaSalle,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
IN,Switzerland,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
KY,Knott,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,Ohio,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
MI,Midland,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SD,Lincoln,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lincoln,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MD,Anne Arundel,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
MD,Wicomico,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
AL,Jackson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Madison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Columbia,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Assumption,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Menifee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Taylor,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,1,Completed,07/16/2018 9:33,HMO/HMOPOS
CO,El Paso,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,135,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Iredell,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Orange,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Ashland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New Haven,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hamblen,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Franklin,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Cameron,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Bartow,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MN,Dodge,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MI,Ontonagon,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Iroquois,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,46,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Fulton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Fairfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Waller,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Powhatan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Louisa,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Wayne,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,1,Completed,07/24/2018 19:18,Local PPO
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,New York,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Stafford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Fulton,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Perry,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,13,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Cass,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
IN,Hamilton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Allegany,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
OH,Van Wert,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Blair,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Woodruff,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
AL,Bibb,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
GA,Muscogee,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
KY,Campbell,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
AR,Faulkner,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
HI,Maui,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hardeman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Ascension,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Washington,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Porter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,51,0,Completed,07/16/2018 13:15,HMO/HMOPOS
NY,Suffolk,Humana Inc.,Humana Gold Plus H3533-010 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,10,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Onondaga,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Alexander,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Greene,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Allegheny,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NJ,Mercer,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,85,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,Grant,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
PA,Sullivan,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
OH,Geauga,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Heard,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Kent,Humana Inc.,Humana Gold Plus SNP-DE H8908-005 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Greene,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Waynesboro City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Surry,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,Bath,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Clarke,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hampton City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Clackamas,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
PR,Aguas Buenas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Las Piedras,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WV,Mercer,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Marshall,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Fairfax City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,James City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Mifflin,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Huntingdon,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
AR,Perry,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,De Soto,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
OH,Warren,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
NC,Sampson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
AR,Greene,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
AR,Van Buren,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MA,Hampshire,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Garvin,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Elliott,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
SC,Lee,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
MN,Carver,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
MN,Norman,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
OK,Osage,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
NE,Dixon,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Amherst,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Miller,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sheboygan,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
PA,Potter,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Columbia,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,Humana Inc.,HumanaChoice H5970-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,23,0,Completed,07/24/2018 13:42,Local PPO
TX,Bexar,Imperial Health Plan of California,Imperial Insurance Company of Texas Dual (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,4,0,Completed,06/08/2018 19:20,HMO/HMOPOS
VT,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WA,Snohomish,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
IN,Knox,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,211,0,Completed,07/17/2018 11:44,Local PPO
GA,Stewart,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
AL,Jackson,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
GA,Fayette,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Carbon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MS,Panola,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
MN,Norman,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
SD,Fall River,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
OH,Mercer,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
TX,Frio,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NE,Cass,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
HI,Maui,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,41,0,Completed,07/24/2018 13:42,Local PPO
TX,Washington,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
MN,Becker,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
PR,Dorado,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MO,Ray,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Hubbard,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
PA,Northampton,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
SC,Williamsburg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Cumberland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Pittsylvania,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
AL,Cullman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
NY,New York,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
FL,Pasco,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,29,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Queens,Humana Inc.,HumanaChoice H5970-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,22,0,Completed,07/24/2018 13:42,Local PPO
MO,Jackson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Woodruff,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
NJ,Somerset,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Magoffin,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
AL,Geneva,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Davidson,CIGNA,Cigna-HealthSpring Alliance Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,42,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Dickson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,2,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Grundy,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PR,Barceloneta,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Logan,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Canyon,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Delaware,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
PA,Cameron,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
MS,Grenada,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Coamo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Campbell,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,4,0,Completed,06/20/2018 12:01,Local PPO
IL,Cook,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
KY,Pulaski,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Marion,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
LA,Sabine,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
OH,Stark,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
PR,Adjuntas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AZ,Santa Cruz,"Veritage, LLC",Blue Medicare Advantage Standard (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,9,0,Completed,06/28/2018 17:45,HMO/HMOPOS
WI,Kenosha,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Polk,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Kings,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,McNairy,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Winnebago,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
IL,Livingston,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IL,Monroe,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
MO,Douglas,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
MO,Laclede,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Acadia,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Mifflin,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
MI,Monroe,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,8,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,York,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hancock,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buchanan,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,Grafton,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SD,Hyde,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MD,Montgomery,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
WV,Kanawha,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
WV,Upshur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
WI,Barron,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
KY,Marshall,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Boone,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,4,0,Completed,07/03/2018 11:24,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Montgomery,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Franklin,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
IN,Putnam,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Whitley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Mifflin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Carroll,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Cook,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Wayne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Davison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,St. Charles,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Wayne,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,McHenry,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Randolph,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
NC,Wilson,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
OH,Scioto,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Jefferson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Walker,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Mills,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Greene,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
IA,Linn,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
NY,Chenango,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,105,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Manassas City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NJ,Passaic,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Dade,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
SD,Fall River,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Banks,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,El Paso,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Bibb,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Cullman,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Schoharie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,30,0,Completed,07/26/2018 11:48,Local PPO
NY,Rockland,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Evangeline,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
FL,Charlotte,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
GA,Stewart,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
PR,Sabana Grande,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
MN,Wadena,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Richland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
IN,De Kalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
ND,Morton,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MD,Carroll,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
TX,Webb,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Shelby,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Door,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WV,Wetzel,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
NE,Burt,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
IA,Linn,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Greene,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Dewey,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
PA,Somerset,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Gaston,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Rockland,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,3,0,Completed,07/30/2018 7:32,HMO/HMOPOS
NY,Westchester,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,3,0,Completed,07/30/2018 7:32,HMO/HMOPOS
OK,Love,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,Clay,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NJ,Gloucester,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,42,0,Completed,07/26/2018 14:48,Local PPO
OH,Williams,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
KY,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Johnson,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Madison,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Orange,Humana Inc.,Humana Gold Plus H5619-021 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Hertford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
ID,Gem,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,Newport News City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,72,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Kings,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
IN,St. Joseph,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
ND,Morton,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Wilcox,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Iowa,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Mecosta,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
MI,Crawford,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
MN,Chisago,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Sierra,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
NY,Nassau,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,La Porte,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
VA,Salem City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Henry,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,99,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,White,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Brazos,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Leon,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
MI,Marquette,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
NC,Caswell,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
PA,Dauphin,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MO,Miller,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
IL,Iroquois,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
FL,Dade,"Devoted Health, Inc.",Devoted Health Prime Miami-Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,6,0,Completed,07/25/2018 11:54,HMO/HMOPOS
OH,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Caswell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Lebanon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Cherokee,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Fannin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Comal,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Gasconade,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Harrison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iowa,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
NY,Nassau,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Martin,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Kern,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,88,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,3,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Seminole,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Miami-Dade,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Orange,California Physicians  Service,Blue Shield Promise TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,601,0,301,H5928,5,0,Completed,07/25/2018 12:48,HMO/HMOPOS
GA,Monroe,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Russell,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WV,Roane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
AL,Mobile,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,St. Clair,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Swisher,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
KY,Bullitt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Iron,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
NM,Chaves,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
OH,Gallia,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MO,Greene,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Ashe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,New Hanover,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Frederick,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Warren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
OH,Crawford,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Hamilton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
IN,Grant,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,99,0,Completed,07/17/2018 11:44,Local PPO
PA,Clarion,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Tuscarawas,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
OH,Shelby,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
MO,Barry,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MT,Yellowstone,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,89,0,Completed,07/24/2018 13:42,Local PPO
VA,Grayson,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
IA,O Brien,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KS,Linn,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
AR,Logan,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
OH,Hocking,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
KY,Menifee,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
KY,Trimble,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Blue Earth,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
WI,Walworth,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MN,Stevens,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
GA,Greene,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,601,0,301,H0148,1,0,Completed,07/25/2018 12:48,Medicare-Medicaid Plan HMO/HMOPOS
AL,Tuscaloosa,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring Alliance Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,42,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Monroe,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
NY,Schenectady,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Iberville,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Suffolk,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,122,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,5,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TX,Williamson,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Oglethorpe,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Clinton,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Glades,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
WI,Shawano,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
VA,Chesterfield,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
TX,Swisher,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
CA,Napa,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
TN,Warren,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Cole,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Ohio,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Tippecanoe,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Carroll,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
SC,Allendale,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
NC,Lee,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
CO,El Paso,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
IN,Crawford,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IL,Pope,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Kosciusko,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Pike,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,166,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
VA,Henrico,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
GA,Douglas,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Madison,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Clark,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Madison,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Muskegon,Humana Inc.,Humana Gold Plus SNP-DE H8908-005 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Camuy,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Jack,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Quitman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Ellis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CO,Douglas,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
LA,Webster,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
NC,Caldwell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Banks,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Cambria,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MS,Tallahatchie,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MT,Flathead,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,89,0,Completed,07/24/2018 13:42,Local PPO
MN,Lyon,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MN,Stearns,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
SD,Lawrence,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,Jay,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
MD,Allegany,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,29,0,Completed,07/24/2018 13:42,Local PPO
TX,Dimmit,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IA,Polk,Humana Inc.,HumanaChoice H5216-104 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,104,0,Completed,07/24/2018 13:42,Local PPO
TX,Floyd,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Navajo,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Westmoreland,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,51,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MS,Copiah,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Clermont,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
AL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Yamhill,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
VA,Norfolk City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NC,Wilkes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
GA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
VA,Greensville,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Burnet,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
PA,Dauphin,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
KY,Edmonson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
SC,Pickens,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
PA,Butler,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
IN,Union,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Chattahoochee,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MS,Yazoo,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
OK,Haskell,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Hutchinson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SD,McCook,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WI,Outagamie,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IN,Wabash,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KS,Wyandotte,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Wayne,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
AL,Lee,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
AR,Logan,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
CO,Otero,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Clearwater,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Hampton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Butler,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Marshall,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,McMinn,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bexar,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,1,0,Completed,07/03/2018 11:24,HMO/HMOPOS
NC,Moore,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
IA,Sioux,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Boone,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
WV,Ohio,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
NC,Pasquotank,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Deer Lodge,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Jasper,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Traill,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Lajas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Cedar,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
CO,Adams,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
NJ,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Butler,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Sebastian,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
PA,Montgomery,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,4,0,Completed,07/13/2018 13:32,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Grant,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
WA,Snohomish,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Knox,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Blanco,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Throckmorton,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,1,Completed,07/13/2018 13:55,Local PPO
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
NY,Tioga,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
TX,Brazoria,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
OH,Muskingum,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TX,Cameron,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
VA,Mathews,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TN,Houston,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
CO,El Paso,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,2,Completed,07/24/2018 13:42,Local PPO
AZ,Coconino,Humana Inc.,HumanaChoice H5216-198 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,198,0,Completed,07/24/2018 13:42,Local PPO
OH,Geauga,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Durham,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Nicollet,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
PA,Clinton,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,13,Completed,07/27/2018 9:47,Local PPO
PA,Wyoming,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Madison,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
AR,Faulkner,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,3,Completed,07/16/2018 15:07,HMO/HMOPOS
MA,Middlesex,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
TX,Wheeler,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Lampasas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Dare,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Kendall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Minnehaha,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Rio Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Boulder,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Trumbull,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Waukesha,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Marshall,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,8,0,Completed,07/24/2018 17:55,Local PPO
KY,Crittenden,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
IN,White,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
CO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Grant,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,2,0,Completed,06/15/2018 10:37,1876 Cost
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
VA,Franklin City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Brown,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
WA,Cowlitz,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MN,Freeborn,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Gilpin,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
KY,Clinton,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
KY,Hickman,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Woodford,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Cameron,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Spencer,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Eastland,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Twiggs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
PR,Arecibo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
AR,Johnson,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
NY,Ulster,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
PA,Juniata,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Martin,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Blair,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Madison,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Licking,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Bristol,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,2,Completed,07/23/2018 15:54,HMO/HMOPOS
OR,Coos,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Craig,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Lafayette,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
TX,Nacogdoches,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Huron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Sherburne,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
AR,Pulaski,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Larimer,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Mitchell,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,San Patricio,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Nassau,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Martin,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IL,Cook,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
TX,Victoria,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Newaygo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,1,Completed,07/20/2018 13:43,HMO/HMOPOS
MO,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
WA,Grant,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage POS (HMO-POS),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
SC,Florence,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
NY,Westchester,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,06/26/2018 8:33,HMO/HMOPOS
SC,Orangeburg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
FL,Seminole,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,93,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Winnebago,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Sumter,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6975,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Pinellas,"ULTIMATE HEALTH PLAN, INC.",Acclaim (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,11,0,Completed,07/06/2018 11:25,HMO/HMOPOS
MN,Polk,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
IL,Will,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6080,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
KY,Grant,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
MS,Covington,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Caldwell,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
IN,Rush,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Florence,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
FL,Broward,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Loudon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Coconino,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Douglas,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
MO,Taney,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DuPage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Orange,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,22,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Passaic,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Clarke,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Cherokee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
NY,Clinton,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Chester,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Wise,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Autauga,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MT,Flathead,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,8,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Villalba,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Sibley,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IA,Shelby,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Newton,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
VA,Dickenson,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Meriwether,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
OK,Logan,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Rusk,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,9,0,Completed,07/23/2018 10:18,HMO/HMOPOS
SC,Georgetown,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
GA,Henry,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
GA,Worth,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
CO,Summit,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
WI,Menominee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
PA,Sullivan,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NE,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
NY,Montgomery,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
OH,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 8 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,57,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Hanover,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Jackson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Washington,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,St. Louis City,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
GA,Talbot,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Franklin,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
ID,Payette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,2,0,Completed,07/26/2018 11:48,Local PPO
IN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Van Buren,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Polk,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Harrison,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Vernon,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Champaign,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Hardin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Yauco,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Greene,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,55,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Livingston,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Adams,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Clay,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
WV,Gilmer,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MI,Newaygo,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,1,Completed,07/26/2018 15:53,Local PPO
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
MN,Winona,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
SD,Stanley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Floyd,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Pulaski,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Sheboygan,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Bell,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NM,Sandoval,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,41,0,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
IN,Jefferson,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IN,Rush,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
NM,Grant,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
MI,Allegan,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,1,Completed,07/26/2018 15:53,Local PPO
OH,Franklin,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Harrison,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Orange,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,22,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wabash,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,Yuma,Humana Inc.,Humana Gold Plus H2463-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2463,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
AR,Perry,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,3,Completed,07/16/2018 15:07,HMO/HMOPOS
WY,Niobrara,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Iroquois,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Rensselaer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Barceloneta,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Dent,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Moniteau,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Charles,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Bath,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Union,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,McDonald,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Potter,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,1,0,Completed,07/24/2018 13:32,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
PR,Maricao,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,White,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
OH,Greene,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Flathead,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Dallas,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
MO,Saline,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Catawba,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,East Feliciana,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,West Baton Rouge,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Cabarrus,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Franklin City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
AL,Escambia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Callaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Owen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Lake,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Richmond,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
TX,Tom Green,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
ME,Kennebec,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
VA,Bristol City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Burke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Appomattox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Madison,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Talladega,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Polk,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Conway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
KY,Laurel,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
SC,Oconee,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MI,Alger,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
NM,Sandoval,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,46,0,Completed,07/26/2018 11:48,Local PPO
SD,Union,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
IA,Emmet,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,42,0,Completed,07/18/2018 10:13,1876 Cost
TX,Smith,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Van Buren,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Vinton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Richland,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,6,0,Completed,07/20/2018 11:11,Local PPO
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Yamhill,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,2,Completed,07/24/2018 19:18,Local PPO
IL,Montgomery,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
WV,Kanawha,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
IA,Plymouth,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
SD,Davison,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Turner,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
FL,Sumter,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pinellas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Graves,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Orange,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,3,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
OH,Monroe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,Preble,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NJ,Sussex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,11,Completed,07/27/2018 9:47,HMO/HMOPOS
NV,Carson City,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,115,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
ND,Barnes,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Bledsoe,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Unicoi,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Sumner,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
OH,Auglaize,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IA,Pocahontas,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
ND,Burke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Yadkin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Newton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Izard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Oneida,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Ouachita,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
OK,Grady,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MT,Beaverhead,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Garza,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hudspeth,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,4,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Lane,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,1,Completed,07/13/2018 13:55,Local PPO
MO,St. Louis,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Broome,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
WI,Brown,SSM Healthcare Corporation,Prevea360 Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,6,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Shelby,Anthem Inc.,Amerivantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Tipton,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
GA,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NC,Wilkes,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Humacao,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TN,Robertson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
ME,Oxford,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
MI,Monroe,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Schley,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
NJ,Ocean,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,29,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
CO,Conejos,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
IN,Allen,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
MN,Mahnomen,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
PA,Bucks,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,122,0,Completed,07/24/2018 13:42,Local PPO
FL,Flagler,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
WV,Kanawha,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Morgan,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Dubois,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
AR,Cleburne,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Koochiching,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Traverse,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Clearfield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Richland,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
PA,Clarion,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Bergen,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Atlantic,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Montgomery,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
OH,Clermont,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Isabela,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Creek,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
TX,El Paso,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,35,0,Completed,07/26/2018 14:48,Local PPO
PA,Fulton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Potter,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
PA,Columbia,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,3,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Faulkner,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,6,0,Completed,07/26/2018 11:48,Local PPO
WV,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
MI,Van Buren,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Cambria,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Cherokee,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Harris,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
TX,Travis,Humana Inc.,Humana Gold Plus H0028-037 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Will,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1475,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,1,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Crow Wing,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
AL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Merced,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,140,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Clinton,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
FL,Brevard,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
NY,Cayuga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
NC,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Chickasaw,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Rowan,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Orocovis,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Story,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Northampton,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Summit,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hopewell City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Cascade,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Martin,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
MO,Jasper,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
MO,Bates,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
PA,Luzerne,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Pike,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
VA,Wythe,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Scott,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Howard,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Plaquemines,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Fulton,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
AR,Craighead,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
OK,Dewey,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Dallas,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Henry,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KS,Wyandotte,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Scott,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,Torrance,Humana Inc.,Humana Gold Plus H0028-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Gem,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,9,0,Completed,07/13/2018 13:55,Local PPO
FL,Highlands,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,253,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,119,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Bartholomew,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
FL,Pasco,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,60,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Smyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Staunton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Somerset,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lawrence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Fentress,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,5,0,Completed,07/26/2018 11:48,Local PPO
MD,Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
NJ,Cape May,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,4,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
TX,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Haskell,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
LA,Calcasieu,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
OH,Ross,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
MS,DeSoto,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
MI,Barry,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
PA,Centre,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
AR,Fulton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
WI,Washington,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
LA,Avoyelles,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
TX,Dallas,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
PA,Lancaster,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
TN,Bradley,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
FL,Duval,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Delta,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
PR,San Juan,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IL,Jo Daviess,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5656,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
TX,Cooke,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
VA,Dinwiddie,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MS,Lamar,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Freeborn,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
TX,Harrison,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Stewart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Fentress,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Rapides,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
KY,Spencer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Hudson,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
VT,Rutland,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
IA,Jackson,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
NY,Bronx,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,06/26/2018 8:34,Medicare-Medicaid Plan HMO/HMOPOS
NM,Bernalillo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,46,0,Completed,07/26/2018 11:48,Local PPO
MD,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Hughes,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
VA,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Catawba,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Winchester City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Vernon,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Delaware,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
WI,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MO,Lafayette,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
IN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,Oliver,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
OH,Fayette,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Auglaize,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Anoka,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Otero,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
WI,Waupaca,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
TN,Cumberland,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Marion,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
IN,Wabash,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Dearborn,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Weakley,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
GA,Henry,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IA,Emmet,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IA,Lyon,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Tucker,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
AR,Cleburne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Alamance,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Lowndes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Butler,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Baker,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
IN,Benton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
WV,Cabell,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NC,Greene,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Bertie,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,Tensas,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Cameron,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
VA,Bristol City,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Howard,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Queens,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,18,0,Completed,07/27/2018 15:56,HMO/HMOPOS
NY,Rockland,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,1,Completed,07/13/2018 14:00,HMO/HMOPOS
MS,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Garfield,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Evans,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Nicollet,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
TN,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Maricopa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Wyoming,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NH,Cheshire,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Baker,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Stokes,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Gaston,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Martin,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
NE,Burt,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Delaware,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
PA,Montour,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
OH,Trumbull,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
NE,Dodge,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
KY,Pendleton,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
AR,Boone,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
AR,Johnson,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
WV,Wayne,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IA,Dallas,Humana Inc.,HumanaChoice H5216-104 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,104,0,Completed,07/24/2018 13:42,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
VT,Bennington,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Nueces,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,105,0,Completed,07/17/2018 11:44,Local PPO
AL,Henry,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NH,Sullivan,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
WI,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
NY,Livingston,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
WA,Kitsap,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
PA,Delaware,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
AZ,Maricopa,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,100,0,Completed,07/17/2018 11:44,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Lake,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
GA,Chatham,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
WV,Ritchie,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
MI,Manistee,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SC,Cherokee,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Clay,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
WV,Greenbrier,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,7,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Clare,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Emmet,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Wexford,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Berks,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
IN,Wells,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
NC,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Dakota,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
NM,Hidalgo,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
AZ,Gila,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/22/2018 13:23,HMO/HMOPOS
KS,Clark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Morris,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Carter,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,McDowell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Morovis,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Jasper,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Muscatine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Dane,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/18/2018 14:56,HMO/HMOPOS
OK,Oklahoma,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
AR,Stone,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MT,Big Horn,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SD,Hughes,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ID,Gem,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,2,0,Completed,07/26/2018 11:48,Local PPO
NH,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Mathews,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,York,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Lagrange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Spencer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Benton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
PA,Westmoreland,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
CA,Stanislaus,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Delaware,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Polk,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Marion,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MO,Camden,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
IL,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
SD,Deuel,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
TN,Wilson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Hardin,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Ocean,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Geauga,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guayama,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,196,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Yabucoa,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Rock Island,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
MO,Jackson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Gaston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
TN,Rutherford,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,33,0,Completed,07/26/2018 14:48,Local PPO
NC,Alamance,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Bibb,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Niagara,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
AL,Winston,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Shelby,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
OK,Garvin,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Greene,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NY,Erie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Westchester,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
OK,Payne,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Loudoun,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
IN,Martin,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Cass,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Upson,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Rockdale,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Livingston,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OH,Logan,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
CA,Orange,Orange County Health Authority,OneCare Connect (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H8016,1,0,Completed,07/27/2018 12:58,Medicare-Medicaid Plan HMO/HMOPOS
FL,Dade,InnovaCare Inc.,MMM - PLATINUM (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,4,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,4,0,Completed,06/20/2018 12:01,Local PPO
PA,Union,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Lake,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Lyon,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,5,0,Completed,07/24/2018 17:55,Local PPO
WI,Dodge,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Muscogee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Colonial Heights City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,2,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Lincoln,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,8,0,Completed,06/12/2018 10:27,Local PPO
FL,Okeechobee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,Whatcom,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
LA,Lafourche,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Allen,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Forest,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
VA,Poquoson City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Pickaway,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
OH,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Jackson,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Rockwall,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Clair,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Osceola,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,146,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Jay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
FL,Orange,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,28,0,Completed,07/27/2018 13:42,HMO/HMOPOS
PA,Lehigh,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
OH,Franklin,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
WI,Washington,"Network Health, Inc.",Network Health Medicare Explore (HMO),Y,N,Y,Y,N,,,150,482,150,241,H5644,2,0,Completed,06/27/2018 15:22,HMO/HMOPOS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MN,Rock,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
AZ,Graham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,8,0,Completed,07/26/2018 11:48,Local PPO
NM,Hidalgo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,11,0,Completed,07/26/2018 11:48,Local PPO
PA,Clarion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Walker,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Clay,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Davidson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Rio Grande,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,6,0,Completed,07/30/2018 13:44,1876 Cost
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
OH,Wayne,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,4,0,Completed,07/24/2018 10:50,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clermont,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
PR,Florida,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IL,DuPage,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,106,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Tipton,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Eau Claire,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MI,Keweenaw,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IN,Owen,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Upshur,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
CA,Marin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Marin San Mateo (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,31,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OR,Jefferson,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OR,Washington,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,1,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Brown,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Franklin,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,18,Completed,07/27/2018 9:47,Local PPO
NM,DeBaca,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
NJ,Bergen,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
MA,Norfolk,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
PA,Schuylkill,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Yauco,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Muskogee,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Umatilla,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
TX,Wise,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,184,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,210,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Hormigueros,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WV,Raleigh,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
VA,Suffolk City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Adams,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
KY,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Whatcom,Humana Inc.,Humana Gold Plus H5619-115 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,115,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Oakland,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
OH,Cuyahoga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
PA,Fayette,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Yell,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
AL,Lauderdale,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Wilcox,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
NY,Franklin,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TX,Bandera,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
VA,Russell,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
KS,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Randolph,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Tipton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,San Joaquin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,187,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
PA,Elk,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Elk,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
IA,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,75,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Lincoln,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Ocean,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,82,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Hampshire,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
NY,Queens,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,06/26/2018 8:34,Medicare-Medicaid Plan HMO/HMOPOS
AL,Coffee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Keokuk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Sheboygan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Muscogee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Warren,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Crawford,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MI,Genesee,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Villalba,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
GA,Oconee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,1,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Trempealeau,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
CO,Costilla,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
PA,Bradford,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
IL,Moultrie,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Rock Island,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
KS,Reno,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Allegheny,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Potter,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kane,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Teton,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
OH,Summit,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Somerset,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,8,Completed,06/22/2018 9:28,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Independence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Robertson,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IA,Jasper,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Ciales,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Conecuh,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Cleburne,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
HI,Honolulu,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,67,0,Completed,07/26/2018 11:48,Local PPO
SD,Beadle,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
SD,Harding,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
WI,Florence,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MN,Wright,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
PA,Sullivan,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,13,Completed,07/27/2018 9:47,Local PPO
GA,Harris,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
MO,Greene,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Marion,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,35,0,Completed,07/17/2018 11:44,Local PPO
OK,Logan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Wilson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
WA,Spokane,PacificSource Health Plans,PacificSource Medicare MyCare 35 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,35,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Butler,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Jefferson,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,56,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Florence,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Highlands,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,16,0,Completed,07/18/2018 14:47,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
OH,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clermont,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
VA,Dickenson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Halifax,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Clay,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Richland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,13,Completed,07/27/2018 9:47,HMO/HMOPOS
NY,New York,Bright Health Management,Bright Advantage Assist (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,5,0,Completed,07/20/2018 15:07,HMO/HMOPOS
VA,Alexandria City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Floyd,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Greene,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
SC,Charleston,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
PA,Monroe,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Benton,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Martin,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
OH,Noble,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashland,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
PR,Juncos,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Poinsett,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,King and Queen,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Boulder,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Carroll,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Polk,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,213,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Lincoln,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Jones,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
SC,Chester,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brule,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
NE,Boyd,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Hancock,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Lumpkin,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Coffee,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Perry,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
CA,Placer,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
OH,Hardin,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Fayette,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Chisago,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
NM,Guadalupe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
NC,Davie,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Lafayette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Cook,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Kitsap,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Campbell,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Orange,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Shelby,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
NC,Avery,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Houston,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Miami,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
PA,Schuylkill,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
IA,Washington,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
TN,Knox,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
TX,Carson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IN,Martin,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
AR,Jefferson,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
OH,Hardin,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
SC,Dorchester,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,1,Completed,07/20/2018 13:43,HMO/HMOPOS
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
TN,Washington,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WA,King,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,11,0,Completed,07/24/2018 10:50,HMO/HMOPOS
OH,Carroll,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Highland,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Manati,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Trumbull,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Pickaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
KY,Hardin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Sequatchie,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,King,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,3,0,Completed,07/17/2018 16:12,HMO/HMOPOS
TX,Hidalgo,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
PA,Schuylkill,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
NY,Broome,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IN,Ohio,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IA,Webster,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IN,Tippecanoe,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KY,Butler,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
IA,Delaware,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
OK,Muskogee,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
AR,Union,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MI,Berrien,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
WI,Iowa,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SC,Marion,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Dewey,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. Charles,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
VT,Addison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
VT,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Walker,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Seneca,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Washington,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
GA,Clayton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Hancock,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Tooele,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Wyoming,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Hennepin,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Queens,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,06/26/2018 8:33,HMO/HMOPOS
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
PR,Culebra,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,212,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Jackson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Logan,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
OK,Grady,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
AR,Washington,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
VA,Gloucester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
IN,Wells,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
TX,Webb,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Gogebic,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Sanilac,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Antrim,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OK,Caddo,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
VA,Williamsburg City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
TX,Anderson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Amite,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
CA,Contra Costa,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,183,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Lynchburg City,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
OK,Rogers,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Orange,Humana Inc.,HumanaChoice H5525-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Russell,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Lawrence,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Parker,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,30,0,Completed,07/26/2018 11:48,Local PPO
PR,Isabela,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NJ,Mercer,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
LA,St. Tammany,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
TN,Rutherford,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MS,Lauderdale,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WI,Washington,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
WI,Waushara,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Franklin,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IA,Osceola,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,Pettis,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
NY,Richmond,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,1,0,Completed,07/25/2018 11:36,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,New York,Personal Touch Holding Corp.,Integra Harmony Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,1,0,Completed,09/11/2018 14:34,HMO/HMOPOS
OK,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Jefferson,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,9,0,Completed,07/06/2018 16:48,Local PPO
MO,Shannon,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Columbus,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
IL,Stark,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
MT,Teton,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
SC,Greenville,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Fulton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
ME,Franklin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MS,Lamar,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,48,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Cleveland,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Wilson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,4,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WV,Lewis,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
WV,Marshall,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Hoke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Alamance,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Perry,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,7,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Monroe,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Ramsey,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
SC,Laurens,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
AL,Chilton,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
AL,Lee,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Creek,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MT,Yellowstone,PacificSource Health Plans,PacificSource Medicare MyCare 30 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,30,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NE,Saunders,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Delta,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Ozaukee,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,9,0,Completed,06/27/2018 15:22,Local PPO
MO,Barry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Lee,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IA,Mahaska,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Bureau,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Buena Vista City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Blount,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,2,0,Completed,07/26/2018 14:21,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Delaware,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WA,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Carroll,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Haakon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Santa Isabel,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Queens,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Miami,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
WI,Ozaukee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Bonner,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
OH,Mahoning,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
VA,Greene,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NV,Nye,Humana Inc.,Humana Gold Plus H6622-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Utuado,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Williamson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,8,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,Boone,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Hood River,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,201,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Snohomish,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WA,Kitsap,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
MI,Berrien,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
OK,Ottawa,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,Moniteau,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Ozark,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Greene,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
NJ,Gloucester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Doddridge,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Custer,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Noble,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Major,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
IA,Bremer,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Muscatine,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,El Paso,Humana Inc.,Humana Gold Plus H0028-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cocke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
MS,Hancock,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,171,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Smyth,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Morrow,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NH,Strafford,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Greenville,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Cowley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Coweta,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Morrison,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Benton,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Cottonwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
KS,Douglas,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Wyoming,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
OH,Belmont,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
OH,Columbiana,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Allegany,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
WI,Juneau,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Durham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Lexington City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Erie,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
NJ,Bergen,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,91,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Morris,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Atlantic,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Osceola,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Berkeley,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
NC,Scotland,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IN,Hancock,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
NC,Guilford,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Mountrail,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Mecklenburg,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Washington,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Obion,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Shelby,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
NC,Bladen,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
CA,Tulare,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Armstrong,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
LA,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Rogers,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,121,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TN,Sequatchie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Bourbon,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
GA,Habersham,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Dimmit,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
MN,Anoka,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
UT,Weber,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,6,2,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
IL,DuPage,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WV,Monroe,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Washington,Independent Care Health Plan Inc.,Aurora CompleteCare (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,9,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Douglas,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Ogle,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
GA,Fayette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Douglas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MS,Stone,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Faribault,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
TX,Wise,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Johnson,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Platte,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Richmond,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
CO,Adams,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
CO,Broomfield,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Benton,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,McKean,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
AL,Montgomery,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Stanislaus,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Collier,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,27,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Crittenden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Stewart,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Hidalgo,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NJ,Union,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Greene,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Tallapoosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AL,Coosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hickman,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Briscoe,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Carter,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
AL,Colbert,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Riverside,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
CT,Litchfield,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MI,Allegan,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Bay,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Alpena,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
MO,Barry,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
WV,Raleigh,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
WV,Nicholas,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
OK,Cleveland,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TN,Marion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AL,Mobile,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
PR,Rincon,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Harrison,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
UT,Salt Lake,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
MI,Lenawee,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,2,Completed,07/20/2018 13:43,HMO/HMOPOS
VA,Roanoke,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
VA,Floyd,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Elliott,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,Staunton City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
HI,Maui,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,7,0,Completed,07/16/2018 15:11,Local PPO
TX,Aransas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,41,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Washington,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
OR,Coos,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
PA,Cambria,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Lake,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KY,Kenton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
CA,San Benito,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,49,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Tulare,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,52,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Kings,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,87,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Kenosha,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Montgomery,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Monroe,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
ND,Pierce,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Dooly,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Hamblen,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Tyler,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Dane,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Will,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
OH,Hancock,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Allen,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Butler,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Hart,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Presque Isle,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
OR,Polk,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,2,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Erie,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Perry,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Dakota,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
MN,Carver,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
CA,Los Angeles,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,1,0,Completed,07/27/2018 13:58,HMO/HMOPOS
NC,Transylvania,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,7,0,Completed,07/24/2018 9:02,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Wise,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
IN,Shelby,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MS,Hancock,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Martin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
FL,Miami-Dade,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
TX,Wilson,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Jasper,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Alamance,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,4,0,Completed,06/25/2018 20:32,Local PPO
FL,Sumter,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,247,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Guilford,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,1,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Franklin,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
PA,Blair,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Adair,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan Heart & Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,10,0,Completed,07/26/2018 15:08,HMO/HMOPOS
WV,Tyler,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Gray,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Limestone,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Taylor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
ND,Sargent,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Jasper,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Hardy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
WV,McDowell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
PA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hardin,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
PR,Dorado,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,York,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Clay,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Pocahontas,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Pasco,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,11,0,Completed,07/26/2018 11:48,Local PPO
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Wright,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Elk,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
AL,Marshall,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Norton City,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Madison,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Greenup,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NC,Gaston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Lares,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Winkler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
AL,Russell,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
TX,Brazoria,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
MI,Jackson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
LA,Natchitoches,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
IN,Posey,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,152,0,Completed,07/17/2018 11:44,Local PPO
GA,Towns,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
GA,Douglas,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,71,0,Completed,07/24/2018 13:42,Local PPO
IA,O Brien,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Macon,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
IN,Dearborn,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IA,Hamilton,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
OH,Greene,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
AL,St. Clair,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
MN,Aitkin,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
MN,Lincoln,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SD,Davison,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Faulk,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,McPherson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
TN,Stewart,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Outagamie,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Green,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Walton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
NY,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
NY,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Carolina,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Menominee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Grant,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Carter,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Perry,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,55,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
TN,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Fort Bend,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Butler,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
WV,Greenbrier,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
PA,Cambria,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
AZ,Maricopa,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Lincoln,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Osage,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Black Hawk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Hamilton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Delaware,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Polk,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Susquehanna,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
NY,Niagara,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
OK,Washington,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Rockwall,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
MO,Barry,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
NE,Otoe,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
FL,Hardee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,19,0,Completed,07/26/2018 11:48,Local PPO
PA,Tioga,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Fayette,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
FL,Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Pope,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Dorchester,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Russell,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AR,Boone,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
OK,Logan,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Houston,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
IA,Jefferson,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Webster,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Wise,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Tipton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Fayette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
OH,Wood,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IN,Boone,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Brown,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Polk,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,21,0,Completed,07/25/2018 8:35,HMO/HMOPOS
KY,Owen,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
VT,Washington,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,Fulton,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Cullman,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,St. Francois,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Fairfax,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Manassas Park City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,King William,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Union,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Dyer,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
PA,Jefferson,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,33,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,Sonoma,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,54,0,Completed,07/16/2018 13:40,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,2,0,Completed,06/20/2018 12:01,Local PPO
PA,Bucks,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
GA,Henry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Denver,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Weber,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2486,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Harris,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Linn,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,East Feliciana,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
GA,Camden,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Macon,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Indiana,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
PA,Potter,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
IN,Elkhart,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Searcy,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,La Porte,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,Kent,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Prince George,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Beauregard,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,2,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
AR,Greene,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
AL,Autauga,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Carter,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
MN,Swift,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Hardeman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Alameda,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,45,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,Cotton,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
MS,Hancock,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,McCreary,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NC,Johnston,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Bristol City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Keokuk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
KY,Leslie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Orange,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Auglaize,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Iron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
PA,Tioga,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,11,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Tipton,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
TX,Bastrop,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Monroe,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
CO,Boulder,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Lewis,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Luzerne,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Bourbon,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Craig,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
GA,Greene,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WI,Sheboygan,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
NC,Davie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Washington,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Marshall,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Butler,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Fayette,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Skagit,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,9,Completed,06/22/2018 9:28,HMO/HMOPOS
KY,McCreary,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
PA,Chester,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
GA,Laurens,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Fentress,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PA,Montour,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
AR,Pulaski,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,1,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Mingo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
KS,Labette,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
GA,Hall,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Treutlen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Clay,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
LA,Orleans,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Guilford,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,5,0,Completed,06/25/2018 20:32,Local PPO
AL,Lowndes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Shawano,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
WI,Waukesha,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,13,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Guthrie,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Manati,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NY,Washington,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
SD,Union,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Benson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
GA,Henry,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Peach,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
IL,Scott,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IA,Polk,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Webster,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Johnson,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
FL,Glades,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
ME,Hancock,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
VA,Williamsburg City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Mitchell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Jefferson,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,39,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
LA,Red River,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Polk,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
NJ,Burlington,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Martin,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Union,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cortland,"WellCare Health Plans, Inc.",WellCare Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Queens,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,3,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Dunklin,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KY,Graves,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
IN,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
MN,Koochiching,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
PA,Allegheny,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Parker,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Crockett,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,DuPage,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0281,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
MS,Neshoba,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
OK,Pawnee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
NC,Wake,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Barbour,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
OK,Le Flore,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Bartow,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Ector,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
GA,Dooly,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
WV,Pleasants,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Ceiba,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Dallas,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5656,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IA,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,2,0,Completed,06/20/2018 12:01,Local PPO
MN,Beltrami,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
AR,Newton,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Portsmouth City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
PA,Lancaster,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
MS,Marion,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,48,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Dauphin,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barranquitas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MA,Suffolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,2,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Newton,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
VA,Grayson,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
MO,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Broome,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Madison,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NY,Chautauqua,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Schoharie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
OH,Tuscarawas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
OH,Wayne,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
GA,Sumter,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
WI,Crawford,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
FL,St. Lucie,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,HealthSun SunPlus Advantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Lafayette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Logan,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NM,Bernalillo,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,13,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
AZ,Santa Cruz,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,16,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Hillsdale,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,16,0,Completed,06/26/2018 15:07,HMO/HMOPOS
TX,Frio,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
MT,Chouteau,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
PA,Juniata,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Page,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
CA,Contra Costa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
PA,Bradford,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
AR,Carroll,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
KS,Doniphan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Shelby,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lauderdale,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,1,Completed,07/13/2018 13:55,Local PPO
NJ,Passaic,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Albany,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
IN,Floyd,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
VA,Roanoke City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
ID,Boise,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
KY,Hardin,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
NC,Orange,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
IA,Humboldt,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Gratiot,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SC,Edgefield,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Benton,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
KS,Pottawatomie,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
WI,Iowa,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
TX,Williamson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Austin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,"Tufts Associated HMO, Inc.",CareAdvantage Premier (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,3,0,Completed,07/03/2018 8:46,HMO/HMOPOS
SC,Dorchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Barranquitas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Brunswick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Mahoning,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
VA,Henrico,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PA,Carbon,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,3,0,Completed,07/24/2018 10:50,HMO/HMOPOS
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
MO,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Traverse,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Redwood,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Vernon,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,41,0,Completed,06/26/2018 15:07,Local PPO
LA,East Feliciana,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
SC,Lancaster,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,Chester,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
IA,Poweshiek,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Manatee,Humana Inc.,Humana Gold Plus H1036-074 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,74,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Clackamas,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,153,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Essentials (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Franklin,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Campbell,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clermont,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
VA,Harrisonburg City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,11,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,11,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WV,Wayne,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
PA,Snyder,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
IN,Fayette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Mills,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Wells,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Moore,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
CA,Marin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,176,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Marion,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Pasco,"BayCare Healht System, Inc.",BayCarePlus Complete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,1,0,Completed,07/26/2018 15:03,HMO/HMOPOS
ID,Blaine,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
OH,Belmont,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Morgan,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Gilmer,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
GA,Montgomery,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
CA,Orange,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
TN,DeKalb,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Benzie,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MN,Wabasha,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
KS,Bourbon,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,San Jacinto,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
AL,Clarke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Anne Arundel,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
PR,San Juan,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Poquoson City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
TX,Cherokee,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
NY,Allegany,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Lumpkin,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/13/2018 10:20,HMO/HMOPOS
LA,West Baton Rouge,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Carbon,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Union,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
KY,Bullitt,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Clark,Humana Inc.,Humana Gold Plus SNP-DE H5619-076 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,76,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Horry,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Shenandoah,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IN,Hendricks,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,Warren,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
OH,Summit,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
DE,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Mineral,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,Whatcom,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Nicollet,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
WI,Oconto,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Kings,Humana Inc.,HumanaChoice H5970-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,21,0,Completed,07/24/2018 13:42,Local PPO
MN,Anoka,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
VA,Chesapeake City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Roanoke City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Salem City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Surry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Wake,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
CA,Ventura,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,55,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Cass,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Greene,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Bond,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Delaware,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,5,0,Completed,07/25/2018 15:07,HMO/HMOPOS
FL,Seminole,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,31,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MS,Hinds,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NJ,Middlesex,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Coosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Cullman,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Greene,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
SD,McPherson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
PA,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,McNairy,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
SD,Sully,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Warren,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Guayanilla,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jay,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Pulaski,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Douglas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Polk,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
KY,Lewis,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
SC,Lancaster,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
SC,Charleston,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
UT,Salt Lake,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,7,0,Completed,07/26/2018 20:21,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,75,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
VA,Botetourt,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Greensville,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Laurens,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Dutchess,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Madison,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
WV,Taylor,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Woodbury,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Pottawattamie,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NJ,Passaic,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
WV,Mason,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
OH,Madison,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
GA,Spalding,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Pitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Primary Choice Medicare (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,24,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Venango,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MS,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Stephens,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
AL,Marion,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
CA,San Francisco,Imperial Health Plan of California,Imperial Traditional Plus (HMO) (HMO),Y,Y,Y,Y,N,,,601,601,25,25,H5496,9,0,Completed,06/08/2018 19:20,HMO/HMOPOS
TN,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,79,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Greene,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
OK,Marshall,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,251,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Botetourt,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IL,Kankakee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Dade,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Warren,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
AL,Shelby,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Crawford,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
IL,Madison,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Winnebago,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,16,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Macomb,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7844,1,0,Completed,07/26/2018 20:45,Medicare-Medicaid Plan HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Wright,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
PA,Montgomery,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ID,Kootenai,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Seneca,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Landry,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
NY,Westchester,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Latimer,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Monona,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,O Brien,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Stanly,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Bergen,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
LA,St. Helena,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Morgan,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Penobscot,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Hill,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
RI,Washington,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,07/12/2018 10:53,Medicare-Medicaid Plan HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Whiteside,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Richland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
IN,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
NE,Dawes,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Beadle,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
LA,Morehouse,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Shawano,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
NY,Columbia,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
OK,Nowata,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MI,Huron,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Wabash,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Bartow,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
IN,Hendricks,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
VA,York,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
OH,Seneca,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
IN,Boone,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
OH,Van Wert,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,2,Completed,07/20/2018 13:43,HMO/HMOPOS
IN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
AL,Walker,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Lee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Fairfield,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,10,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MI,Ottawa,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Brown,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
AR,Logan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Onslow,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Prairie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Santa Isabel,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Bartholomew,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Harrison,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
IL,Boone,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Tulsa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
AR,Boone,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Desha,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Travis,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Greenup,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Green,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Yavapai,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,131,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Dallas,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
HI,Honolulu,Hawaii Medical Service Association,HMSA Akamai Advantage Complete (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,9,0,Completed,07/16/2018 15:11,Local PPO
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
ND,Kidder,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TN,Cumberland,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Iosco,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
WV,Randolph,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
OH,Brown,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CA,Los Angeles,AHMC Central Health LLC,Central Health Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,2,0,Completed,07/27/2018 13:58,HMO/HMOPOS
AR,Yell,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,3,Completed,07/16/2018 15:07,HMO/HMOPOS
TX,Cochran,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Conway,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Philadelphia,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,122,0,Completed,07/24/2018 13:42,Local PPO
AL,Bibb,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
IN,Jay,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
SC,Saluda,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
PA,Allegheny,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyle,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
TX,Jones,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
SC,Georgetown,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
TX,Maverick,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NE,Sarpy,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KY,Shelby,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
WA,Cowlitz,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
MN,Goodhue,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
IN,Brown,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
TX,Upshur,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
TX,Midland,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Smith,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Marshall,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NH,Grafton,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MO,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Clinton,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Scott,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Clarendon,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Clayton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Arlington,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
WI,Dodge,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
MN,Cass,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
IN,Pike,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Sandusky,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
PA,Fayette,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Chester,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,14,0,Completed,07/17/2018 11:44,Local PPO
TX,Lampasas,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Atascosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,4,0,Completed,07/26/2018 11:48,Local PPO
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
MA,Barnstable,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9585,1,0,Completed,07/17/2018 18:22,HMO/HMOPOS
TX,Cottle,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Wilson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Crawford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Ector,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Sangamon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Richmond City,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Lorain,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Huntingdon,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Snyder,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Nobles,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Menard,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
OR,Curry,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,8,0,Completed,07/06/2018 16:48,Local PPO
MO,St. Louis,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Cumberland,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
PA,Greene,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Fayette,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
SC,Beaufort,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,76,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MT,Lincoln,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
IL,Madison,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
OK,Craig,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Maricopa,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
MS,Forrest,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Cayuga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Winona,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
IA,Cerro Gordo,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Dade,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,265,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Escambia,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,245,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Adams,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Dodge,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
IN,Elkhart,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
OK,Murray,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,12,0,Completed,07/23/2018 10:18,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Naguabo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Luquillo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Iberia,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
PR,Orocovis,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,San Sebastian,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Menard,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IL,Marshall,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IN,Marion,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Brown,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IA,Louisa,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Passaic,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
ID,Jerome,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
NY,Wyoming,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
NC,Yancey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,2,0,Completed,07/26/2018 11:48,Local PPO
MO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
MN,Itasca,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
GA,Bartow,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Guanica,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
OK,Oklahoma,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Mahaska,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Dade,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Greene,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Vance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Dauphin,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
SC,Abbeville,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Kosciusko,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Albemarle,Humana Inc.,Humana Gold Plus H5619-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Danville City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Franklin City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Stafford,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Island,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
LA,St. Bernard,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Mercer,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Kingfisher,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Garfield,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Kiowa,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NM,Torrance,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5746,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Wise,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bowie,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Cass,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lake,Humana Inc.,Humana Gold Plus H1036-277 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,277,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Carroll,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Unicoi,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Josephine,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
TX,Bexar,Imperial Health Plan of California,Imperial Insurance Company of Texas Traditional (HMO),Y,Y,Y,Y,N,,,482,482,20,20,H2793,3,0,Completed,06/08/2018 19:20,HMO/HMOPOS
MI,Genesee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
NJ,Passaic,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
NY,Greene,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
IN,Clinton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Highland,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
MO,Greene,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Smyth,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
IA,Marion,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Benton,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
AL,Chambers,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,Dyer,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Las Piedras,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WV,Hardy,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OH,Lorain,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,22,0,Completed,07/25/2018 16:54,HMO/HMOPOS
ME,Knox,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Mobile,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Colleton,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,84,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Santa Cruz,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,44,3,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OK,McClain,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Mayes,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
AL,Jackson,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
KY,Marion,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
TN,Dyer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Pickett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Meigs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
OR,Klamath,ATRIO Health Plans,ATRIO Bronze (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,6,0,Completed,07/28/2018 12:06,Local PPO
IN,Vanderburgh,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,44,0,Completed,07/16/2018 13:15,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Schenectady,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
KY,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Bronx,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
OR,Deschutes,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,38,0,Completed,07/03/2018 11:07,HMO/HMOPOS
VT,Grand Isle,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
MO,Warren,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Gasconade,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Palm Beach,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Cumberland,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Hamilton,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MO,Clinton,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
SD,Ziebach,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hand,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Walton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Mingo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
MA,Suffolk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. John the Baptist,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
IL,Mason,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
LA,Jefferson,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Caldwell,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Erie,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Dauphin,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Northumberland,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
KY,Bourbon,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Bibb,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hampton City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,King,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
SC,Lancaster,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Franklin,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
KS,Geary,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Indiana,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
LA,Bossier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Stone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
TX,Ellis,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
WI,Outagamie,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
AZ,Yuma,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,1,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Harney,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
OH,Harrison,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,McCracken,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Kings,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,73,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Mahaska,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IL,Monroe,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,Butler,Aetna Inc.,Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,16,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Sumter,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OH,Muskingum,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
OK,Rogers,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,McLean,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Butler,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
HI,Kalawao,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,8,0,Completed,07/16/2018 15:11,Local PPO
PA,Lancaster,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,17,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Midland,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
KY,Bullitt,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
VA,Orange,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Perry,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Roane,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
CO,Adams,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Butler,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Chambers,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Scotland,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
MS,Madison,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
PA,Cumberland,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
IN,Steuben,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IL,Ogle,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IA,Emmet,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
TX,Dallas,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8197,1,0,Completed,07/26/2018 20:55,Medicare-Medicaid Plan HMO/HMOPOS
FL,Palm Beach,"Devoted Health, Inc.",Devoted Health Prime Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,8,0,Completed,07/25/2018 11:54,HMO/HMOPOS
KS,Coffey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Aurora,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MD,Cecil,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,LaMoure,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Canovanas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,Stanislaus,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,147,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Hillsborough,"BayCare Healht System, Inc.",BayCarePlus Rewards (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,2,0,Completed,07/26/2018 15:03,HMO/HMOPOS
PA,Delaware,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,48,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MS,George,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Pima,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6439,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
SC,Richland,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
KY,Meade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
GA,Richmond,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NY,Albany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
PA,Centre,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
MO,Boone,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Rabun,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Montgomery,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
VA,Botetourt,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Muscatine,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
NY,Orleans,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Columbia,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Swift,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Anderson,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Hot Spring,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MS,Covington,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Shawano,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Boone,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
KS,Johnson,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
VA,Isle of Wight,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Mercer,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
VA,Smyth,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,King,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
OH,Lorain,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Carroll,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,8,Completed,06/22/2018 9:28,HMO/HMOPOS
NE,Platte,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Douglas,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TN,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NH,Strafford,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Glades,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,229,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Highland,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,3,Completed,07/12/2018 15:19,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,49,0,Completed,07/16/2018 13:15,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Price,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Laclede,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Richmond City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,DeKalb,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lake,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
MI,Roscommon,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Alcona,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Keweenaw,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
NC,Yancey,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
MN,Fillmore,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MI,Alcona,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Mecosta,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Columbiana,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Mahaska,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TN,Cumberland,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Lake,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
MN,Redwood,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Tucker,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IN,Clinton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
VA,Richmond,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
OH,Vinton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,9,0,Completed,07/20/2018 11:11,Local PPO
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
KS,Johnson,Aetna Inc.,Medicare Dual Preferred Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WY,Fremont,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Madison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Montour,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Mayaguez,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Spotsylvania,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Grant,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Mahaska,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Schuyler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Sibley,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Cameron,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
TX,Brazoria,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Poquoson City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
AL,Cherokee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AL,Covington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Portage,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
UT,Utah,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9455,1,0,Completed,07/30/2018 15:49,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Marshall,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
FL,Pinellas,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,8,0,Completed,07/25/2018 8:35,HMO/HMOPOS
GA,Greene,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Oswego,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
KY,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
IL,Kendall,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Warren,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
KY,Bullitt,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
KY,Meade,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
OK,Pushmataha,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IN,Orange,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
MO,Henry,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Bates,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,McCracken,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Ozaukee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
CT,Middlesex,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Putnam,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Snohomish,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,3,0,Completed,07/17/2018 16:12,HMO/HMOPOS
OK,McClain,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,Delta,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
OK,Caddo,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,El Paso,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8197,1,0,Completed,07/26/2018 20:55,Medicare-Medicaid Plan HMO/HMOPOS
GA,Muscogee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Brown,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Madison,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Allen,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NY,Washington,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Green Lake,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Surry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Rice,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
OH,Clark,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Butler,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Weber,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,4,0,Completed,07/13/2018 13:55,Local PPO
PA,Pike,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,12,Completed,07/27/2018 9:47,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Hickman,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
WI,Pierce,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
SD,Brown,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
MI,Van Buren,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Cass,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
SC,Anderson,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
MO,Taney,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
AR,Crittenden,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Cass,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Victoria,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Valley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Lee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Harding,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Vega Baja,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Carbon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lackawanna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Hampshire,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Taylor,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,Acadia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Webster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Wilkes,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
PA,Susquehanna,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OK,Logan,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Monroe,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
AR,Hot Spring,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NJ,Bergen,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,13,0,Completed,06/15/2018 12:33,Local PPO
ND,Hettinger,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Rockdale,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Trousdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Greene,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,39,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Stark,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NY,Steuben,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Shelby,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,125,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kenosha,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
TN,Anderson,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Branch,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
PA,Cambria,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Brown,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Cooke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Radford City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Owen,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Bedford,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
NJ,Passaic,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Charles,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,York,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Moultrie,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
AR,Benton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Cumberland,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Jackson,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,194,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Douglas,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
AR,Sebastian,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Anson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Halifax,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IN,Huntington,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Nevada,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Preston,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
IN,Hancock,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Wilkes,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,Imperial,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Cameron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,26,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Noble,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Forest,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Lowndes,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Calhoun,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KS,Leavenworth,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
VA,Prince George,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Greene,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,2,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
CA,Tulare,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,140,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Oldham,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Herkimer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
WI,Polk,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
VA,Covington City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Wasatch,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
TX,Terry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Carbon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Vermilion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Bronx,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,19,0,Completed,07/25/2018 11:36,HMO/HMOPOS
MO,Pike,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Petersburg City,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
NY,Fulton,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
CO,Broomfield,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
NY,Bronx,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WA,Clark,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Grant,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Duval,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Helena,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
FL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
OK,Tulsa,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
LA,Washington,Humana Inc.,Humana Gold Plus H1951-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Sharp,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Hennepin,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
SC,Beaufort,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
LA,St. Martin,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
KS,Greenwood,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Stark,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
OH,Portage,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,1,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Juniata,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,McIntosh,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Cleveland,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Johnson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Morrison,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
KS,Johnson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Carroll,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Tipton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,100,0,Completed,07/20/2018 11:11,Local PPO
OH,Miami,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
PA,Northumberland,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Athens,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Dickens,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Overton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NC,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
GA,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Madison,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Adjuntas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
TX,Kleberg,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,105,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
CO,Archuleta,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
VA,Craig,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
NM,Otero,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
FL,Wakulla,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
MO,Boone,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IN,Perry,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KS,Atchison,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
KY,Powell,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
TX,Wise,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
WA,Whatcom,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
GA,Emanuel,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Hillsborough,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
PR,Villalba,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NE,Burt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Ventura,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,1,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Murray,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Duval,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,85,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Carroll,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Mitchell,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
NC,Wilkes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,St. Tammany,Humana Inc.,Humana Gold Plus SNP-DE H1951-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,Saluda,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Portsmouth City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,1,Completed,07/30/2018 13:14,HMO/HMOPOS
CA,Alameda,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
IL,DuPage,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H9590,1,0,Completed,07/27/2018 12:44,HMO/HMOPOS
OK,McIntosh,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Edmonson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Nicollet,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Todd,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
CO,El Paso,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Dodge,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
AL,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Otoe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,45,0,Completed,07/16/2018 13:15,HMO/HMOPOS
OR,Baker,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pinellas,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Washington,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NY,Erie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
KY,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,77,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Schenectady,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
MO,Dallas,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,Saline,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
IA,Union,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,89,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Lincoln,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,DeKalb,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,St. Johns,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
GA,Cobb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NC,Forsyth,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Guayama,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Stoddard,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
SC,Orangeburg,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,251,0,Completed,07/17/2018 11:44,Local PPO
NY,Dutchess,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
UT,Salt Lake,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,246,0,Completed,07/17/2018 11:44,Local PPO
OR,Multnomah,Providence Health & Services,Providence Medicare Prime + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,37,0,Completed,07/03/2018 11:07,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Schenectady,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
TN,Polk,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Davidson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Zavala,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Louis,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Westchester,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
NC,Transylvania,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Fajardo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Dakota,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,Winn,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
TN,Rhea,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
FL,Broward,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,12,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SC,Spartanburg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Stevens,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Haakon,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
TN,Loudon,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Walker,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Los Angeles,"WellCare Health Plans, Inc.",Easy Choice Freedom Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Tama,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
KY,Oldham,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Chambers,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,St. Clair,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
KY,Trimble,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
WV,Hancock,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IN,Floyd,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
GA,Jenkins,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Tazewell,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,St. Louis,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WI,Oconto,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
AL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,La Porte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,55,0,Completed,07/16/2018 13:15,HMO/HMOPOS
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,144,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Alliance Assisted Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,20,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Calloway,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
MN,Itasca,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
MO,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Wyoming,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
IA,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Transylvania,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Crawford,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NE,Douglas,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Blair,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,89,0,Completed,07/27/2018 13:42,HMO/HMOPOS
SD,Charles Mix,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Dane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
IN,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
SD,Fall River,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
MN,Aitkin,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
TN,Clay,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Putnam,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MI,Clinton,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
IL,Knox,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CA,Stanislaus,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,7,1,Completed,07/27/2018 15:23,HMO/HMOPOS
WV,Mingo,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
KS,Jefferson,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NE,Howard,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,Yolo,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,39,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
PA,Montour,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Davidson,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
VA,Prince Edward,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Summit,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Wyoming,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Bartow,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Vega Baja,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Fayette,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
NC,Ashe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Philadelphia,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H5141,38,0,Completed,07/26/2018 14:48,Local PPO
NC,Forsyth,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
KY,Hardin,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Barbour,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,DeKalb,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
NM,Santa Fe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6526,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Breckinridge,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
KY,Grayson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
ID,Canyon,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,8,0,Completed,07/13/2018 13:55,Local PPO
IA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Jessamine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,91,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Passaic,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
SD,Faulk,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Billings,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Harding,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
CA,Los Angeles,Anthem Inc.,Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,601,0,301,H6229,5,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lucas,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Muscatine,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Pulaski,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Henry,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Fulton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
PA,Jefferson,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Cleveland,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,New York,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
WI,Pierce,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
OK,Pittsburg,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MN,Cass,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IN,Shelby,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
AR,Pike,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
KY,Allen,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,Gilmer,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Tyler,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Olmsted,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Palm Beach,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,21,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Hendricks,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,Sioux,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Faulk,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. John the Baptist,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
NH,Coos,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Strafford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Blount,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Queens,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,40,0,Completed,07/17/2018 11:44,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Madison,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
IN,Fayette,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,McLeod,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WI,Milwaukee,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Worth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Hale,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MI,Iosco,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Van Buren,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
ME,Waldo,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
WV,Jefferson,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
MO,Cooper,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,Union,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KS,Wyandotte,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
IN,Ripley,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
FL,Citrus,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Tift,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Van Buren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Haywood,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
NM,Grant,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Luzerne,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
NY,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Guayama,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Union,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Ohio,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
WI,Dodge,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
MO,St. Louis,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
SC,Allendale,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Greenwood,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Abbeville,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
ME,Androscoggin,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,7,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Poquoson City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,New York,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Greene,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
IA,Cherokee,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
OK,Craig,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
NC,Brunswick,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Monroe,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,1,Completed,07/13/2018 14:00,Local PPO
SC,Laurens,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Marion,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Charleston,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
MI,Lapeer,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Osage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Logan,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Mercer,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Escambia,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Lamar,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
MO,St. Louis City,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Webster,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Guadalupe,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Montgomery,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Olmsted,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MO,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Missaukee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,St. Joseph,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
PA,Clinton,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
PA,Wyoming,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MO,Jackson,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
TX,Calhoun,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Kinney,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Mifflin,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Blair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
NM,Rio Arriba,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,2,0,Completed,07/30/2018 11:21,HMO/HMOPOS
WV,Mingo,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
TN,Franklin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Jackson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bledsoe,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Blanco,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Maury,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Van Zandt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
CO,Pueblo,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
NY,Niagara,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Comal,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
GA,Muscogee,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
IN,Knox,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,152,0,Completed,07/17/2018 11:44,Local PPO
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
MS,Stone,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
MN,Stearns,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
KY,Bourbon,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
CO,Adams,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
KS,Sedgwick,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
KY,Boyd,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,Pleasants,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
FL,Charlotte,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
OH,Hamilton,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,3,0,Completed,07/03/2018 11:24,HMO/HMOPOS
OH,Licking,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
OH,Mercer,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IN,Gibson,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MO,Ozark,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NC,Camden,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Coles,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Jones,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Stark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Clarion,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WV,Barbour,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MO,Gasconade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
KY,Adair,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
OH,Clark,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
AL,Mobile,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,20,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Chester,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Overton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Jackson,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
IN,Hendricks,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
FL,Lee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
TX,Dallas,Imperial Health Plan of California,Imperial Insurance Company of Texas Traditional (HMO),Y,Y,Y,Y,N,,,482,482,20,20,H2793,3,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NY,Niagara,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Gosper,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
FL,Lake,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
AZ,Maricopa,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,184,0,Completed,07/17/2018 11:44,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TN,Smith,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MO,McDonald,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MS,Holmes,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MS,Greene,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
GA,Bryan,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
IA,Allamakee,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Calhoun,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Marshall,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
OH,Lorain,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
IA,Story,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
MI,Macomb,Humana Inc.,HumanaChoice H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,133,0,Completed,07/24/2018 13:42,Local PPO
MI,Wayne,Humana Inc.,HumanaChoice H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,133,0,Completed,07/24/2018 13:42,Local PPO
IN,Floyd,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
VA,Pittsylvania,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MO,Ste. Genevieve,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
SD,Lincoln,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NH,Hillsborough,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
VT,Lamoille,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Bedford,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Newton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Orange,"WellCare Health Plans, Inc.",Easy Choice Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Washburn,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Bureau,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
MI,Luce,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Classic Plan (HMO-POS),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,1,0,Completed,07/18/2018 14:47,HMO/HMOPOS
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MN,Le Sueur,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MI,Iosco,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
MI,Newaygo,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,1,Completed,07/26/2018 15:53,Local PPO
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
MN,Koochiching,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Lea,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,Susquehanna,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Cabarrus,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,1,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Scott,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Dinwiddie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Fluvanna,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Louis City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Tippecanoe,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Cabell,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Twiggs,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Norfolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MO,Jefferson,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,Blount,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
ME,Waldo,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Tama,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
OH,Summit,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
FL,Pinellas,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,23,0,Completed,07/25/2018 8:35,Local PPO
PA,Union,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,19,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,61,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,81,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,St. Charles,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Barton,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
GA,DeKalb,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Fresno,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,31,0,Completed,07/20/2018 14:52,HMO/HMOPOS
GA,Upson,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
TN,White,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Morgan,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
MO,Newton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NM,Valencia,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
MI,Gratiot,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
MI,Cheboygan,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MN,Scott,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
PA,Jefferson,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
TX,Reagan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Mercer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Titus,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Noxubee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Wyoming,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Miami,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,67,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Waseca,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Panola,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
OK,Grady,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Stone,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
SC,Colleton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,51,0,Completed,06/26/2018 15:07,Local PPO
PA,Butler,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
NY,Nassau,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,06/26/2018 8:33,HMO/HMOPOS
SC,Richland,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Prairie,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,San Jacinto,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,94,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Ingham,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Walton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Oconto,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Outagamie,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
VA,Newport News City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Nelson,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Doddridge,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
WV,Greenbrier,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
VA,Smyth,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
IN,Newton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
UT,Cache,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Chouteau,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MT,Missoula,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Bandera,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Warren,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
GA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Collin,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7678,1,0,Completed,07/26/2018 20:42,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Fayette,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,24,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Cook,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Vance,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
PA,Delaware,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,6,Completed,07/19/2018 14:35,Local PPO
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,6,Completed,07/19/2018 14:35,Local PPO
AR,Clark,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
TX,Bexar,Imperial Health Plan of California,Imperial Insurance Company of Texas Value HMO SNP (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Coffee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
VA,Hopewell City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
VA,Alleghany,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
MI,Allegan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PA,Lawrence,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OR,Josephine,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,1,0,Completed,07/19/2018 0:49,HMO/HMOPOS
OH,Franklin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Renville,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Cook,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Todd,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
TX,Hays,Humana Inc.,Humana Gold Plus H0028-037 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Riverside,INLAND EMPIRE HEALTH PLAN,IEHP DualChoice (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H5355,1,0,Completed,06/26/2018 11:45,Medicare-Medicaid Plan HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,214,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Yadkin,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
WI,Oconto,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
IN,Fountain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Rush,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Parke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Price,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
IN,Putnam,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Union,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Mercer,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
UT,Weber,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9455,1,0,Completed,07/30/2018 15:49,HMO/HMOPOS
PA,Allegheny,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Monroe,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
NC,Lincoln,Humana Inc.,Humana Gold Plus H6622-058 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,58,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,St. Clair,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Barceloneta,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Hoke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Dallas,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Assumption,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Vermilion,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Carson City,Renown Health,Senior Care Plus: Value Rx Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,12,0,Completed,07/24/2018 17:58,HMO/HMOPOS
NV,Washoe,Renown Health,Senior Care Plus: Value Basic Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,9,0,Completed,07/24/2018 17:58,HMO/HMOPOS
IN,Marshall,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,19,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Oconee,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Pittsburg,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,McIntosh,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
NY,Erie,"Independent Health Association, Inc.",Independent Health s Assure Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H3362,35,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,Genesee,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
GA,Rockdale,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
SD,Grant,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Quitman,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
FL,Dade,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,65,0,Completed,07/24/2018 13:42,Local PPO
MO,Scott,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Cherokee,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
SC,Allendale,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,75,0,Completed,07/24/2018 13:42,Local PPO
OH,Jackson,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
OR,Jefferson,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
ME,Knox,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
OK,Lincoln,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,138,0,Completed,07/24/2018 13:42,Local PPO
TN,Morgan,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
AR,Pope,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
WV,Nicholas,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,"Tufts Associated HMO, Inc.",CareAdvantage Prime (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,2,0,Completed,07/03/2018 8:46,HMO/HMOPOS
AZ,Maricopa,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
SD,Pennington,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Houston,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Marion,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Marshall,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
VA,Franklin,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Lyon,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Black Hawk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
NY,Tompkins,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Danville City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,99,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Pierce,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
OH,Cuyahoga,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
GA,Walton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,King,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,2,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WV,Logan,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
PA,Cumberland,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
KY,Jessamine,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
OH,Allen,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Scioto,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Darke,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
NC,Lee,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
TX,Baylor,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Garza,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
MA,Bristol,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
KS,Lyon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Hamilton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Charles Mix,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Queens,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Chesapeake City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
KY,Simpson,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
OH,Lucas,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Oconto,SSM Healthcare Corporation,Prevea360 Medicare Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,9,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,2,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Hancock,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
IN,Warren,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
OR,Lane,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,1,Completed,07/13/2018 13:55,Local PPO
KS,Wyandotte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
PR,Mayaguez,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Franklin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
LA,Lincoln,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Portsmouth City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,8,0,Completed,06/15/2018 10:34,1876 Cost
NY,Warren,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Cedar,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Fannin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
UT,Morgan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,197,0,Completed,07/17/2018 11:44,Local PPO
GA,Hart,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NY,Rensselaer,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
MS,Benton,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
OK,Creek,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
PA,Lawrence,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
SD,Yankton,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Oktibbeha,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WV,Braxton,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MI,Leelanau,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,4,0,Completed,07/20/2018 11:11,Local PPO
IL,Ford,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Wayne,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,17,Completed,07/27/2018 9:47,Local PPO
PA,Adams,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,18,Completed,07/27/2018 9:47,Local PPO
WA,Snohomish,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,Apache,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Rankin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Lake,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Corozal,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Yauco,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vermillion,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Caldwell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NV,Churchill,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,6,0,Completed,07/24/2018 17:55,Local PPO
PA,Montgomery,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,1,0,Completed,07/24/2018 13:32,HMO/HMOPOS
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Gem,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
WI,Fond du Lac,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
GA,Jefferson,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,77,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
DE,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
PR,Guayama,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Staunton City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
IN,Hancock,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
NC,Randolph,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
MI,Muskegon,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayama,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
MN,Norman,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MO,Camden,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Washington,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
NM,Lincoln,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
AL,Limestone,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
IA,Calhoun,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KY,Union,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
KY,Campbell,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,San Patricio,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OH,Fulton,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
WI,Green Lake,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Valley,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
PA,Snyder,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,13,Completed,07/27/2018 9:47,HMO/HMOPOS
MA,Bristol,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9585,1,0,Completed,07/17/2018 18:22,HMO/HMOPOS
IN,Switzerland,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Cocke,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,McMinn,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
OH,Greene,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Maries,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NE,Burt,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
OH,Wood,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
NH,Merrimack,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Clark,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buena Vista City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WV,Tyler,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
SC,Orangeburg,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
IL,Kane,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NE,Custer,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Dodge,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
MN,Beltrami,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
NM,Bernalillo,Humana Inc.,Humana Gold Plus H0028-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Harris,Humana Inc.,Humana Gold Plus H0028-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,42,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,114,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,2,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus H1036-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Nelson,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Brown,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,17,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
AL,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Holmes,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Polk,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,23,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Columbia,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Franklin,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
MO,Lawrence,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Pickens,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Chatham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Nassau,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,27,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Franklin,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Perry,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
OH,Muskingum,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NY,Kings,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Rockland,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Grant,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
NE,Cuming,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
OK,Craig,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
NJ,Cumberland,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,41,0,Completed,07/26/2018 14:48,Local PPO
OH,Summit,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Sullivan,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Juniata,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
WV,Lincoln,Humana Inc.,Humana Gold Plus H5619-113 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,113,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,22,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OK,Hughes,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
IL,Will,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MS,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Beltrami,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Fillmore,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
FL,Sumter,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,213,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
MO,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Macon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Jackson,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Owen,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Warren,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Ocean,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
WV,Summers,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
OH,Belmont,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MN,Watonwan,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Boone,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
WV,Calhoun,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
IN,La Porte,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
PA,Franklin,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
WV,Lewis,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Colorado,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
GA,Barrow,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IL,Macoupin,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Mason,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Pocahontas,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Ozaukee,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
MI,Schoolcraft,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Saline,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,El Paso,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
IL,McHenry,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
UT,Wasatch,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Simplete 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,23,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Hubbard,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,5,0,Completed,07/13/2018 13:55,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,St. Joseph,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,2,0,Completed,07/24/2018 19:18,Local PPO
IL,Hamilton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Webb,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Lee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Ponce,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Fauquier,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Henry,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Houston,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
PA,Lehigh,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
WI,Marquette,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
MO,McDonald,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
PA,Westmoreland,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,17,0,Completed,07/24/2018 13:42,Local PPO
SC,Chesterfield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
TX,Harris,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,88,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
SD,Corson,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
LA,Cameron,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
AL,Madison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Carson,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
OH,Paulding,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Bell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,Chesterfield,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,Union,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Blount,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Claiborne,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Muskegon,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Hillsdale,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OK,Muskogee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,Barry,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Bedford,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
OH,Butler,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Tooele,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
UT,Cache,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,482,0,241,H3018,1,0,Completed,07/26/2018 14:21,Medicare-Medicaid Plan HMO/HMOPOS
NC,Davidson,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Coke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Schenectady,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jasper,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Dickson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
PA,Warren,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Ste. Genevieve,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
IL,Putnam,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
AR,Newton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henry,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Paulding,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
ID,Kootenai,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
CO,Boulder,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MO,Pettis,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Roseau,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Jefferson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Marion,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
IA,Mills,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KY,Metcalfe,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
SC,Abbeville,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KS,Cowley,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
WI,Richland,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
OK,Cherokee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Marion,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
WI,Oconto,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
VA,Shenandoah,Humana Inc.,HumanaChoice H5216-150 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,150,0,Completed,07/24/2018 13:42,Local PPO
IN,Wabash,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
NY,Steuben,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TN,Williamson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
GA,Clay,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
VA,Radford City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
MO,Platte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
NM,Santa Fe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,46,0,Completed,07/26/2018 11:48,Local PPO
GA,Gordon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
MO,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
IN,Dubois,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
ND,Stark,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
TX,Hidalgo,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Venango,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
FL,Okaloosa,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
WI,Washington,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
WI,Burnett,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
GA,Clarke,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Barry,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MI,Lake,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
ND,Adams,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NM,Santa Fe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,10,0,Completed,07/26/2018 11:48,Local PPO
TN,Decatur,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Morgan,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Jackson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Smith,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sevier,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Morgan,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
IN,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
PR,Aguadilla,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Wheeler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KS,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Fulton,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
GA,Effingham,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
GA,Baldwin,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
FL,Liberty,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
VA,Fauquier,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
WI,Waukesha,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
SD,Brookings,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WV,Hancock,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
OH,Champaign,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
AR,Prairie,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
KS,Franklin,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Carroll,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Meade,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,11,0,Completed,07/24/2018 10:50,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Warren,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Barren,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Harlan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,18,0,Completed,07/13/2018 13:32,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
UT,Weber,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,1,0,Completed,07/13/2018 13:55,Local PPO
VA,Hopewell City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Guayanilla,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Henderson,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
NY,Saratoga,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Orange,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Queens,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Gilmer,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Somerset,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
MI,Ottawa,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Hamilton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Kings,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Greenwood,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
OH,Summit,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MN,Lac qui Parle,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TX,Denton,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bee,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Tarrant,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Lawrence,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Laurens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Howard,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
PR,Morovis,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
UT,Duchesne,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,131,0,Completed,07/17/2018 11:44,Local PPO
TX,Harris,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
AL,Limestone,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
GA,Richmond,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Cherokee,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,177,0,Completed,07/17/2018 11:44,Local PPO
TX,El Paso,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,146,0,Completed,07/17/2018 11:44,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
KS,Wyandotte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
IN,Tippecanoe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
OH,Coshocton,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Guernsey,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
ME,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
NY,Montgomery,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
FL,Palm Beach,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,83,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,New York,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,5,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Wheeler,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OK,McIntosh,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
AR,Conway,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Carlton,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,6,0,Completed,07/26/2018 11:48,Local PPO
VA,King William,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Lancaster,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MA,Worcester,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
WV,Hampshire,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NY,Lewis,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,99,0,Completed,07/20/2018 11:11,Local PPO
MN,St. Louis,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
IN,Posey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Shawano,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alleghany,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Radford City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Mercer,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,9,0,Completed,07/02/2018 16:20,HMO/HMOPOS
GA,Burke,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sumner,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Lajas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IL,Will,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,16,0,Completed,07/17/2018 11:44,Local PPO
LA,Calcasieu,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,233,0,Completed,07/17/2018 11:44,Local PPO
FL,Duval,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
TX,Ector,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
KY,Henderson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
NC,Mecklenburg,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Dawson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Jackson,Aetna Inc.,Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,482,0,241,H3018,1,0,Completed,07/26/2018 14:21,Medicare-Medicaid Plan HMO/HMOPOS
MT,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,New York,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,27,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Fayette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marion,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MO,Maries,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Seminole,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Bonneville,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
MT,Broadwater,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
PR,Trujillo Alto,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Platte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NJ,Morris,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
IN,Johnson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
NY,Suffolk,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
VA,Charles City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
AL,DeKalb,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
AL,Morgan,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
TX,Ector,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
PA,Wyoming,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,McIntosh,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Wilkinson,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MO,Henry,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Wayne,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
VA,Smyth,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
OH,Williams,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
AR,Carroll,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KS,Bourbon,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
LA,St. Mary,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
TX,Hardin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NC,Macon,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
SC,Edgefield,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WI,Door,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
IN,Bartholomew,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,Foster,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Meade,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Chatham,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Macon,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Chester,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
TN,Carter,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Iron,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,7,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MO,Polk,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
AR,Baxter,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Upshur,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
GA,DeKalb,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Bristol City,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
IL,Jo Daviess,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
PA,Luzerne,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Goochland,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
IL,Logan,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
GA,Towns,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Wabash,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CA,Los Angeles,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,7,1,Completed,07/27/2018 15:23,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,12,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Jack,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Waller,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Humphreys,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Noble,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jackson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wood,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Dauphin,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
MO,Barton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MT,Meagher,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,54,0,Completed,06/26/2018 15:07,Local PPO
NY,Cortland,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
GA,Burke,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Hempstead,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Poquoson City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Bexar,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Berks,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buckingham,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Queens,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
PR,Morovis,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Las Piedras,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aibonito,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Polk,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Scott,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Sumter,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,94,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,McDuffie,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ND,Burleigh,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Turner,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Bryan,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Talbot,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Haywood,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Green,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Las Animas,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hatillo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Harris,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Grundy,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Douglas,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
IN,Marion,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MI,Iosco,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
IL,Boone,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NV,Clark,"Intermountain Health Care, Inc.",SelectHealth Advantage - Diabetes and Heart Care (HMO SNP),Y,N,Y,Y,N,,,240,480,20,240,H1994,10,0,Completed,07/19/2018 19:35,HMO/HMOPOS
MN,Hennepin,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
PA,Tioga,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,11,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Borden,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Cherokee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MD,Worcester,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Newton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Ceiba,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Clark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Lake,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Boone,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
WI,Lafayette,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
CO,Jefferson,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
MO,Douglas,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
SC,Fairfield,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
AR,Little River,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
GA,Madison,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NC,Jackson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
PA,Adams,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Macon,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
VA,Danville City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OH,Marion,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
KY,Montgomery,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
IA,Ringgold,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Faribault,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Fayette,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MO,Crawford,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Jackson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,Jasper,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
AR,Lee,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
LA,St. Bernard,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
LA,Vernon,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
TN,Cumberland,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
MT,Stillwater,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
TX,Carson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Dodge,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WI,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
SC,Greenwood,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MD,Queen Anne s,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
DC,District of Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,45,0,Completed,07/26/2018 11:48,Local PPO
SD,Tripp,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Potter,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Jefferson,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
NH,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
VT,Windsor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Dallas,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Crawford,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,Dutchess,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
PR,Utuado,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Whiteside,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
WV,Monroe,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Manati,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Mason,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
MI,Missaukee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Simplete 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,25,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,17,Completed,07/27/2018 9:47,Local PPO
PA,Somerset,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
OK,Logan,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
AR,Scott,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
PR,San Lorenzo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Hopewell City,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Pike,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
PA,Lycoming,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
GA,Lincoln,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
AR,Polk,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Patrick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Carroll,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Orange,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Sabine,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
MO,Gasconade,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
FL,Nassau,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
CT,New London,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
PA,Lebanon,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Lancaster,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
IN,St. Joseph,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Tipton,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Pulaski,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,Genesee,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
UT,Tooele,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9455,1,0,Completed,07/30/2018 15:49,HMO/HMOPOS
VA,Williamsburg City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Tolland,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Blount,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Missaukee,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
IL,McHenry,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
PR,San Juan,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Tulsa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Martin,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
MI,Macomb,Humana Inc.,Humana Gold Plus SNP-DE H8908-005 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Scott,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Montgomery,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Jefferson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hamilton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
NY,Ulster,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Caswell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Penuelas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Adair,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MO,Scotland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KS,Republic,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Seneca,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
CT,New London,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Oconee,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Lake,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
IN,Clark,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MO,Dallas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Schuylkill,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
FL,DeSoto,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
AL,Cullman,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
OH,Fayette,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
IA,Marshall,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
MN,Wadena,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
MI,Macomb,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,11,0,Completed,07/24/2018 13:42,Local PPO
AR,Randolph,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
OH,Putnam,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
GA,Paulding,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Duval,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
GA,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
WI,Milwaukee,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Philadelphia,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Salinas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Manati,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Lares,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Gold Plus H0292-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Weakley,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NC,Lincoln,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Hardin,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
AR,Prairie,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,Richland,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8170,2,0,Completed,07/27/2018 13:46,HMO/HMOPOS
NC,Beaufort,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,8,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NE,Jefferson,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,Pickett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,East Baton Rouge,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MD,Carroll,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
NY,Wyoming,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Tazewell,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Langlade,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
WI,Washington,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
CA,San Bernardino,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Juneau,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
AR,Lonoke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Greenbrier,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Obion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Collin,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NJ,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
PA,Blair,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
OK,Muskogee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
WV,Wirt,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TN,Cocke,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Kent,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,1,Completed,07/26/2018 15:53,HMO/HMOPOS
ND,Burleigh,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
OK,Marshall,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
VA,Gloucester,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MO,Perry,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
WV,Harrison,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IN,La Porte,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Poinsett,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Virginia Beach City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Charles City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Fayette,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Smith,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
ID,Canyon,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1969,2,0,Completed,07/13/2018 13:55,HMO/HMOPOS
NC,Craven,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Northumberland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Wayne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Moody,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Harris,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Bingham,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
OH,Scioto,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Berrien,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WA,Whatcom,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
PR,Adjuntas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Hamilton,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
CT,Middlesex,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
GA,Pickens,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Toombs,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OK,Kingfisher,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
FL,Sumter,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,74,0,Completed,07/24/2018 13:42,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
OH,Delaware,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
SC,Hampton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VA,Pittsylvania,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Ouachita,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
LA,Iberia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Tate,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,McClain,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
CA,Los Angeles,Imperial Health Plan of California,Imperial Traditional (HMO) (HMO),Y,Y,Y,Y,N,,,601,601,25,25,H5496,7,0,Completed,06/08/2018 19:20,HMO/HMOPOS
MN,Grant,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TN,Hamilton,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IA,Clarke,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
IA,Scott,"Medical Associates Clinic, P.C.",Genesis Health Network Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,13,0,Completed,06/15/2018 10:34,1876 Cost
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Dorado,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Cameron,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,167,0,Completed,07/17/2018 11:44,Local PPO
NC,Alamance,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
KY,Nelson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Talbot,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
SC,Union,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
MN,Kandiyohi,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
WV,Mercer,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
MI,Calhoun,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
WV,Pleasants,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Ida,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
NJ,Burlington,Humana Inc.,HumanaChoice H5216-183 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,183,0,Completed,07/24/2018 13:42,Local PPO
GA,Clarke,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Leslie,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
VA,Powhatan,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Joseph,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
AZ,Pinal,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,15,0,Completed,07/26/2018 13:57,HMO/HMOPOS
KY,Larue,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
NC,Cherokee,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
IA,Van Buren,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
CO,Boulder,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IN,Dubois,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
VA,Rockingham,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
PA,Lancaster,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,5,Completed,07/13/2018 14:00,Local PPO
PA,Crawford,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
OH,Warren,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,16,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Allen,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Stanislaus,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
TX,Webb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
AL,Monroe,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
MO,Laclede,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Ray,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Otsego,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
VA,Galax City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Orange,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Montgomery,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,2,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Washington,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
AL,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,68,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bexar,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8010,5,0,Completed,07/26/2018 14:48,HMO/HMOPOS
AL,Dale,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Sarasota,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Stanislaus,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
GA,Oglethorpe,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Delaware,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,15,0,Completed,06/26/2018 15:07,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MI,Berrien,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
TX,Midland,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MN,Wilkin,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,6,0,Completed,06/26/2018 17:06,HMO/HMOPOS
SC,Greenville,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
GA,Glascock,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Fulton,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Rappahannock,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Champion (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,203,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
PA,Columbia,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
PA,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
PA,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
MA,Norfolk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
PR,Aguada,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VA,King William,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MN,Red Lake,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
PA,Monroe,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
AL,Barbour,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,96,0,Completed,07/24/2018 13:42,Local PPO
CO,Montezuma,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
SD,Deuel,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
GA,Catoosa,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Franklin,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Greenup,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Frio,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Wadena,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Laurens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Johnson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
SC,Edgefield,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SC,Williamsburg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Miner,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Baker,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Henderson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
PR,Maricao,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Webster,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
PA,Forest,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Greene,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Blount,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Jefferson,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
WA,Pierce,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,2,0,Completed,07/17/2018 16:12,HMO/HMOPOS
MI,Montcalm,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MI,Eaton,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MI,St. Joseph,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
CT,New Haven,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Guide HMO Rx 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,21,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,La Salle,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Boone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Yauco,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Elbert,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WV,Logan,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Floyd,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Grant,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Mason,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SC,Anderson,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Audrain,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
IN,Benton,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
VA,Winchester City,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
SC,Chesterfield,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MD,Baltimore City,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jones,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Bryan,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Cherokee,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Cherokee,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Anderson,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Clinton,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,McLean,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MI,Charlevoix,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
WI,Taylor,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
IN,Elkhart,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,2,0,Completed,07/24/2018 19:18,Local PPO
PR,Canovanas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Warren,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Maury,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,Stearns,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,McKean,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Tazewell,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
FL,Miami-Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrPlus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,2,0,Completed,07/25/2018 17:00,HMO/HMOPOS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
VA,Rockingham,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
MI,Gratiot,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OH,Paulding,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Morrow,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Chisago,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
PA,Wayne,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
FL,Polk,"Devoted Health, Inc.",Devoted Health Prime Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,9,0,Completed,07/25/2018 11:54,HMO/HMOPOS
TX,Briscoe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Collingsworth,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Hardeman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Richmond,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Chicot,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Aibonito,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Dearborn,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jennings,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Overton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Loudon,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MO,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Kandiyohi,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Laclede,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
OH,Hocking,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
PA,Lackawanna,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
AR,Cross,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Halifax,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Isle of Wight,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Brunswick,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Camden,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Goochland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Louis,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
MO,Jefferson,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Hood,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
LA,Webster,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
NY,Bronx,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
WV,Hampshire,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Butler,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
AR,Crawford,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
OH,Cuyahoga,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
IN,Newton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Harris,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Livingston,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
OH,Stark,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Williams,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WY,Uinta,Aetna Inc.,Aetna Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,8,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
ND,Stark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
AR,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Vieques,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Juncos,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Orocovis,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Berks,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Sullivan,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Kandiyohi,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Butler,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Waukesha,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Newton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MT,Beaverhead,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
NC,Columbus,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashland,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
VA,Colonial Heights City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Nassau,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
TX,El Paso,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8786,1,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Grainger,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Lee,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
IA,Black Hawk,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
TN,Lauderdale,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Falls Church City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,4,0,Completed,06/15/2018 10:34,1876 Cost
PR,Luquillo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Crisp,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
UT,Utah,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,248,0,Completed,07/17/2018 11:44,Local PPO
CA,San Bernardino,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,126,0,Completed,07/17/2018 11:44,Local PPO
PA,Wyoming,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
LA,De Soto,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Walton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
VA,Shenandoah,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Dyer,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Bradley,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
WI,Brown,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
WI,Manitowoc,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Grant,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,7,0,Completed,07/24/2018 17:55,Local PPO
TX,Smith,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
KY,Johnson,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
OH,Union,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
NY,Erie,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
SC,Barnwell,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
VA,Clarke,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Hanover,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
OH,Warren,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Dinwiddie,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Luquillo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Tazewell,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IN,La Porte,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Hidalgo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,26,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OK,Pushmataha,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Key (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,22,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Douglas,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
KS,Johnson,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,King William,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
WI,Portage,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
MO,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Broward,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Aroostook,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
OH,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
MO,Cooper,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Catahoula,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
LA,Ascension,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
WA,King,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Clinton,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
LA,East Baton Rouge,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Erie,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
PA,Allegheny,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
PA,Lehigh,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
SC,Charleston,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Queens,"QHP Financial Group, Inc.",Advantage Silver - NY City (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,20,0,Completed,07/27/2018 15:56,HMO/HMOPOS
LA,Vernon,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Lafourche,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Chatham,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Washington,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
TN,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Copiah,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Van Buren,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Cocke,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Lampasas,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Broomfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
IA,Buchanan,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
NY,Fulton,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Montgomery,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
VA,Pittsylvania,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,83,0,Completed,07/17/2018 11:44,Local PPO
TX,Nacogdoches,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
GA,Columbia,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Essex,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,New Kent,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,Salem City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Cumberland,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MO,Jasper,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Nicollet,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
SC,Richland,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
WV,Upshur,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
MO,Lafayette,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MD,Washington,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,29,0,Completed,07/24/2018 13:42,Local PPO
PA,Wayne,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
VA,Chesterfield,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Lincoln,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Pendleton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
SC,Darlington,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Montgomery,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WV,Nicholas,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NE,Lancaster,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,Livingston,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Bronx,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Clay,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Carter,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
SC,Lee,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Conway,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Arlington,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Putnam,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
FL,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
TX,Atascosa,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
NC,Cumberland,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
GA,Chatham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Utuado,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Dinwiddie,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,Pittsylvania,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
SC,Saluda,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,1,Completed,07/24/2018 13:42,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
PA,Lawrence,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
NC,Franklin,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
WV,Wyoming,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
WV,Monongalia,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Owen,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
AR,Phillips,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KS,Franklin,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
OK,Kiowa,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Hancock,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MD,Garrett,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,29,0,Completed,07/24/2018 13:42,Local PPO
IN,Knox,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Hunterdon,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
GA,Dawson,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,O Brien,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WI,Crawford,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Boone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
OR,Lincoln,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Tarrant,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NM,Catron,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
VA,Frederick,Humana Inc.,HumanaChoice H5216-150 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,150,0,Completed,07/24/2018 13:42,Local PPO
SD,Hamlin,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Spink,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Jasper,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Sevier,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Will,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Montgomery,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Jayuya,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Wood,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
TN,Rhea,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Liberty,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CO,Chaffee,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
VA,Suffolk City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
KS,Harvey,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Union,The Carle Foundation,Reid Health Alliance Medicare POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,22,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Hennepin,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
MN,Isanti,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
TX,Midland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Cumberland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Golden Valley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Wake,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Anasco,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Appanoose,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Webster,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Mercer,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Baker,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Oglethorpe,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Doddridge,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
OH,Perry,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Jackson,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Galveston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Rush,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
CO,Mesa,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,2,Completed,07/24/2018 13:42,Local PPO
GA,Floyd,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Bates,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Boone,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
WV,Lincoln,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
AL,Morgan,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MO,Miller,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
AL,Fayette,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
KY,Johnson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Simpson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OK,Mayes,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
WV,Clay,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Maverick,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Yell,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
VT,Orleans,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Lanier,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Box Butte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
WA,King,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
GA,Appling,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
MI,Kent,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
WI,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
SD,Yankton,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Bennett,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
NE,Pierce,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Ziebach,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Winn,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MA,Worcester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Newton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
KY,Bath,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyle,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
GA,Baldwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Richmond,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
IA,Clayton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WI,Dane,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Huntingdon,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PR,Vega Alta,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
VA,Amherst,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,1,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Westmoreland,Humana Inc.,Humana Gold Plus H6622-054 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IL,Stephenson,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
HI,Maui,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Maui (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Elk,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Goochland,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Washington,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
CO,Douglas,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,1,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
HI,Honolulu,"WellCare Health Plans, Inc.", Ohana Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Wyandotte,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Cass,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Lee,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,27,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pasco,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Choctaw,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
OK,Jackson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Winston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
SC,Hampton,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Ripley,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
ND,Towner,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
OR,Malheur,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
TX,Gray,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
VA,Dinwiddie,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
GA,Irwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Cheshire,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
OH,Portage,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
CA,Sonoma,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,53,0,Completed,07/16/2018 13:40,HMO/HMOPOS
SC,Fairfield,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
SC,Orangeburg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
AR,Jackson,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Randolph,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Augusta,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Colonial Heights City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Mecklenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NJ,Ocean,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Green Lake,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Perry,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Maunabo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Bay,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
IL,Bureau,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
NY,Schenectady,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Ray,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
LA,Caddo,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Lincoln,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Venango,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Monroe,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
WA,Thurston,Humana Inc.,Humana Gold Plus H5619-064 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,64,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Ventura,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Lee,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Boone,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KS,Johnson,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
NH,Grafton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,24,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Harrison,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,8,0,Completed,06/20/2018 12:01,HMO/HMOPOS
OK,Le Flore,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Pontotoc,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Spokane,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Columbia (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,19,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,Los Angeles,Imperial Health Plan of California,Imperial Senior Value (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,601,601,25,25,H5496,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
IL,Warren,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,2,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MN,Steele,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
CO,Pueblo,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,Harrison,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Coffee,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
SC,Union,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,Fillmore,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Polk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,St. Louis City,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
NY,Columbia,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
SC,Colleton,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Barrow,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Cambria,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
UT,Iron,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Isabela,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Arkansas,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Desha,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Nottoway,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Camden,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,James City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Mineral,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juncos,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Hatillo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Muskogee,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WA,Clark,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MT,Flathead,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
OR,Multnomah,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Polk,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
MO,Lafayette,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
OK,Washington,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
MO,Christian,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Cameron,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Franklin,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Tioga,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,36,0,Completed,07/13/2018 14:00,Local PPO
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Elite (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,10,0,Completed,06/20/2018 12:01,HMO/HMOPOS
OK,Stephens,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
NE,Polk,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Waseca,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
AR,Crawford,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,Greenlee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus H1036-157 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,157,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Charlotte,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Monroe,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Scott,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Peoria,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Franklin,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Fulton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Washtenaw,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Randolph,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MO,Jasper,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,St. Clair,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Fulton,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Gallia,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Pike,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,1,0,Completed,07/20/2018 11:11,Local PPO
IN,Fayette,The Carle Foundation,Reid Health Alliance Medicare POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,22,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Blaine,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,4,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
UT,Wasatch,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Effingham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Medina,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Webster,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Monongalia,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Traverse,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
LA,Bossier,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Person,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Gaston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Albany,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
MO,Shelby,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Polk,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Luquillo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
CA,Santa Clara,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,7,0,Completed,07/26/2018 15:08,HMO/HMOPOS
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,6,3,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Calhoun,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
AL,Franklin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Menominee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Oconto,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Northampton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
ND,Ward,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WV,Greenbrier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
NH,Cheshire,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Crittenden,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,39,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Calvert,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
PA,Lebanon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Monroe,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CA,Ventura,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,Napa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Seneca,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Fairfield,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Dakota,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
PA,Monroe,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,15,Completed,07/27/2018 9:47,Local PPO
KS,Jefferson,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
NC,Sampson,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Wythe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Bullock,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Osage,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Allegany,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NY,Essex,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Waukesha,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
IL,Cook,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Perry,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Hardin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,35,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Fayette,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
KS,Edwards,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
GA,Barrow,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IA,Webster,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
NY,Ulster,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Naranjito,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
GA,Newton,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NY,Dutchess,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
MI,Muskegon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PA,Columbia,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Dooly,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
VA,Culpeper,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Licking,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
WI,Dodge,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
AL,Russell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Owen,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Clinton,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
NY,Broome,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Ada,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
UT,Sevier,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,2,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,11,Completed,07/27/2018 9:47,Local PPO
PA,Columbia,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
TX,Goliad,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Eddy,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Macoupin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Willacy,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Gwinnett,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Harrison,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
CO,Weld,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
IL,Fulton,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Lawrence,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
IN,Whitley,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
TX,Harris,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Fort Bend,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,29,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Rains,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
NY,Cortland,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
GA,Effingham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Meriwether,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Columbiana,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
VA,Henry,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
NC,Rockingham,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,17,0,Completed,07/24/2018 13:42,Local PPO
NC,Moore,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
WI,Ozaukee,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
VA,Sussex,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Marshall,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
FL,Pinellas,"BayCare Healht System, Inc.",BayCarePlus Complete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,1,0,Completed,07/26/2018 15:03,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Montour,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
NY,Herkimer,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,Ontario,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
MO,Pike,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Somerset,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,2,0,Completed,07/02/2018 16:20,HMO/HMOPOS
GA,Clayton,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Calhoun,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Unicoi,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Morgan,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bee,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
PR,Aguada,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Refugio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Carroll,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Newton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Dawson,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Albany,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
MS,Noxubee,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
GA,Madison,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyd,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
NC,Alexander,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
FL,Miami-Dade,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,65,0,Completed,07/24/2018 13:42,Local PPO
GA,Cobb,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
MO,Douglas,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
NJ,Gloucester,Humana Inc.,HumanaChoice H5216-183 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,183,0,Completed,07/24/2018 13:42,Local PPO
TX,Lubbock,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Harrison,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SC,Allendale,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MI,Baraga,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Juneau,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Clinton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
GA,Barrow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
GA,Bryan,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Jackson,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Liberty,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Warren,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Lumpkin,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
SD,Spink,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
OK,Kiowa,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Tama,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MI,Berrien,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Ionia,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Bon Homme,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
WA,Spokane,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
NH,Hillsborough,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SC,Hampton,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
IL,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
WI,Adams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Pulaski,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Blount,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Hillsdale,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalamazoo,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MS,Clay,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
MS,Wilkinson,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
AR,Craighead,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Van Buren,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NY,Kings,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
GA,Gwinnett,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Morgan,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
AZ,Pinal,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/22/2018 13:23,HMO/HMOPOS
TX,Gaines,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Rawlins,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Berks,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Benson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Polk,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Smith,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Scott,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Weld,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Green,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
OH,Ottawa,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
AR,Phillips,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Marshall,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
SD,Bon Homme,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Jackson,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Mercer,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Fayette,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
OH,Harrison,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
GA,Coweta,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Fayette,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Waseca,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
TX,Rusk,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KS,Johnson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
GA,Barrow,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
GA,Floyd,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
VT,Caledonia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Chilton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Clay,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Pendleton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Berks,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
KY,Kenton,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,4,0,Completed,07/03/2018 11:24,HMO/HMOPOS
MI,Monroe,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
AZ,Maricopa,CIGNA,Cigna-HealthSpring Achieve Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Mecosta,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Clare,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
NY,Orleans,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),N,N,N,N,N,,,,,,,H3227,1,0,Completed,07/29/2018 10:12,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
MA,Hampden,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
HI,Maui,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Cameron,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WV,Taylor,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
VA,Clarke,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
KS,Atchison,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
WV,Wetzel,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Tazewell,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
PA,Delaware,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,1,0,Completed,07/24/2018 13:32,HMO/HMOPOS
SC,Jasper,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Broomfield,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Burlington,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MT,Teton,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Delaware,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Claiborne,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
IA,Scott,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Benton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MO,Christian,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Pointe Coupee,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Cumberland,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Cambria,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
VA,Arlington,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Falls Church City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Marshall,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Cabell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
LA,St. Charles,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
OH,Butler,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Lebanon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Woodruff,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
OK,Le Flore,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Major,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Multnomah,PacificSource Health Plans,PacificSource Medicare MyCare Rx 40 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,40,0,Completed,07/06/2018 16:48,HMO/HMOPOS
MN,Mahnomen,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MO,Cedar,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Boise,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,10,0,Completed,07/13/2018 13:55,Local PPO
AL,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Green,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
GA,Cobb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lebanon,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
ME,Penobscot,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
VT,Rutland,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
PR,Mayaguez,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Calumet,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Green,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Scott,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Scott,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Roane,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Hocking,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
GA,Franklin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
VA,Floyd,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
AR,Randolph,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CA,Los Angeles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,1,0,Completed,07/20/2018 11:11,Local PPO
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
NC,Hyde,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Cass,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Jackson,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7621,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Maunabo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Noble,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,El Paso,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Chautauqua,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Centre,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
PA,Mercer,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Jerome,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
MO,Christian,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
KY,Hancock,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
PA,Venango,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Marion,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Muskegon,Humana Inc.,Humana Gold Plus H8908-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Miami-Dade,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,1,0,Completed,07/27/2018 9:10,HMO/HMOPOS
SC,Richland,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Lexington,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
SC,Charleston,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,3,0,Completed,06/21/2018 16:47,Local PPO
OK,Kay,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Creek,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OR,Lane,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,26,2,Completed,07/06/2018 16:48,HMO/HMOPOS
NM,Valencia,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5746,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NE,Polk,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MS,Covington,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Harvey,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Sedgwick,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Landry,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Asotin,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,4,0,Completed,07/13/2018 13:55,Local PPO
FL,Collier,Humana Inc.,Humana Gold Plus H1036-278 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,278,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Iowa,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Wadena,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Lee,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
IL,Warren,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
SC,Chester,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
WI,Oconto,SSM Healthcare Corporation,Prevea360 Medicare Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,7,0,Completed,06/25/2018 12:02,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
CO,Broomfield,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Jefferson,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Van Buren,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Fort Bend,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Isle of Wight,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Richmond City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Lincoln,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Lajas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Guaynabo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NE,Otoe,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
PA,Allegheny,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
VA,Richmond City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Nicholas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
FL,Marion,Humana Inc.,HumanaChoice Florida H7284-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,1,0,Completed,07/24/2018 13:42,Local PPO
SC,Fairfield,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,McDuffie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Mercer,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
IA,Delaware,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
PR,Quebradillas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Terrebonne,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
AL,Pickens,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,216,0,Completed,07/17/2018 11:44,Local PPO
NC,Columbus,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
AL,Jackson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
PA,Westmoreland,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
SC,Beaufort,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,253,0,Completed,07/17/2018 11:44,Local PPO
TX,Taylor,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
AR,Scott,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Greene,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,Chickasaw,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WI,Lafayette,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MN,Kandiyohi,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
TX,Wilson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Humacao,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Caroline,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Cooper,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Marion,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hamilton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Shelby,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Seward,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Bartow,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,New Hanover,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,Vinton,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
TN,Williamson,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,1,0,Completed,07/20/2018 15:07,Local PPO
AR,Lafayette,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Bexar,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,Creek,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,El Paso,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Wythe,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
AR,Sharp,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,Genesee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
MI,Van Buren,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Scioto,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Defiance,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NC,Hoke,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
NY,Nassau,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
MT,Dawson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Tom Green,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Jersey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Woodford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Coamo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Clay,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Franklin,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
MT,Lewis and Clark,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
NC,Johnston,Humana Inc.,HumanaChoice H5525-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,32,0,Completed,07/24/2018 13:42,Local PPO
PA,Bucks,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,6,Completed,07/19/2018 14:35,Local PPO
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Canadian,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,3,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,16,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
TX,Bexar,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,199,0,Completed,07/17/2018 11:44,Local PPO
LA,Jefferson,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
GA,Butts,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Fayette,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
GA,Meriwether,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
IA,Webster,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Waseca,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Monroe,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MO,Warren,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
IN,St. Joseph,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
AR,Washington,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MO,Osage,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
MN,Fillmore,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
TX,Armstrong,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Benton,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
WI,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
ND,Hettinger,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Barrow,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,4,0,Completed,07/26/2018 11:48,Local PPO
WI,Vernon,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Sabine,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,4,0,Completed,07/26/2018 11:48,Local PPO
PR,Gurabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Cocke,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Newaygo,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,13,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Gladwin,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Marion,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
TX,Taylor,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
MN,Washington,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Adams,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,17,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Hancock,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Hillsborough,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
ID,Elmore,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Johns,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
TX,Collin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,2,0,Completed,06/20/2018 12:01,Local PPO
PA,Potter,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Osceola,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Fayette,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
OH,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lee,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Shelby,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AR,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Suffolk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
CA,Los Angeles,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,15,0,Completed,07/20/2018 14:52,HMO/HMOPOS
OK,Washita,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rhea,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Cooke,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
TX,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
PR,Guayama,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Portage,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
ME,Aroostook,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
GA,Oglethorpe,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Van Zandt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Hot Spring,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Sherburne,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
SC,Abbeville,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
OR,Linn,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
MN,Big Stone,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
NC,Swain,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
KY,Franklin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Real,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Boone,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Jefferson,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Huntington,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
GA,Butts,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
AR,Baxter,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
FL,Highlands,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
CA,Los Angeles,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Fremont,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
CO,Alamosa,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,6,0,Completed,07/30/2018 13:44,1876 Cost
NY,Kings,"Independent Living Systems, LLC",Health Pointe Direct Complete Plan (HMO SNP),Y,N,Y,N,N,,,,,0,0,H1722,1,0,Completed,08/16/2018 12:20,HMO/HMOPOS
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
CA,Sonoma,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,52,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Yellow Medicine,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Okanogan,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
SC,Chester,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Monroe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
MA,Plymouth,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Montgomery,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,Sussex,Humana Inc.,Humana Gold Plus SNP-DE H6622-051 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Marion,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,2,Completed,07/17/2018 15:41,HMO/HMOPOS
TX,Bexar,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H6870,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,209,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Washington,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Jefferson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,2,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Aibonito,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,King,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Queens,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,8,6,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Putnam,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
WV,Wayne,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
IA,Washington,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,23,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Dorchester,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Noble,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Vermilion,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
SC,Colleton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Greene,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,4,Completed,06/22/2018 9:28,HMO/HMOPOS
WA,Clark,PacificSource Health Plans,PacificSource Medicare MyCare Rx 38 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,38,0,Completed,07/06/2018 16:48,HMO/HMOPOS
TN,Houston,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Gonzales,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,39,0,Completed,07/26/2018 11:48,Local PPO
GA,Lamar,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
MN,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
NC,Mitchell,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
TX,Ward,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Terrell,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CO,Arapahoe,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
TX,San Jacinto,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
GA,Burke,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
UT,Weber,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,197,0,Completed,07/17/2018 11:44,Local PPO
NJ,Atlantic,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Rensselaer,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
PA,Lawrence,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
NM,McKinley,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
IA,Hancock,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Grundy,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Decatur,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
AR,Nevada,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
AZ,Mohave,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,35,0,Completed,07/24/2018 13:42,Local PPO
KY,Green,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
OH,Trumbull,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
GA,Ben Hill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,7,0,Completed,07/24/2018 10:50,HMO/HMOPOS
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,7,0,Completed,07/24/2018 10:50,HMO/HMOPOS
IA,Jones,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
MO,Cole,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Franklin,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
WI,Winnebago,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
PA,Potter,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Waukesha,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
TN,Davidson,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,2,0,Completed,07/20/2018 15:07,Local PPO
PA,Crawford,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
TX,Guadalupe,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,Brunswick,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Clackamas,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,9,0,Completed,06/12/2018 10:27,Local PPO
LA,East Baton Rouge,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
MO,Knox,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
SD,Sanborn,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Clinton,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Northumberland,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
IL,White,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,Huron,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
MI,Isabella,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
OR,Lane,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,3,Completed,07/24/2018 19:18,HMO/HMOPOS
UT,Summit,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,28,0,Completed,07/20/2018 11:11,HMO/HMOPOS
UT,Tooele,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,13,Completed,07/27/2018 9:47,HMO/HMOPOS
IL,Williamson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Lackawanna,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Stafford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Story,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Grant,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,2,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MO,St. Louis City,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
PA,Centre,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
MT,Mineral,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
OH,Morrow,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Adams,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Ross,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
FL,Dade,"AvMed, Inc.",AvMed Medicare Circle (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,23,0,Completed,07/27/2018 9:10,HMO/HMOPOS
AR,Pulaski,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Wythe,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NC,Haywood,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Charlottesville City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Preble,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Louis,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Clay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,201,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Mercer,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
SD,Sanborn,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,Wright,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
WA,King,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
PA,Bradford,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Gibson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Pointe Coupee,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Merrimack,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Richland,Anthem Inc.,AFC Care Rx (HMO),Y,N,Y,Y,N,,,0,482,0,241,H8170,1,0,Completed,07/27/2018 13:46,HMO/HMOPOS
OH,Tuscarawas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Bertie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
VA,Pittsylvania,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
IN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
GA,Muscogee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
TX,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,41,0,Completed,07/26/2018 11:48,Local PPO
SD,Sully,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Richland,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Bowman,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
FL,Clay,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,4,0,Completed,07/25/2018 8:35,HMO/HMOPOS
LA,St. Helena,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Oconee,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clinton,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Henry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Oneida,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Miami-Dade,InnovaCare Inc.,MMM - ELITE DADE (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,1,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Jefferson,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
GA,Habersham,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Houston,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MO,Jefferson,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MO,Washington,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Nueces,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Livingston,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
OH,Sandusky,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,San Juan,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
VA,Roanoke City,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
WV,Braxton,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
OK,Kingfisher,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,Morrison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Santa Rosa,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NE,Saunders,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Kings,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Wyoming,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Pope,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Berkeley,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,6,0,Completed,06/26/2018 15:07,Local PPO
SC,Chester,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
FL,Polk,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,90,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SC,Saluda,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
KS,Sedgwick,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,Mohave,Humana Inc.,Humana Gold Plus H0028-024 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,20,0,Completed,07/23/2018 14:30,Local PPO
WI,Calumet,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
IL,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lake,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,165,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marathon,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Cole,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hillsborough,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,34,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Marion,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Newton,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Franklin,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Cherokee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Marathon,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
PA,Berks,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
ND,Eddy,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Pointe Coupee,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lawrence,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
VA,Richmond City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Jasper,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
KS,Edwards,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Belmont,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Etowah,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
ID,Bonneville,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,21,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Fayette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MS,Stone,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Kittson,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
NC,Iredell,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Plus SNP-DE H1036-209 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,209,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Montgomery,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AL,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Kane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Lee,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
GA,Muscogee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
VA,Page,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Armstrong,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
SC,Union,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Rockbridge,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AZ,Pima,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,44,1,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Jefferson Davis,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Lincoln,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Tangipahoa,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Cheshire,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Classic Care I Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,25,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Jackson,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,23,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Kay,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
NH,Merrimack,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,2,0,Completed,07/23/2018 14:30,Local PPO
FL,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Logan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Highlands,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
VA,Craig,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
AR,Greene,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,McDowell,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Hardin,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
CA,El Dorado,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Marion,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Athens,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Panola,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,San Saba,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Aguadilla,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Naguabo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Wabash,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jennings,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Van Wert,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Roane,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Lehigh,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,1,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Noble,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Valley,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Polk,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,La Salle,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hamilton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Johnson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
IL,Jo Daviess,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,9,0,Completed,06/15/2018 10:34,1876 Cost
IA,Butler,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
TX,Tarrant,Imperial Health Plan of California,Imperial Insurance Company of Texas Value HMO SNP (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
IN,Delaware,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
GA,Dougherty,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
GA,Heard,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
AR,Faulkner,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Cedar,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
CO,Boulder,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MI,Lake,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
WV,Wyoming,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Spencer,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
HI,Honolulu,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,40,0,Completed,07/24/2018 13:42,Local PPO
AR,Lee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
IA,Linn,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
TX,Bexar,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
AR,Phillips,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
NE,Washington,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NM,McKinley,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MN,Stearns,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Waseca,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Houghton,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MO,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
MN,Koochiching,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ward,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
LA,Grant,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
WV,Cabell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
CA,Orange,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,New York,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
KY,Larue,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
PA,Butler,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
VA,Dickenson,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Delaware,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Jackson,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Cherokee,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
AR,Washington,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,Person,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Pickaway,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
KS,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Tallapoosa,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Doddridge,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
MO,Scott,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
MO,Wayne,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
TN,Chester,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Sauk,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Monroe,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Caguas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OR,Josephine,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,20,0,Completed,07/19/2018 0:49,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MI,Midland,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
OH,Trumbull,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Monroe,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NE,Gage,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
MO,Washington,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
IA,Jackson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
KY,Nelson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
OH,Brown,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
WI,Marquette,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,77,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Rockdale,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
SD,Jones,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,74,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Ashtabula,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Kings,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,52,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Chattahoochee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Riley,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,White,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Clay,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,2,0,Completed,06/15/2018 10:34,1876 Cost
PR,Anasco,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Keya Paha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Starr,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,167,0,Completed,07/17/2018 11:44,Local PPO
TX,Denton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
GA,Johnson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NC,Mecklenburg,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
MI,Livingston,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
WI,Waukesha,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Franklin,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
OK,Hughes,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IN,Pulaski,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
KY,Carroll,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
HI,Kauai,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,40,0,Completed,07/24/2018 13:42,Local PPO
PA,Crawford,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
PA,Westmoreland,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
AR,Polk,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
OK,Mayes,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Armstrong,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TN,Franklin,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
TX,Rusk,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Pike,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
NY,Sullivan,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
TN,Hancock,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
PA,Delaware,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,Napa,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,54,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Philadelphia,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Rock,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
MT,Missoula,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
OH,Seneca,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Wayne,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Hardee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Cameron,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NC,Rutherford,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Nowata,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,189,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Vernon,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
TN,Haywood,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
VA,New Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NH,Strafford,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Payette,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Lancaster,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Snohomish,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Grays Harbor,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,McLean,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
IA,Jasper,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Alameda,Centene Corporation,Health Net Ruby Select II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,116,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,100,1,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,Humana Gold Plus SNP-DE H1036-257 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,257,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Spotsylvania,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NE,Otoe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,1,0,Completed,07/26/2018 11:48,Local PPO
IA,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Prince William,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Essex,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Waukesha,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
FL,Lake,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KS,Ford,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Mitchell,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WI,Pepin,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,1,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
WI,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
GA,Oglethorpe,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Mecosta,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
MO,Callaway,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MO,St. Louis City,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Clark,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,Union,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
CA,San Mateo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Marin San Mateo (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,31,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Antrim,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Meeker,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
MO,Lincoln,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Chisago,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,11,Completed,07/27/2018 9:47,HMO/HMOPOS
CA,San Benito,AHMC Central Health LLC,Central Health Elite HMO SNP (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,14,0,Completed,07/27/2018 13:58,HMO/HMOPOS
TX,Frio,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Posey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
UT,Juab,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Corson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Tipton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Newton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Lyon,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Cambria,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Indiana,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Somerset,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,Chelan,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,1,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,Titus,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NC,Tyrrell,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,6,Completed,07/19/2018 14:35,Local PPO
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
SC,Clarendon,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Pierce,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Franklin,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Coamo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
MN,Hennepin,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
FL,Wakulla,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
MI,Baraga,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
IL,Greene,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MN,Scott,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NC,Rowan,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Yadkin,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Alexander,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Hennepin,Medica Holding Company,Medica AccessAbility Solution Enhanced (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H9952,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
KS,Crawford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Sheridan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Pike,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Crawford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Greene,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Lexington City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
MT,Liberty,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
OH,Clermont,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OR,Wallowa,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IA,Sioux,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,Barton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Madison,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,St. James,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Indiana,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
KS,Wyandotte,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Brooks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,1,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Belmont,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Berks,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,6,2,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Iron,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MN,Goodhue,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
IN,Whitley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
MA,Hampden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lauderdale,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Bay,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Adams,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pinellas,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Levy,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lorain,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Marshall,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
CT,Windham,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
SD,Brookings,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
OH,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,Manati,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
WV,Pendleton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Woodson,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Lincoln,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Kings,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,3,0,Completed,07/27/2018 16:18,HMO/HMOPOS
IN,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
TN,Bledsoe,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Montgomery,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Porter,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
NY,Broome,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
PR,Naranjito,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Tompkins,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Twiggs,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MN,Goodhue,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IN,Hamilton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Snyder,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
FL,Orange,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,92,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Warren,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Washington,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
IA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dunn,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Perry,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,San Diego,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,16,0,Completed,07/26/2018 15:08,HMO/HMOPOS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Blair,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Walton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Dallas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Menominee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
WV,Webster,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Douglas,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
KS,Gove,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Morton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Grayson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Kerr,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NM,San Miguel,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,2,0,Completed,07/30/2018 11:21,HMO/HMOPOS
WV,Pocahontas,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
PA,Philadelphia,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Auglaize,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Logan,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Sandusky,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Greene,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Pike,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
SC,Kershaw,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
GA,DeKalb,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Marion,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bastrop,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Dawson,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Tyler,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Posey,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
OH,Richland,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
GA,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
NM,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
SD,Brown,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
LA,Allen,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TX,Comal,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TN,Benton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Wayne,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Tuscaloosa,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KY,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
FL,Brevard,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Cumberland,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Mercer,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Deuel,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Williamson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Livingston,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Gratiot,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WV,Barbour,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
CA,Riverside,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Inland Empire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Benzie,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Oscoda,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
OH,Brown,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Meigs,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wayne,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Decatur,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Kendall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Independence,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Giles,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Owen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,8,Completed,06/22/2018 9:28,HMO/HMOPOS
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Rockland,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
KS,Crawford,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Orleans,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Lake of the Woods,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OR,Jackson,ATRIO Health Plans,ATRIO Bronze Rx (Rogue) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,18,1,Completed,07/28/2018 12:06,Local PPO
PA,Northampton,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Lake,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Oldham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Jasper,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Hancock,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
GA,Henry,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Lee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
IN,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
MN,Aitkin,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
AL,Blount,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Pierce,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Pinellas,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
PR,Camuy,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Pleasants,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Hamilton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Shiawassee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
AR,Sebastian,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Tyler,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
TX,Jim Wells,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Walton,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
CA,Santa Cruz,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,1,Completed,07/26/2018 15:53,Local PPO
OH,Harrison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Weber,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
VT,Caledonia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
AL,Barbour,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NY,Nassau,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
IL,Kankakee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
GA,Morgan,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Hanover,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
CO,Weld,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
KY,Pike,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MS,Issaquena,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MS,Scott,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WI,Portage,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MI,Monroe,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
KY,Allen,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
OH,Richland,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
OR,Benton,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
KS,Linn,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
GA,Jasper,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
ME,Lincoln,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
KY,Henderson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
GA,Spalding,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NJ,Hudson,Humana Inc.,HumanaChoice H5216-174 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,174,0,Completed,07/24/2018 13:42,Local PPO
TX,McLennan,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
WI,Langlade,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Ohio,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Norfolk,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,122,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Clay,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Bedford,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bastrop,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Crawford,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Jefferson,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MI,Crawford,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Bandera,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Clayton,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Lake,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Monroe,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AZ,Pima,Anthem Inc.,Amerivantage CareMore Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Grainger,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,42,0,Completed,07/26/2018 11:48,Local PPO
FL,Palm Beach,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
TX,Dallas,Imperial Health Plan of California,Imperial Insurance Company of Texas Dual (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,4,0,Completed,06/08/2018 19:20,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Mobile,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,116,0,Completed,07/17/2018 11:44,Local PPO
NJ,Gloucester,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,123,0,Completed,07/17/2018 11:44,Local PPO
TX,Hill,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
GA,Washington,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NY,Rensselaer,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Trousdale,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
GA,Douglas,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Crittenden,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MO,Miller,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,McCook,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
PA,Lancaster,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
OK,Comanche,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Montgomery,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,122,0,Completed,07/24/2018 13:42,Local PPO
MI,Charlevoix,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Marshall,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Rush,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
AR,Hot Spring,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
MO,Henry,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Delta,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Johnson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
HI,Honolulu,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,43,0,Completed,07/26/2018 11:48,Local PPO
MA,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
SD,Mellette,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
NH,Strafford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
CA,Riverside,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,16,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Conejos,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,5,0,Completed,07/30/2018 13:44,1876 Cost
WA,Thurston,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,7,0,Completed,07/24/2018 10:50,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
IA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Clark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Green,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Bourbon,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Linn,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
TN,Rutherford,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,St. Joseph,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Cannon,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,3,0,Completed,06/20/2018 12:01,Local PPO
MN,Roseau,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NC,Northampton,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
FL,Dade,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,1,0,Completed,07/27/2018 9:10,HMO/HMOPOS
FL,Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrExtra (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,4,0,Completed,07/25/2018 17:00,HMO/HMOPOS
VA,Charlotte,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Teller,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,18,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Anasco,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Washington,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,9,0,Completed,06/12/2018 10:27,Local PPO
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NE,Sarpy,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
WV,Wetzel,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
VA,Norfolk City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Roanoke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Jefferson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Indiana,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Lebanon,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
VA,Rockingham,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NH,Hillsborough,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Gain Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,9,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OK,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Hampden,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Dewey,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
MN,Wright,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
MO,Jackson,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NY,Steuben,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NY,Genesee,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
IN,Fountain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,49,0,Completed,07/16/2018 13:15,HMO/HMOPOS
OH,Warren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
IN,Morgan,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Pasco,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,21,0,Completed,07/25/2018 8:35,HMO/HMOPOS
OH,Jefferson,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Hart,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
GA,Randolph,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
IN,Jasper,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,226,0,Completed,07/17/2018 11:44,Local PPO
OH,Butler,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Oglethorpe,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
IN,Fulton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Bryan,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Barren,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
KY,Bath,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
IA,Monona,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Putnam,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
AL,Walker,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
MO,Laclede,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
GA,Dade,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Forsyth,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
WV,Tyler,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Cayey,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MO,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,68,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Fulton,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
FL,Broward,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,81,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Winchester City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
TX,Delta,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Shawnee,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Gregg,Humana Inc.,Humana Gold Plus H0028-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Giles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,269,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Dearborn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pinellas,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,60,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Corozal,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
NY,New York,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Hardy,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Saline,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Delaware,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TX,Henderson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Walker,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
PR,Yauco,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Madison,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Guayanilla,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
KS,Shawnee,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
IA,Clay,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
KS,Cherokee,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
WV,Lewis,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
WV,Morgan,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
KY,Nelson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
WA,Pierce,Humana Inc.,Humana Gold Plus H5619-100 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,100,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Bristol City,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Williamsburg City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Williamsburg City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Norfolk City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
OH,Franklin,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
FL,Pinellas,"ULTIMATE HEALTH PLAN, INC.",Acclaim Plus (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,12,0,Completed,07/06/2018 11:25,HMO/HMOPOS
OH,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Baxter,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,5,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Kiowa,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
AL,Russell,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Tallapoosa,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
GA,Bryan,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
TN,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Madison,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
FL,Nassau,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Goochland,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
FL,Polk,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Chemung,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Albany,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NY,Chemung,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
NC,Buncombe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,105,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,Rio Grande,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MO,Ralls,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Rice,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Sumter,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
GA,Jones,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
WI,Bayfield,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Miner,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
AL,Baldwin,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,2,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Northampton,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,10,0,Completed,07/25/2018 15:07,HMO/HMOPOS
CA,San Bernardino,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,17,0,Completed,07/20/2018 14:52,HMO/HMOPOS
AL,Marshall,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
MD,Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Edmunds,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
NY,Dutchess,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Petroleum,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VA,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
WY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KY,Boone,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
NV,Clark,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,55,0,Completed,07/17/2018 11:44,Local PPO
GA,Crisp,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Carroll,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
GA,Bartow,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
CO,Grand,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
SC,Pickens,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Shelby,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Lake,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
TX,Comal,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Liberty,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Henderson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
GA,Taylor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Diego,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Prowers,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
LA,Washington,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Pendleton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Lake,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Edmonson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,9,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,8,Completed,06/22/2018 9:28,HMO/HMOPOS
MO,Cooper,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
OH,Pike,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Allen,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Fond du Lac,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
WI,Oconto,SSM Healthcare Corporation,Prevea360 Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,6,0,Completed,06/25/2018 12:02,HMO/HMOPOS
AL,Barbour,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
VA,James City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
TX,Guadalupe,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Johns,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
MI,Macomb,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
MS,Choctaw,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Clayton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Pettis,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
KY,Knott,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
AL,Butler,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
MO,Moniteau,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Bath,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,Wetzel,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IL,Morgan,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
PA,Clarion,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
PR,Bayamon,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
TX,Rockwall,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Delaware,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Geauga,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Patrick,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MN,Clearwater,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
VA,Northampton,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
WV,Marion,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Mahaska,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IA,Wapello,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
SC,Pickens,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Lac qui Parle,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Osage,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
NJ,Atlantic,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
VA,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ND,Grand Forks,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
AR,Sharp,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Elbert,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Bingham,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,21,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Perry,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
OK,Pontotoc,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
VA,Hanover,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,91,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Mackinac,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
SD,Stanley,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
FL,Pinellas,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,6,0,Completed,07/25/2018 8:35,HMO/HMOPOS
GA,Clinch,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Guthrie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Edmonson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Ashland,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,4,0,Completed,07/20/2018 11:11,Local PPO
NC,Henderson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Norfolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,7,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,8,Completed,07/16/2018 9:33,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,7,0,Completed,07/13/2018 13:32,HMO/HMOPOS
NY,Nassau,"QHP Financial Group, Inc.",Advantage Health LI - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,3,0,Completed,07/27/2018 15:56,HMO/HMOPOS
GA,Gordon,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Conway,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,Benton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Ste. Genevieve,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OK,Kingfisher,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Loudoun,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
MA,Hampshire,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
UT,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Weber,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Vega Baja,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
OH,Portage,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Champaign,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Wapello,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
FL,Dade,InnovaCare Inc.,MMM - ELITE DADE (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,1,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Advantra Southeast Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Burnett,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Marshall,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Ontonagon,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Lapeer,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
IN,Noble,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IN,Pike,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MT,Silver Bow,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
VA,Carroll,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
VA,Northampton,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
NM,Sandoval,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
NM,San Miguel,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
MS,Copiah,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,151,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Duval,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Berks,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
FL,Sarasota,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Jefferson,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Salem City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Johnston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Muskingum,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Essex,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Autauga,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IL,Greene,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Philadelphia,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NJ,Warren,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
KS,Doniphan,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Walthall,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Macon,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Washington,"Medical Associates Clinic, P.C.",Mercy Iowa City Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,16,0,Completed,06/15/2018 10:34,1876 Cost
PR,Hormigueros,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Comanche,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Harris,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,202,0,Completed,07/17/2018 11:44,Local PPO
IN,Huntington,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,99,0,Completed,07/17/2018 11:44,Local PPO
OH,Montgomery,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
IN,Brown,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
GA,Wayne,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,115,0,Completed,07/17/2018 11:44,Local PPO
GA,Baldwin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
AL,Walker,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
TX,Webb,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Custer,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Hanover,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
OK,Muskogee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Cameron,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
ID,Bannock,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,17,Completed,07/27/2018 9:47,HMO/HMOPOS
WV,Wetzel,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Crenshaw,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Madison,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Logan,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Pontotoc,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Saunders,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,McDuffie,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
CA,Kern,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
AL,Talladega,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,26,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Madison,Humana Inc.,HumanaChoice SNP-DE H5970-020 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,20,0,Completed,07/24/2018 13:42,Local PPO
MN,Carver,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
NY,Herkimer,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
PA,Washington,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
GA,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Blount,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Pickett,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Johnson,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
PR,Lajas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Broomfield,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
AL,Dallas,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,224,0,Completed,07/17/2018 11:44,Local PPO
PA,Delaware,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
IL,Lee,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Atlantic,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,32,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
NJ,Gloucester,Humana Inc.,HumanaChoice H5216-184 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,184,0,Completed,07/24/2018 13:42,Local PPO
AR,Sebastian,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Camden,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
PA,Carbon,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
NC,Durham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
TN,Stewart,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
IN,Pike,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
WV,Mercer,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IN,Ripley,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
AR,Faulkner,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
FL,Escambia,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Canovanas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Vega Baja,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
CA,Orange,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5943,2,0,Completed,07/16/2018 13:40,HMO/HMOPOS
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Fulton,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Houston,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Lee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,5,0,Completed,06/26/2018 15:07,Local PPO
GA,Burke,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SC,Dillon,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,Hopewell City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
IN,Howard,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,Strafford,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
CO,Fremont,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Catawba,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Cole,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Delaware,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Broome,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Francois,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Atlantic,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Bergen,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,9,0,Completed,07/02/2018 16:20,HMO/HMOPOS
OR,Benton,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,450,450,225,225,H3811,1,0,Completed,06/29/2018 15:38,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Marshall,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Roseau,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Florence,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
LA,Richland,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Baldwin,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Smith,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Perry,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Isanti,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
UT,Salt Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Scott,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Stark,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
NC,Halifax,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
PA,Bradford,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,McKean,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
GA,Macon,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
GA,Paulding,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Shelby,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
PA,Bucks,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
PR,Patillas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Chesapeake City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
NY,Montgomery,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
NJ,Cape May,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,13,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
GA,Stephens,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
PA,Northampton,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
SD,Fall River,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KY,Martin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
NE,Lancaster,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NC,Cherokee,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
IN,Perry,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
KY,Lincoln,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
IA,Pottawattamie,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
FL,Orange,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Mahoning,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
IA,Chickasaw,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Chippewa,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
NY,Suffolk,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,117,0,Completed,07/17/2018 11:44,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Stark,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
GA,Butts,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Polk,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Jackson,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MN,Chippewa,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
WI,Marathon,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
AR,Greene,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Big Stone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Kanabec,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TX,Medina,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
ME,York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
UT,Salt Lake,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
NY,Livingston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Lafourche,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Culebra,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Boone,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
OH,Carroll,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,11,0,Completed,06/26/2018 15:07,HMO/HMOPOS
SD,Bon Homme,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Van Wert,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Darke,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Chester,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NM,Guadalupe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
WA,Thurston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Madison,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
KS,Ness,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Snyder,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Swain,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Somerset,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
GA,Jones,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,McCormick,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Audrain,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MO,Reynolds,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
TX,Austin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Van Zandt,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Collin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Spencer,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Montcalm,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SD,Codington,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,LaMoure,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Fall River,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,2,0,Completed,07/25/2018 8:35,HMO/HMOPOS
VT,Chittenden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Harris,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Anderson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
NY,Orleans,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Orocovis,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Hancock,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Florence,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,James City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,18,0,Completed,07/13/2018 13:32,HMO/HMOPOS
CT,Litchfield,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,Campbell,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Polk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Ingham,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IN,Vigo,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
VA,Henrico,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Eaton,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OH,Mahoning,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Middlesex,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
UT,Utah,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
KS,Sedgwick,Aetna Inc.,Medicare Dual Preferred Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NM,Taos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
IL,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Kiowa,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Clinton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Burke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ID,Canyon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TN,Marshall,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Pierce,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
MO,Osage,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Calhoun,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Indian River,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,17,0,Completed,07/26/2018 11:48,Local PPO
NC,Anson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Washington,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Rowan,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Chesterfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Webster,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Canyon,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Hardy,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
OH,Coshocton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Grady,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Grant,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Sullivan,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Walworth,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
IA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,68,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Roanoke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Canadian,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
WI,Lincoln,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Franklin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Jessamine,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,McCreary,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Kenosha,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Rockdale,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,11,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Zavala,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Rockbridge,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Douglas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Wharton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Campbell,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
PR,Carolina,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IN,La Porte,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OH,Morrow,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
GA,Long,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
GA,Meriwether,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PR,Aguada,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,White,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Jefferson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,94,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,75,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Henrico,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Gloucester,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
PR,Aguadilla,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Stark,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
OH,Erie,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,Ottawa,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
AL,Cullman,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Greenbrier,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
KS,Wilson,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
NC,Beaufort,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NC,Cumberland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Hardin,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Ozark,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Wake,Humana Inc.,Humana Gold Plus SNP-DE H1036-276 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,276,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Morgan,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,15,0,Completed,07/12/2018 15:19,HMO/HMOPOS
NY,Saratoga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
AL,Lowndes,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Rusk,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Calumet,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Crawford,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Randolph,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
VA,Alleghany,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Kalawao,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5969,2,0,Completed,07/27/2018 20:10,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Union,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
AR,Saline,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
VA,Patrick,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Livingston,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Williams,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Clinton,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,36,0,Completed,07/13/2018 14:00,Local PPO
WA,Snohomish,Humana Inc.,Humana Gold Plus H5619-063 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,63,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Kings,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Bannock,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,9,0,Completed,07/06/2018 16:48,Local PPO
OH,Wood,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
SC,Marlboro,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PA,Chester,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
NC,Union,Humana Inc.,Humana Gold Plus H6622-057 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Ozaukee,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Richmond,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Wise,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
PA,Sullivan,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
FL,Broward,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
IA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Jessamine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,67,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,DeKalb,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Benito,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,37,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Franklin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Union,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Kanawha,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
CA,Riverside,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,26,0,Completed,07/20/2018 14:52,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hamblen,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Suffolk,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,1,Completed,07/13/2018 13:55,Local PPO
TX,Guadalupe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Guadalupe,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
IN,Randolph,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
CO,Larimer,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
GA,Greene,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
NY,New York,Bright Health Management,Bright Advantage Special Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Tipton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Gasconade,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Keokuk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Tama,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Grant,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
GA,Fayette,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Montgomery,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
WV,Pendleton,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lane,PacificSource Health Plans,PacificSource Medicare Explorer Rx 4 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,4,0,Completed,07/06/2018 16:48,Local PPO
OH,Vinton,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Carroll,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Hancock,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
UT,Utah,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,7,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
MT,Deer Lodge,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,199,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Ciales,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
FL,Hernando,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,11,0,Completed,07/26/2018 11:48,Local PPO
NC,Wilson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
SC,Charleston,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,37,0,Completed,07/26/2018 14:48,Local PPO
OH,Paulding,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
CA,Riverside,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Mary,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NY,Kings,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,1,0,Completed,07/20/2018 15:07,Local PPO
OK,Grady,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Mower,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Fillmore,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
MN,Martin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
IA,Mahaska,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Shawnee,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,68,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Davidson,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Decatur,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Fountain,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
LA,East Baton Rouge,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Tama,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Cherokee,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Blount,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,Palo Alto,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WV,Mingo,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
IN,Henry,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
MS,Madison,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
CO,Clear Creek,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
TX,Kerr,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TN,Monroe,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
TX,Howard,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TN,Bledsoe,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
WV,Tyler,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Iron,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MO,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
MN,Carlton,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Decatur,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,King,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,7,0,Completed,07/24/2018 10:50,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Vernon,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Forsyth,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
WV,Calhoun,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Wayne,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Rock Island,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MI,Ingham,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Livingston,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Van Wert,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Coshocton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Scott,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
PA,Tioga,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,11,Completed,07/27/2018 9:47,Local PPO
SC,Richland,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
PA,Montour,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
OR,Lane,Centene Corporation,Trillium Advantage Dual (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2174,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Rock,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pope,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Westmoreland,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
AR,Woodruff,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,89,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Wells,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
VA,Fairfax City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Oklahoma,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Kingfisher,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OH,Franklin,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
NY,Allegany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Marquette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
SD,McCook,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Lumpkin,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Pottawatomie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
UT,Weber,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,7,0,Completed,07/13/2018 13:55,Local PPO
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
OH,Clermont,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
MN,Aitkin,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,13,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Pike,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
TN,Loudon,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Hays,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Alcona,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
KY,Breckinridge,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
WA,King,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Dickinson,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MT,Cascade,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WY,Platte,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Boone,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Henry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Comanche,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OH,Guernsey,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OK,Creek,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Lake of the Woods,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Clinton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Osceola,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
TN,Obion,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
SC,Jasper,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Hickory,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Custer,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
OH,Brown,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
PA,Sullivan,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
IA,Black Hawk,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
NV,Washoe,Humana Inc.,HumanaChoice H5216-039 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,39,0,Completed,07/24/2018 13:42,Local PPO
ND,Cass,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
NJ,Camden,Humana Inc.,HumanaChoice H5216-183 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,183,0,Completed,07/24/2018 13:42,Local PPO
OK,Noble,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Refugio,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
SC,Williamsburg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Toombs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Harford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
GA,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Keokuk,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
TX,El Paso,Imperial Health Plan of California,Imperial Insurance Company of Texas Traditional (HMO),Y,Y,Y,Y,N,,,482,482,20,20,H2793,3,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Orleans,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Bandera,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
MS,DeSoto,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,218,0,Completed,07/17/2018 11:44,Local PPO
PA,Crawford,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
NY,Rensselaer,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
GA,Monroe,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
CO,Weld,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,208,0,Completed,07/17/2018 11:44,Local PPO
MI,Clare,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
PR,Humacao,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
OR,Lane,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,29,0,Completed,07/26/2018 11:48,Local PPO
MN,Kanabec,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
SD,Edmunds,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Stanley,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Davison,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
IN,De Kalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Bedford,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Yuma,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
FL,Seminole,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,82,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Hudson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,McCurtain,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Coosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Madison,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Meigs,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hawkins,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Mason,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,1,Completed,07/13/2018 13:55,Local PPO
TN,Dickson,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NY,Seneca,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Kearney,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Sherman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Iron,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
DE,New Castle,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,262,0,Completed,07/17/2018 11:44,Local PPO
GA,Hancock,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
TX,Kaufman,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
SC,Abbeville,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
PA,Mercer,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
CO,Denver,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MO,Crawford,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SC,Colleton,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
PA,Erie,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
GA,Lee,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
KS,Bourbon,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
AR,Montgomery,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,29,0,Completed,07/26/2018 11:48,Local PPO
SD,Tripp,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Oliver,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Crawford,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Randall,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
VA,Pulaski,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hanover,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Norfolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Halifax,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Outagamie,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Lajas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Bronx,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
OR,Marion,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Aroostook,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Clinton,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
WV,Monongalia,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
NC,Davie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Montgomery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,East Feliciana,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Snyder,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Westmoreland,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
SC,Orangeburg,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Orange,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
AL,Geneva,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Covington,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Rogers,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Boone,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Graves,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
GA,Crawford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Marshall,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Lake of the Woods,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
FL,Hillsborough,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,251,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IN,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,McHenry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Winnebago,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
MN,Clearwater,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
ID,Bonner,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
MO,Johnson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Salem City,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
WV,Pleasants,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NM,Santa Fe,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Denver,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
TN,Pickett,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
TX,Floyd,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Warren,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NC,Davie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NY,Schenectady,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Crane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Merrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Shannon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
AL,Escambia,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
PA,Clearfield,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Hancock,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Meriwether,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NJ,Essex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,30,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
GA,Clarke,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
WV,Webster,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
WV,Tyler,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
OH,Shelby,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
PA,Columbia,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
OH,Geauga,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
NY,New York,"Independent Living Systems, LLC",Health Pointe Direct Complete Plan (HMO SNP),Y,N,Y,N,N,,,,,0,0,H1722,1,0,Completed,08/16/2018 12:20,HMO/HMOPOS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IA,Grundy,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Granville,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Union,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
FL,Broward,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Poquoson City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,2,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Nassau,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
NH,Rockingham,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Gain Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,9,0,Completed,07/23/2018 15:56,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,1,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Wayne,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Butler,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Faulkner,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
TX,Guadalupe,Aetna Inc.,Aetna Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8597,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
AL,Cullman,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Henderson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
GA,Columbia,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
AR,Boone,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Jones,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hickman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Rapides,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Richland,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
OK,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
IL,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
OK,Grady,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
KY,Madison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Hancock,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Warren,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,18,0,Completed,07/13/2018 13:32,HMO/HMOPOS
NJ,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
SD,Brookings,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TX,Kleberg,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Prince George s,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,Elbert,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
CO,Gilpin,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NY,Queens,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,12,0,Completed,07/26/2018 11:48,Local PPO
OK,Wagoner,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OH,Putnam,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Northampton,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
IN,Gibson,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,50,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Clarke,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Harford,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Genesee,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
PA,Blair,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Pittsburg,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Ellis,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Grundy,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Cumberland,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,2,Completed,07/20/2018 11:11,Local PPO
VA,Accomack,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Madison,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
MO,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vermillion,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
TX,Dallas,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,5,0,Completed,06/20/2018 12:01,Local PPO
FL,Marion,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Richmond,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
WI,La Crosse,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Dallas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Lawrence,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Select (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,16,0,Completed,07/23/2018 10:18,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MO,Mississippi,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Jackson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
CT,New London,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
WI,Washburn,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TX,Starr,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MN,Roseau,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
CA,San Luis Obispo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Polk,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Talladega,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Barry,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Pottawattamie,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Linn,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,9,0,Completed,06/29/2018 15:38,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
SD,Douglas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
KS,Sherman,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Lauderdale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,13,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CO,Montrose,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MT,Madison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Limestone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Surry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
OH,Knox,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Summit,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Gogebic,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
GA,Cobb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Rusk,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Denver,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
OH,Licking,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Maricao,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,Sampson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
ND,Grand Forks,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MO,Cooper,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
OK,Oklahoma,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Pickens,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Grayson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Perry,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
IN,Hendricks,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
KS,Jefferson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OK,Adair,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
OH,Meigs,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
NE,Dodge,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
AR,Scott,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Renville,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Effingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Van Zandt,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
PR,Trujillo Alto,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Jackson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
OH,Ashland,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
CT,New Haven,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
MI,Macomb,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
KY,Warren,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
AL,Lawrence,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
SC,Spartanburg,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
WV,Marshall,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Coamo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Rensselaer,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3342,19,0,Completed,07/23/2018 14:30,Local PPO
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Seneca,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Philadelphia,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Twin Falls,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,10,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
FL,Miami-Dade,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,New York,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
LA,St. John the Baptist,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Livingston,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Noble,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waukesha,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OR,Morrow,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
ID,Ada,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,3,0,Completed,07/17/2018 11:44,Local PPO
MO,Stone,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Greene,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Jackson,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NC,Randolph,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,4,0,Completed,06/25/2018 20:32,Local PPO
OK,Johnston,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
NE,Dakota,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Chilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Menominee,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
NY,Richmond,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Elk,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
WI,Outagamie,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
TN,Hickman,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Dodge,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
PA,Dauphin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,St. Lucie,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Fayette,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Coahoma,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,1,Completed,07/13/2018 13:55,Local PPO
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
IA,Clinton,"Medical Associates Clinic, P.C.",Clinton Community Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,12,0,Completed,06/15/2018 10:34,1876 Cost
IN,Hancock,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
IN,Jennings,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
VA,Danville City,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
CO,Crowley,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
IN,Dubois,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Chattooga,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
MO,Clinton,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
MI,Alger,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
SD,Fall River,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MA,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Humphreys,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Kewaunee,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Volusia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
WV,Fayette,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Maunabo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Marshall,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rutherford,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Pickett,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,San Saba,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Coos,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
TN,Giles,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
DE,New Castle,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
NY,Westchester,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Forsyth,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
KY,Woodford,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
PA,Bucks,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
IN,Randolph,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashland,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
IA,Boone,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
GA,Troup,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
VA,Winchester City,Humana Inc.,HumanaChoice H5216-150 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,150,0,Completed,07/24/2018 13:42,Local PPO
CT,Middlesex,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Tuscola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,1,Completed,07/20/2018 13:43,HMO/HMOPOS
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,6,1,Completed,06/18/2018 13:49,HMO/HMOPOS
TN,Sullivan,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
GA,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
MN,Traverse,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hand,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
TN,Van Buren,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Nacogdoches,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Montgomery,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Ascension,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Summit,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Rockwall,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5656,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,36,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MN,Traverse,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Otoe,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
PA,Schuylkill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
IN,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
SD,Hyde,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
AR,White,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0270,1,0,Completed,07/20/2018 11:11,Local PPO
VT,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Calvert,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
IN,Daviess,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NJ,Burlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
GA,Jones,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Ceiba,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Autauga,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,224,0,Completed,07/17/2018 11:44,Local PPO
TX,Johnson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
GA,DeKalb,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
VA,Radford City,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
IA,Keokuk,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Guernsey,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MI,Shiawassee,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
TN,Cannon,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
VA,Prince William,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
SD,Moody,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MO,Cole,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Giles,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
NY,Oswego,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Natchitoches,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clark,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Adair,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NH,Cheshire,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,DeKalb,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Stevens,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Clay,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Morton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Henry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
NM,Valencia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,47,0,Completed,07/26/2018 11:48,Local PPO
MN,Pipestone,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
ND,Billings,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NH,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Brazoria,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Catoosa,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IN,Benton,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Henry,The Carle Foundation,Guide HMO Rx 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,21,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macon,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
OH,Clark,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Santa Isabel,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Union,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,190,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Marion,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Franklin,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Orocovis,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Fayette,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
MO,Lincoln,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NE,Douglas,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
NC,Lincoln,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Tioga,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Berks,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Wyoming,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,7,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Elite Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,25,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Marshall,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Shelby,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Madison,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hardee,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,16,0,Completed,07/18/2018 14:47,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
CA,Orange,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,1,0,Completed,07/27/2018 13:58,HMO/HMOPOS
MI,Gratiot,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
KY,Spencer,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Davidson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MN,Rock,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Kalamazoo,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MO,Polk,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Pulaski,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KY,Clark,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,12,Completed,07/27/2018 9:47,Local PPO
ID,Gem,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stokes,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Hendricks,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Hanson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Adams,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Caguas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Juncos,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Queens,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,27,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Hendricks,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Waseca,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Armstrong,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,Douglas,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WI,Fond du Lac,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
TX,Hopkins,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
KY,Henderson,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,50,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Madison,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,St. Louis,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,5,0,Completed,07/26/2018 11:48,Local PPO
GA,Jefferson,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Amherst,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
PA,Dauphin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Valencia,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Fayette,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Grady,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
NH,Rockingham,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,2,0,Completed,07/23/2018 14:30,Local PPO
MN,Polk,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Roseau,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
MO,Cedar,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Lafayette,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Clay,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Genesee,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,156,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Loudoun,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Waynesboro City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Butler,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,17,0,Completed,07/12/2018 15:19,HMO/HMOPOS
MI,Jackson,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,18,0,Completed,06/26/2018 15:07,HMO/HMOPOS
FL,Calhoun,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
VA,Hanover,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
IL,Bond,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OR,Lane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Moore,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
TX,Childress,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Garland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Juana Diaz,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cayey,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Roanoke City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Randolph,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Brown,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,McLeod,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Butler,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Webster,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
AR,Independence,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,87,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Warren,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Radford City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Haywood,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,1,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Denton,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
GA,Chattahoochee,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Mitchell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
SC,Orangeburg,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Van Buren,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Kitsap,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
SC,Union,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,DeKalb,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Jackson,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Adair,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Jasper,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MS,Jackson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Clay,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
MN,Crow Wing,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
OH,Miami,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
TN,Cocke,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Calhoun,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
MI,Mason,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Manistee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MT,Rosebud,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
PA,Wyoming,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
MI,Oceana,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
IL,DeKalb,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Owyhee,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
NM,Taos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,Northumberland,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,15,Completed,07/27/2018 9:47,HMO/HMOPOS
IL,McDonough,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Tippecanoe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WY,Crook,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Clark,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
PA,Bedford,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Murray,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,5,0,Completed,07/24/2018 17:55,Local PPO
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Webster,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
GA,Johnson,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,6,Completed,07/19/2018 14:35,Local PPO
SC,Kershaw,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Coweta,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
WI,Iowa,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,1,0,Completed,06/15/2018 10:37,1876 Cost
FL,Polk,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,66,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,96,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
MT,Jefferson,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Gold Plus H6622-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Macon,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
OR,Polk,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,1,Completed,07/17/2018 15:41,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Crosby,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Mills,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Anderson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Calhoun,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
GA,Bartow,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,15,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,18,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NC,Gates,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
TX,Webb,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
SD,Hanson,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
ND,Emmons,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
AR,Clark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Cameron,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Mahoning,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
AR,Desha,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Davidson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cortland,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Niagara,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Huron,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Wood,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
OK,Pushmataha,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
IN,Lagrange,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Mower,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MO,Vernon,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
ME,Lincoln,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
IN,Benton,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
SC,Cherokee,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Hickory,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Lampasas,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
MT,Yellowstone,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AR,Madison,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
AR,Logan,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
AR,Marion,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
NJ,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
FL,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
NY,Wayne,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OR,Josephine,ATRIO Health Plans,ATRIO Bronze Rx (Rogue) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,18,3,Completed,07/28/2018 12:06,Local PPO
CO,Summit,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MN,Hubbard,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
AL,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Jersey,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Tippecanoe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Allen,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,3,Completed,07/19/2018 7:40,HMO/HMOPOS
GA,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bedford,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Simpson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Dade,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IA,Des Moines,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Elmore,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
CA,San Bernardino,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,15,0,Completed,07/26/2018 15:08,HMO/HMOPOS
WV,Mingo,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
AL,Hale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
MS,Smith,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Allen,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Giles,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Linn,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
TX,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
VT,Grand Isle,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Essex,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
WY,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Sandusky,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
TX,Wise,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
LA,Rapides,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Twiggs,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
KY,Clinton,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Fayette,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
GA,Wilkes,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
PA,Butler,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MN,Nobles,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
CO,Park,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MO,Saline,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
OH,Jefferson,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
TX,Panola,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
WI,Brown,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Orange,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H9104,6,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
CA,San Diego,"UnitedHealth Group, Inc.",Sharp SecureHorizons Plan by UnitedHealthcare (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,145,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Placer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,146,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,29,0,Completed,07/25/2018 8:35,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hidalgo,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7678,1,0,Completed,07/26/2018 20:42,HMO/HMOPOS
FL,Dade,Humana Inc.,CareFree PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,76,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
FL,Indian River,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Orange,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Sullivan,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
CA,Riverside,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,601,601,301,301,H5810,1,0,Completed,07/26/2018 20:29,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Wharton,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
MS,Leflore,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
OK,Comanche,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
GA,Glynn,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Harlan,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Murray,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
SD,Meade,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
PA,Montgomery,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Harrison,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
KY,Johnson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
KY,Leslie,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
GA,Floyd,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,White,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Deaf Smith,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Hickman,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
PA,Beaver,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
GA,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NY,Schenectady,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Culberson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Karnes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
AL,Henry,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
TX,Fort Bend,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
VA,Staunton City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TN,Fayette,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
IA,Story,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
NY,Livingston,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Cloud,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Licking,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
GA,Banks,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Stephens,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
IL,DuPage,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
GA,Sumter,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Geauga,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
MI,Calhoun,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/13/2018 10:20,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Montgomery,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
IA,Muscatine,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
KS,Crawford,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
VA,Falls Church City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
IA,Davis,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Upson,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Greene,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
TN,Meigs,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
GA,Turner,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Aiken,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Riverside,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clark,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Brown,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Waushara,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Anderson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Barren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bledsoe,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Van Buren,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
WA,King,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,1,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WA,Snohomish,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,1,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WV,Marshall,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
OH,Geauga,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,McDowell,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Landry,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
AL,Colbert,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
AL,Cullman,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
NC,Iredell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
VA,Manassas Park City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IA,Fayette,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Ford,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
SC,Beaufort,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Harris,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Marion,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Craighead,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,69,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,1,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Hood River,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Union,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
TN,Cheatham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Chesterfield,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Cumberland,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
NY,Chemung,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Cayuga,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Tioga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
IA,Jones,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MS,Madison,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
UT,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
AL,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,5,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Pawnee,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
MT,Judith Basin,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
OH,Champaign,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Champaign,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OH,Carroll,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
VA,Craig,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
KY,Clark,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
WV,Ohio,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
WV,Roane,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NM,Chaves,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
NC,Mecklenburg,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Big Stone,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WI,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MI,Delta,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
HI,Honolulu,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,25,0,Completed,07/26/2018 11:48,Local PPO
ND,Oliver,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
NE,Cuming,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
NE,Holt,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
ND,Benson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
UT,Box Elder,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Washington,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
OH,Wood,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
NY,Saratoga,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3342,19,0,Completed,07/23/2018 14:30,Local PPO
IA,Warren,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NY,Herkimer,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montour,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Anderson,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Pope,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
VA,Rappahannock,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Mitchell,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Dauphin,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Grundy,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NC,Harnett,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Sandusky,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
IN,Elkhart,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hampton City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Catoosa,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Henry,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Allegheny,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Hughes,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Nassau,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
TN,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Herkimer,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TN,Dyer,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
ND,Emmons,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NM,Dona Ana,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,11,0,Completed,07/26/2018 11:48,Local PPO
WV,Taylor,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Robertson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
FL,Sarasota,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
IA,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AL,Cherokee,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Blount,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Shelby,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
AR,Pope,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Johnson,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
VA,James City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OR,Douglas,ATRIO Health Plans,ATRIO Silver (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,2,0,Completed,07/28/2018 12:06,Local PPO
IN,Jennings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lake,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
RI,Washington,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,9,0,Completed,07/17/2018 11:44,Local PPO
FL,Hillsborough,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,30,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,York,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Greene,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
IL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Cherokee,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,49,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Phillips,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Bergen,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Calloway,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Marshall,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Meade,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Juneau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
MD,Anne Arundel,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
MN,Pipestone,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Madison,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,13,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Davie,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ND,Hettinger,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Angelina,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Anson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
VA,Norfolk City,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jasper,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
PA,Perry,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Houston,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Walton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Greene,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
IL,Knox,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
WI,Kewaunee,SSM Healthcare Corporation,Prevea360 Medicare Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,9,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
PA,Forest,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
MO,Clay,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Bradley,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
PA,Lancaster,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lorain,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Yellowstone,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,1,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,194,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Overton,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Rock Island,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
WV,Tucker,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
SD,Turner,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Iberville,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Allen,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
IN,Kosciusko,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Mobile,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Barnwell,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
NY,Madison,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
IA,Story,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Monroe,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NY,Monroe,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
IN,Pulaski,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
KS,Atchison,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KS,Douglas,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
IN,Dearborn,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
IN,Scott,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
SC,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Tift,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clermont,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Denver,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
WY,Uinta,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,240,0,Completed,07/17/2018 11:44,Local PPO
MI,Saginaw,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MI,Schoolcraft,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NE,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Traverse,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Cambria,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
SC,Calhoun,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Spartanburg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
MT,Gallatin,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
NY,Queens,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/04/2018 14:42,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Dallas,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
NY,Queens,Humana Inc.,HumanaChoice H5970-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,21,0,Completed,07/24/2018 13:42,Local PPO
NJ,Somerset,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MO,Ralls,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Clark,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Finney,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Butler,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Wyoming,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
OH,Lucas,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
TN,Stewart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Wallowa,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
OH,Summit,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguas Buenas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NE,Platte,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MS,Pearl River,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,171,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Alachua,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,McCracken,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Greene,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
NY,Montgomery,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
WI,Winnebago,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,Sequatchie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,97,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
OK,Oklahoma,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Atlantic,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Roger Mills,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Elkhart,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Decatur,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,El Paso,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lewis,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Columbia,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Curry,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
OR,Curry,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
IA,Muscatine,"Medical Associates Clinic, P.C.",Mercy Iowa City Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,16,0,Completed,06/15/2018 10:34,1876 Cost
PR,Gurabo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Ontario,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
PA,McKean,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
GA,Schley,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
OH,Wood,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MO,Newton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Towns,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Upson,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Jackson,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Carroll,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
NM,San Juan,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AL,Monroe,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
WV,Calhoun,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Steuben,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Newton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AL,Baldwin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,White,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Elmore,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Pike,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Jay,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Bexar,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Lafayette,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
GA,Cherokee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Las Marias,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Marion,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TX,La Salle,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
IN,Whitley,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,190,0,Completed,07/17/2018 11:44,Local PPO
TX,Aransas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,105,0,Completed,07/17/2018 11:44,Local PPO
AL,Barbour,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NV,Carson City,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5945,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
IN,Henry,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
PA,Luzerne,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Wetzel,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
IA,Dickinson,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Athens,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
AL,Talladega,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MO,Stoddard,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Hanson,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
ME,York,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
LA,Allen,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
OK,McClain,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NC,Haywood,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
MN,Martin,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
VA,Cumberland,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
CT,Windham,"Tufts Associated HMO, Inc.",CareAdvantage Prime (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,2,0,Completed,07/03/2018 8:46,HMO/HMOPOS
SC,Aiken,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Hall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
IL,St. Clair,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
OH,Madison,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,Nassau,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
NY,Westchester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
PR,Arecibo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Rincon,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Orange,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Fresno,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
WV,Jefferson,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MN,Sibley,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lafayette,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Marion,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
VA,Loudoun,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
TX,Bandera,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Johnson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
CO,Arapahoe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
NY,Essex,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ciales,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Summit,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
OK,Payne,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
OK,Pottawatomie,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
KY,Livingston,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MN,Mille Lacs,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
OH,Franklin,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
KS,Cowley,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
ND,Cass,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
WA,Island,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
IL,Clark,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
NM,Sandoval,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
GA,Spalding,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Winn,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Allen,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
KY,Anderson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Sussex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Clayton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Nicollet,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MO,Phelps,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MO,Reynolds,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
AZ,Maricopa,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,103,0,Completed,07/24/2018 13:42,PFFS
IL,Stark,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WA,Clark,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,4,Completed,07/24/2018 19:18,Local PPO
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Westchester,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Radford City,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Carroll,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Scott,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Alamance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Davie,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MT,Yellowstone,PacificSource Health Plans,PacificSource Medicare MyCare Rx 29 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,29,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NE,Douglas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NE,Sherman,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NE,Dakota,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Steuben,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Covington City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
MI,Ontonagon,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
IN,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
IL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Tolland,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,1,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Jackson,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
NH,Coos,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
AR,Saline,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Fort Bend,Humana Inc.,Humana Gold Plus SNP-DE H0028-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Grant,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. John the Baptist,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Charlottesville City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Mower,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Clermont,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AL,Mobile,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Elmore,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Select (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,16,0,Completed,07/23/2018 10:18,HMO/HMOPOS
NJ,Bergen,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Howell,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
OK,Pottawatomie,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
NE,Washington,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
KY,Butler,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KS,Johnson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
WI,Taylor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
SC,Newberry,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MI,Delta,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MN,Pine,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Haakon,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
GA,Dawson,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Peach,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Monongalia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
WI,Juneau,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Iron,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Henry,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,12,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Trego,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,White,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Gates,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Coahoma,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Copiah,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Lares,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Loudoun,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Audrain,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Daviess,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Carroll,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
MN,Renville,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
SC,Richland,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
PA,Luzerne,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Northampton,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Wabasha,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
TX,Wood,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
OH,Wayne,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
PA,Cumberland,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
LA,Winn,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
AR,Pike,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Richmond City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Pueblo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,Madison,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Monongalia,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Trumbull,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MI,Lapeer,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Faulkner,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
TX,Refugio,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
MA,Worcester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Vernon,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Pointe Coupee,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Terrebonne,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
TN,Rhea,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Benzie,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Paulding,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Rockdale,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,6,0,Completed,06/26/2018 15:07,HMO/HMOPOS
IN,Orange,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
GA,Harris,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,Chaves,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
AZ,Gila,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,1,0,Completed,06/22/2018 13:23,HMO/HMOPOS
NC,Cabarrus,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Davidson,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Fisher,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Wilbarger,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Boone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Galveston,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Winston,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Luquillo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ciales,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Cuyahoga,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Licking,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Cambria,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
PA,Clearfield,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Lincoln,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Lincoln,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,St. Mary s,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Florida,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Gibson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Knox,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Lagrange,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Cass,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Pipestone,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Storey,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,8,0,Completed,07/24/2018 17:55,Local PPO
MO,Randolph,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
WV,Taylor,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
NY,Hamilton,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
GA,Forsyth,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Laurens,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,York,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
PA,Wyoming,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Pottawatomie,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Trumbull,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Polk,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Anasco,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,211,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,201,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,202,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. James,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
PR,Mayaguez,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
OK,Murray,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
WV,Grant,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
OH,Cuyahoga,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
AL,Colbert,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Spokane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1286,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,McDuffie,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,82,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
ME,Lincoln,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
WI,Sheboygan,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Etowah,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Bradley,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Oldham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wabash,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Wayne,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,12,Completed,07/27/2018 9:47,Local PPO
WI,Waupaca,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Isabela,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Camuy,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Maricao,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IA,Warren,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
OK,McIntosh,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
NJ,Atlantic,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Morgan,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
ID,Bannock,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,21,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
VA,Botetourt,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Petersburg City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Hancock,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Madison,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Louisa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Butler,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Wolfe,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,1,Completed,07/26/2018 15:53,Local PPO
MI,Van Buren,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
FL,Brevard,"Health First, Inc.",Health First Rewards Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,14,0,Completed,07/18/2018 14:47,HMO/HMOPOS
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,15,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Iredell,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Lawrence,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Dearborn,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Warren,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Hamblen,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Greene,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
WI,Marquette,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Muskogee,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Benton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,5,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Madison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Cherokee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
OK,Kay,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Adair,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Washington,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Polk,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
IN,Warrick,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,50,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Pope,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Howard,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,2,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Gallatin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Plaquemines,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Greene,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
ME,Knox,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
NE,Douglas,Aetna Inc.,Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Highland,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,King George,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Darke,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Northampton,Capital BlueCross,BlueJourney Alliance Assisted Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,20,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
TX,Falls,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Milwaukee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,73,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,82,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Muscatine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Green,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,St. Louis City,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hernando,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,34,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Wirt,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
CA,Kern,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,38,0,Completed,07/20/2018 14:52,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Posey,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Madison,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Real,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Medina,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Atlantic,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
MN,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
NY,Chemung,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Tuscarawas,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
VA,Petersburg City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PA,Schuylkill,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Mercer,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,30,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
KY,Metcalfe,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
ID,Kootenai,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
WV,Mercer,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MI,Schoolcraft,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Miami,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
SC,Oconee,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
AR,Yell,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
MN,Grant,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Hardin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NE,Saunders,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
TX,Nueces,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
AR,Hot Spring,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
GA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Chaffee,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
CO,Crowley,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
PR,Cidra,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Polk,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
MN,McLeod,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Sibley,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Williamsburg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Susquehanna,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
SC,Oconee,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Larimer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,98,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Park,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OK,Tulsa,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Clay,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Penuelas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,193,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
LA,Iberville,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Huron,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,Butler,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,16,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WV,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
KS,Jackson,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
MN,Todd,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
AR,Craighead,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,251,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Burke,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Isle of Wight,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Tippecanoe,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Washington,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,31,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MS,George,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Brooks,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Taylor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
WI,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
SD,Sanborn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Walworth,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lincoln,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MD,Washington,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
IN,Jay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TX,Galveston,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CA,Stanislaus,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,40,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Allegan,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,1,Completed,07/26/2018 15:53,Local PPO
MI,Oakland,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TN,Coffee,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
TX,Hays,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Schoolcraft,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
VA,Chesapeake City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,King George,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Island,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,De Witt,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
KY,Campbell,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
KY,Scott,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IN,Parke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Lawrence,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Sabana Grande,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Delaware,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,44,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,6,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Summit,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
KY,Livingston,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
TN,Williamson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hickman,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Volusia,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
IN,Johnson,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
OK,Osage,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
TN,Hamilton,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
IN,Lawrence,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
WI,Sheboygan,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Lac qui Parle,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Telfair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Cheshire,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,5,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
PR,Humacao,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Cambria,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Dane,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Monroe,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Sussex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Grimes,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Wayne,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hockley,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Fannin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Lawrence,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
NY,New York,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
GA,Lincoln,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Logan,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
MD,Frederick,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Roberts,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Polk,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
CA,Kings,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,2,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Blair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Juniata,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Putnam,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,24,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Luzerne,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Poinsett,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
VA,Newport News City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Amelia,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lycoming,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Kankakee,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0281,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Grimes,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bandera,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Montgomery,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Grady,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MI,Ottawa,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
NY,Nassau,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IA,Henry,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,McDonald,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
FL,Okeechobee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,17,0,Completed,07/26/2018 11:48,Local PPO
KY,Fayette,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Randolph,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Kootenai,Humana Inc.,Humana Gold Plus H5619-078 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,78,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
MD,Dorchester,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
DE,Kent,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Noble,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Putnam,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hamblen,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Polk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Alpena,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Presque Isle,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Walworth,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MI,Van Buren,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IN,Huntington,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
CA,Los Angeles,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,San Bernardino,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Union,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,17,Completed,07/27/2018 9:47,Local PPO
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
MN,Wadena,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,Mifflin,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Sherman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Wallace,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Union,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Cayey,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Franklin City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Shelby,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Orocovis,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Crawford,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Wilson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
PA,Somerset,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Kewaunee,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
PA,Armstrong,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Denver,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
AL,Clarke,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,20,0,Completed,07/24/2018 13:42,Local PPO
FL,Orange,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Henrico,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Middlesex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
PA,Sullivan,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,13,Completed,07/27/2018 9:47,Local PPO
PR,Arroyo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
WV,Berkeley,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Black Hawk,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Columbia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,14,0,Completed,07/26/2018 11:48,Local PPO
NC,Rutherford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Cumberland,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,42,0,Completed,07/26/2018 14:48,Local PPO
NC,Columbus,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,1,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,15,Completed,07/27/2018 9:47,HMO/HMOPOS
CA,San Joaquin,AHMC Central Health LLC,Central Health Prestige HMO (HMO),N,N,N,N,N,,,,,,,H5649,16,0,Completed,07/27/2018 13:58,HMO/HMOPOS
TX,Orange,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NJ,Mercer,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Grainger,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
PA,Clearfield,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Van Buren,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MS,Lawrence,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
MO,Pike,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
KY,Woodford,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IN,Fulton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Lake,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Caldwell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Barranquitas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Isabela,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lucas,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Wood,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
SC,Calhoun,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
TN,Lewis,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Geauga,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Fayette,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,McCreary,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Daviess,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,5,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
NH,Hillsborough,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
TN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Santa Cruz,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Fluvanna,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Jackson,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IN,De Kalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Sherman,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
AL,Mobile,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Miller,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NJ,Mercer,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,Ponce,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MS,Jackson,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Crawford,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Rawlins,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KY,Floyd,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KY,Hart,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
MA,Suffolk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cannon,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Anoka,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
OH,Mahoning,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Kauai,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5969,2,0,Completed,07/27/2018 20:10,HMO/HMOPOS
LA,Lafourche,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
PR,Adjuntas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Maunabo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
OK,Craig,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
WV,Putnam,Humana Inc.,Humana Gold Plus H5619-113 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,113,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Monroe,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Nicholas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
OH,Portage,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NY,Greene,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
MN,Stearns,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
RI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,2,0,Completed,07/26/2018 11:48,Local PPO
NM,Luna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,42,0,Completed,07/26/2018 11:48,Local PPO
ND,Ward,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
LA,Lafayette,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
GA,Richmond,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Chattahoochee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
TX,Lubbock,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Sussex,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IN,Pulaski,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Pipestone,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
CO,Custer,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
IN,Scott,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Washington,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
GA,Chatham,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Wilson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KS,Crawford,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
WV,Wyoming,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
OH,Lucas,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
NY,Sullivan,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Polk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Elk,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
VA,Halifax,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Essex,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Harrisonburg City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Brown,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Yabucoa,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Guayama,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,King,Community Health Plan of Washington,Community HealthFirst MA Value Plan (HMO) (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,16,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WA,Skagit,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Ford,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
LA,Ascension,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,1,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Armstrong,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
PA,Monroe,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Elk,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
GA,Emanuel,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Lac qui Parle,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
LA,Lafayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Patrick,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Racine,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,9,0,Completed,06/27/2018 15:22,Local PPO
MO,Taney,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Washington,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,5,0,Completed,07/17/2018 11:44,Local PPO
RI,Washington,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,10,0,Completed,07/17/2018 11:44,Local PPO
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Mercer,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Washington,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Cascade,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
WA,Clark,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,200,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Clay,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Leavenworth,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NE,Jefferson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
IA,Clinton,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,New Hanover,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Fredericksburg City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ND,Walsh,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Northampton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Washington,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
IN,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Richmond City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Smyth,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
MA,Barnstable,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,6,0,Completed,07/23/2018 15:56,HMO/HMOPOS
TX,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Pitt,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
VA,Charlotte,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
WV,Jackson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Jefferson,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Venango,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Mobile,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
GA,Burke,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MS,Madison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Ulster,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Lac qui Parle,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Crow Wing,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
NC,Union,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,6,0,Completed,06/25/2018 20:32,Local PPO
CA,Alameda,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,68,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Alachua,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,68,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Forest,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
PA,Northumberland,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
FL,Orange,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Yolo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Wyandot,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Iowa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Twin Falls,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,4,0,Completed,07/19/2018 19:35,HMO/HMOPOS
MN,Chisago,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
MO,Gasconade,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,McIntosh,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Lares,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Cass,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
TX,Collin,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,1,0,Completed,07/25/2018 7:53,Local PPO
WV,Mingo,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OK,Osage,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Marshall,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,7,0,Completed,07/17/2018 11:44,Local PPO
SC,Berkeley,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
OK,Nowata,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
IL,McHenry,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,3,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,101,1,Completed,07/24/2018 19:18,HMO/HMOPOS
NE,Colfax,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NM,Mora,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Lackawanna,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,12,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Whitley,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,2,0,Completed,07/24/2018 19:18,Local PPO
NC,Forsyth,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Westchester,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Switzerland,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Kosciusko,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Porter,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,105,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,33,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Wakulla,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
VA,Franklin,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Prince William,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
GA,DeKalb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
SC,Edgefield,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Henrico,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
IL,Schuyler,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IA,Cherokee,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
IA,Union,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
PA,Lebanon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
KS,Johnson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Kings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Placer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,185,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Alameda,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,70,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Kenosha,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Muhlenberg,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Oceana,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
GA,Gwinnett,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Allen,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
PA,Bradford,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,11,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Iredell,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,Franklin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Orange,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Washington,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Carroll,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
PA,Adams,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
TN,Hamblen,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Pointe Coupee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Chattooga,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AL,Madison,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
MO,Cole,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Greene,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Peoria,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
TX,Medina,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
TX,Eastland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Wharton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Cumberland,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WV,Barbour,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Sandusky,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
GA,Forsyth,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Manatee,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
MA,Suffolk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
VT,Lamoille,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Powder River,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
AL,Barbour,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
PA,Monroe,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
CA,Los Angeles,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,601,601,301,301,H8677,2,0,Completed,07/26/2018 20:59,Medicare-Medicaid Plan HMO/HMOPOS
NE,Douglas,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
AR,Saline,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Harris,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Santa Barbara,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,39,0,Completed,07/20/2018 14:52,HMO/HMOPOS
PA,Venango,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Poinsett,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,38,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Dallas,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WV,Pendleton,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Bremer,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
MI,Washtenaw,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
OH,Lorain,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fayette,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WV,Kanawha,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
WV,Wetzel,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
OH,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
WV,Clay,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
OK,McClain,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
NC,Yadkin,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Hennepin,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Hamilton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Logan,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MI,Roscommon,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Howard,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Warrick,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Clair,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Carter,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
AL,Crenshaw,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
WI,Brown,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
OK,Tulsa,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
OH,Holmes,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
CO,Huerfano,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
CA,San Francisco,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,45,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Paulding,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lake,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Dinwiddie,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Catano,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
MA,Norfolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,2,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Corozal,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NC,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Craig,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Bremer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Addison,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Crenshaw,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NE,Burt,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NE,Cass,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NJ,Cape May,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,,,H3811,3,0,Completed,06/29/2018 15:38,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Essex,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Somerset,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clermont,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Missoula,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
OR,Josephine,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Broward,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
ME,Cumberland,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Somerset,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Belmont,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
IA,Hamilton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NE,Sarpy,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
WV,Upshur,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
SC,Greenville,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Franklin,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Gilmer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WV,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WV,Brooke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
VA,Madison,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,2,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Cambria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Pocahontas,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MS,Pearl River,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NE,Sarpy,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,El Paso,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Weakley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Highlands,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,231,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Champaign,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AL,Russell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Johnson,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
ID,Canyon,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,3,0,Completed,07/17/2018 11:44,Local PPO
CA,Nevada,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,184,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cayuga,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
OR,Multnomah,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9047,43,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
OH,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Schenectady,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
AR,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Garland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Kandiyohi,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Monroe,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Kenosha,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
RI,Providence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Robertson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
KY,Campbell,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buena Vista City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Crawford,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Cedar,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Green Lake,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Bond,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
VT,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
IL,Whiteside,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,18,Completed,07/27/2018 9:47,Local PPO
UT,Box Elder,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AR,Marion,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
FL,Palm Beach,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,20,0,Completed,07/26/2018 11:48,Local PPO
VA,Wise,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Walker,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
NE,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,1,0,Completed,07/26/2018 11:48,Local PPO
WI,Burnett,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Caswell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Ulster,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
LA,Vernon,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
KY,Warren,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Henry,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Forest,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Jasper,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NJ,Passaic,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NY,Dutchess,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Lane,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Washington,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Talladega,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
PA,Bradford,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Union,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Douglas,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Sanilac,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Summers,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
IA,Audubon,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
IL,Mason,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Kemper,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Sharkey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Silver Bow,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
OH,Athens,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Henry,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
AL,Tallapoosa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Cobb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Loudon,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Polk,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sumner,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Lane,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,1,Completed,07/13/2018 13:55,Local PPO
TN,Fayette,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Parker,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Tyler,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
GA,Gordon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
GA,McDuffie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
GA,Upson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Wapello,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
NY,Livingston,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Garfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KS,Riley,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VA,Henry,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,83,0,Completed,07/17/2018 11:44,Local PPO
KY,Taylor,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Ogemaw,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
OK,Haskell,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,Jasper,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
KS,Leavenworth,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Ottawa,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
OK,Delaware,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Dickenson,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
PA,Sullivan,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
GA,Fulton,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Auglaize,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Boise,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
IN,Shelby,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
KS,Elk,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Toole,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Macon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Randall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Stone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Sunflower,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Lonoke,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Washington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Lincoln,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Lawrence,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
NY,Livingston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Kenosha,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Wilkin,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Franklin,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Huron,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Forsyth,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Smith,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Jackson,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
FL,Hillsborough,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,38,0,Completed,07/26/2018 11:48,Local PPO
PR,Utuado,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Montgomery,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
NY,Saratoga,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
AL,Bibb,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Hunterdon,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,31,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Ashtabula,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OK,Osage,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
OH,Clermont,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MI,Luce,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Clinton,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Lapeer,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Cobb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Anne Arundel,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Berrien,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Hancock,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
PA,Mifflin,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
TX,Hall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Yoakum,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Chautauqua,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Cowley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Dauphin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
KS,Butler,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
CA,Sacramento,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,185,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Volusia,Guidewell Mutual Holding Corporation,FHCP Medicare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,6,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Mifflin,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
VA,Halifax,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
AR,Van Buren,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
MS,Yazoo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Darke,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
WI,Kewaunee,SSM Healthcare Corporation,Prevea360 Medicare Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,7,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
VA,Hopewell City,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jefferson,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Tuscarawas,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Worcester,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,123,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Poquoson City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Virginia Beach City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,1,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Lafayette,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
VA,Rappahannock,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
MT,Prairie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Searcy,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Snyder,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Franklin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Harrison,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Queens,Personal Touch Holding Corp.,Integra Harmony Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,1,0,Completed,09/11/2018 14:34,HMO/HMOPOS
PA,Columbia,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Defiance,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Lawrence,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Jackson,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
UT,Utah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,4,0,Completed,07/13/2018 13:55,Local PPO
MI,Kent,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,1,Completed,07/26/2018 15:53,Local PPO
OH,Ross,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NM,Quay,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
NM,Socorro,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
CA,San Benito,AHMC Central Health LLC,Central Health Prestige HMO (HMO),N,N,N,N,N,,,,,,,H5649,16,0,Completed,07/27/2018 13:58,HMO/HMOPOS
IN,Decatur,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Clark,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cheatham,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Putnam,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Richmond,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Franklin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,18,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CO,Broomfield,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
FL,Dade,"Devoted Health, Inc.",Devoted Health Miami-Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,1,0,Completed,07/25/2018 11:54,HMO/HMOPOS
AR,Pulaski,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Hyde,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,DuPage,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Comal,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Bedford,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Centre,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Butler,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
WV,Raleigh,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Perry,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Conway,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
MA,Middlesex,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
ID,Boise,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
KY,Whitley,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
IL,Schuyler,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Perry,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MS,Leake,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Jefferson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Lampasas,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Pima,Anthem Inc.,Amerivantage CareMore Heart Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,San Augustine,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
DC,District of Columbia,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,15,0,Completed,07/17/2018 11:44,Local PPO
AL,Tuscaloosa,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
CO,El Paso,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,207,0,Completed,07/17/2018 11:44,Local PPO
GA,Toombs,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
GA,Newton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayama,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,6,Completed,07/19/2018 14:35,Local PPO
SC,Calhoun,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Racine,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2879,1,0,Completed,07/26/2018 20:15,HMO/HMOPOS
FL,Polk,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,91,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Fort Bend,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
KY,Pendleton,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Benton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,Cowlitz,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OR,Deschutes,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
CA,San Francisco,Chinese Hospital Association,CCHP Senior Program (HMO),Y,N,Y,N,N,,,,,,,H0571,1,0,Completed,07/19/2018 17:24,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Vermilion,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
WV,Harrison,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OK,Le Flore,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
KS,Bourbon,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
MO,Callaway,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
WV,Raleigh,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
NC,Alleghany,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Radford City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Smyth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Greenville,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Allen,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Russell,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Carver,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
MA,Essex,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Marshall,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,11,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Crawford,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Perry,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
NE,Fillmore,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TN,Giles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hickman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,12,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Nez Perce,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,1,0,Completed,07/13/2018 13:55,Local PPO
ID,Bonner,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,2,0,Completed,07/13/2018 13:55,Local PPO
NY,Chautauqua,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
VA,Clarke,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Middlesex,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Norton City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
CO,Crowley,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MO,Howard,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Scott,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
MI,Ottawa,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Spink,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KY,Shelby,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
GA,Gwinnett,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MN,Lyon,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Hamilton,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Rockwall,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Vanderburgh,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
OH,Henry,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
TN,McNairy,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
FL,Hillsborough,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Meeker,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
LA,Terrebonne,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Clayton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Greene,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
RI,Kent,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Coffee,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lawrence,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Brown,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Portage,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Owen,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Jefferson,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Buchanan,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
DE,Kent,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,104,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Butler Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,47,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MN,Goodhue,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
OH,Clermont,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,3,0,Completed,07/03/2018 11:24,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
CO,Jefferson,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
OK,Mayes,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Kendall,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Boise,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
NM,Sierra,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
AR,Cross,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Tompkins,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
IA,Story,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Carver,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Pennington,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
GA,Paulding,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,71,0,Completed,07/24/2018 13:42,Local PPO
IA,Wapello,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SD,Kingsbury,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
GA,Newton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
KS,Leavenworth,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
KY,Magoffin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
SC,Laurens,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Marion,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
OK,Tulsa,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
IN,Jackson,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
WV,Lewis,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,San German,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
WA,Chelan,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
GA,Butts,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Bronx,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,06/26/2018 8:33,HMO/HMOPOS
VA,Hampton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NY,Bronx,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
LA,Orleans,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NE,Saunders,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Greene,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Stanly,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,6,0,Completed,06/25/2018 20:32,Local PPO
MN,Red Lake,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
NE,Saunders,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DuPage,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
FL,Brevard,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Washington,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Barton,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,St. Louis,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
VA,Pittsylvania,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
IN,Jay,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Francois,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Doddridge,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
WV,Nicholas,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
VA,Manassas Park City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
WV,Raleigh,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
MO,Bollinger,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Shelby,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Harris,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Potter,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Marathon,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
SC,Calhoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Fulton,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Door,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Wayne,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
FL,Dade,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,69,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Williamsburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Greensville,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,Evangeline,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CO,Arapahoe,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,1,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. John the Baptist,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,East Feliciana,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Porter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Miami,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Gasconade,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Monmouth,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,9,0,Completed,07/02/2018 16:20,HMO/HMOPOS
ME,Aroostook,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
KY,Carlisle,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
PA,Beaver,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,New London,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
VA,Albemarle,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NE,Madison,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
WV,Hampshire,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
WV,Tucker,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
GA,Cobb,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
FL,Dade,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,18,0,Completed,07/26/2018 11:48,Local PPO
NC,Caswell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Forsyth,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Sampson,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
AL,Walker,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,50,0,Completed,07/16/2018 13:15,HMO/HMOPOS
CA,Mendocino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,140,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Charlotte,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Potter,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Warren,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Kewaunee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cheatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,77,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0088,1,0,Completed,07/20/2018 11:11,Local PPO
AL,Jefferson,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IL,St. Clair,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AZ,Maricopa,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,06/19/2018 17:16,HMO/HMOPOS
FL,Citrus,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,38,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,San Juan,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Morgan,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Vigo,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Atascosa,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Clay,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Davidson,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MO,Pulaski,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Snyder,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
TN,Coffee,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
MO,Stone,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Wilkes,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KS,Labette,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
IA,Jackson,"Medical Associates Clinic, P.C.",Clinton Community Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,12,0,Completed,06/15/2018 10:34,1876 Cost
PR,Catano,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Lake,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
AL,Pickens,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
ME,Piscataquis,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
MN,Lake of the Woods,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Winona,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
TX,Fannin,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Union,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Pike,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Caldwell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Bee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Adams,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,St. Francis,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Fayette,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Columbiana,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
WI,Kenosha,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pennington,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Loudoun,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,Lee,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Meigs,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Portage,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Gwinnett,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6528,6,0,Completed,07/26/2018 11:48,Local PPO
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
SC,Abbeville,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,Dinwiddie,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Custer,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Atlantic,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MT,Yellowstone,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Licking,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Charles,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Benton,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,2,Completed,07/24/2018 19:18,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
SD,McCook,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Durham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NY,New York,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,2,0,Completed,06/07/2018 11:28,HMO/HMOPOS
PA,Mifflin,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Armstrong,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
SC,Aiken,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Saline,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,1,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hamilton,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hampton City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Rock,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
CA,Riverside,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
VA,Lynchburg City,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
VA,Amherst,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
WV,Ritchie,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Somerset,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
GA,Effingham,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Jackson,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
SC,Dillon,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
IL,Jersey,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
MN,Sibley,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hamlin,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Tripp,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brown,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
MD,Howard,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
LA,Acadia,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Jones,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Moore,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Pierce,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IN,Randolph,The Carle Foundation,Reid Health Alliance Medicare POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,22,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Scott,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
FL,Manatee,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,McNairy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,82,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Broome,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
MO,Callaway,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,9,0,Completed,07/23/2018 10:18,HMO/HMOPOS
AR,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Broward,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Greenbrier,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
MO,Lewis,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Macon,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
CT,Hartford,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Stevens,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MI,Genesee,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,7,0,Completed,06/26/2018 15:07,HMO/HMOPOS
PA,Perry,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
IN,Fulton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
OK,Wagoner,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NM,Torrance,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
LA,St. Martin,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Medina,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
CA,Riverside,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,39,1,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Winston,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Lincoln,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
IL,Winnebago,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NE,Holt,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Monroe,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
GA,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
MN,Koochiching,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
SD,Meade,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Fairfield,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Vilas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Tarrant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
CO,Douglas,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Forest,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
AZ,Cochise,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,13,0,Completed,07/26/2018 13:57,HMO/HMOPOS
GA,Jackson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Ozaukee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MI,Kalkaska,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
VA,Stafford,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
KS,Brown,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Phillips,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Tooele,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Hertford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Jefferson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
GA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life HMO Rx Choice (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,49,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Westmoreland,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Woodford,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Shelby,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Cobb,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Ashe,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Moore,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
MO,Webster,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Chester,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
FL,Osceola,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,269,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Collier,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,217,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Swift,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Pickaway,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
WI,Calumet,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
CA,Madera,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,181,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lackawanna,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Dauphin,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,52,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Berks,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Baldwin,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Oneida,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NJ,Hudson,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Suffolk,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
MS,Harrison,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,3,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Harrison,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
OK,Bryan,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
MO,Sullivan,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Pike,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Clay,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
TX,Travis,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rowan,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
MS,Chickasaw,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
WI,Washington,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OK,Oklahoma,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
VA,Northumberland,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MO,Clay,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
WV,Boone,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
AL,Elmore,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Coffee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Jefferson,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Hardeman,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Austin,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Haskell,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Oklahoma,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Spalding,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NY,Broome,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
AR,Logan,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Nueces,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Howell,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NC,Caldwell,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Lexington City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Washington,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,14,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Grant,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Luzerne,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Montgomery,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Burke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Stephenson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,82,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Orange,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
PA,Lancaster,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,Love,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Perry,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Day,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cavalier,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Oglala Lakota,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Rockdale,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AL,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Humphreys,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Lynn,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Carroll,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Dallas,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Bertie,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Arecibo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Dawes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Dallas,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,203,0,Completed,07/17/2018 11:44,Local PPO
NC,Forsyth,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PA,Mifflin,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,13,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Scott,Medica Holding Company,Medica AccessAbility Solution Enhanced (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H9952,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
IN,Carroll,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Broome,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Naguabo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OK,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Putnam,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
DC,District of Columbia,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Page,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,Kent,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,2,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Greenbrier,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Doddridge,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MS,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Muscogee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Columbia,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
TX,Van Zandt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
PR,Lares,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CT,New London,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
TX,Hood,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
PA,Warren,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
KY,Perry,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
NM,Valencia,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
KS,McPherson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
TX,Dallas,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Harrison,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Randall,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Potter,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
WI,Menominee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
WI,Price,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Fond du Lac,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
AL,Colbert,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Grundy,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,McMinn,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Briscoe,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hays,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
PR,Aguada,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,La Salle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,Ascension,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
ID,Madison,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,9,0,Completed,07/06/2018 16:48,Local PPO
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
AR,Crittenden,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Nelson,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Elbert,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Hamilton,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,200,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Goodhue,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Jefferson,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,1,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lebanon,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
AL,DeKalb,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Garland,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Mathews,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Natchitoches,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Livingston,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
OH,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Jones,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Northampton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Tucker,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,8,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Elmore,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OR,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OH,Crawford,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
NY,Hamilton,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Redwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
FL,Broward,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
FL,Seminole,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,213,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
MO,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Hamilton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Brevard,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
TN,Blount,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Kennebec,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
PR,Guanica,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Cherokee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
NY,Westchester,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Lamar,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
TX,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Amherst,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
AR,Crawford,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OK,Stephens,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
NC,Randolph,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
WI,Kewaunee,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,58,0,Completed,07/24/2018 13:42,Local PPO
KY,Morgan,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
PA,Monroe,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
TX,Franklin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Chambers,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IN,Monroe,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
TX,Morris,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
SC,Lexington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Pinellas,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Kershaw,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
OR,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,16,0,Completed,07/26/2018 11:48,Local PPO
IN,Tipton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,Bowman,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
ND,Billings,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
TX,Van Zandt,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
OH,Hocking,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Morrow,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Franklin,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Summit,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NE,Nuckolls,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Lake of the Woods,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Mower,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
LA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Bryan,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Utuado,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Holmes,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
TX,Fort Bend,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Mayes,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
FL,Putnam,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
SD,Brookings,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
OH,Fulton,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
OK,Craig,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
NE,Sarpy,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
KY,Clay,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Oldham,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
TN,Rhea,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
AR,Fulton,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
AZ,Apache,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
CT,Windham,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Caddo,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Casey,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Miami-Dade,InnovaCare Inc.,MMM - PLATINUM (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,4,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Fillmore,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
LA,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Rankin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Camas,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Muhlenberg,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
MN,Cass,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TN,McNairy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NH,Hillsborough,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,119,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Brunswick,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Greene,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,2,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Denver,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,Yates,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NE,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
IA,Cedar,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Suffolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Buncombe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,71,0,Completed,07/26/2018 11:48,Local PPO
SD,Miner,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Baker,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Oglethorpe,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,Warrick,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TX,Jasper,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Pierce,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Clinton,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
OH,Guernsey,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Woodford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Summers,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
MN,Pipestone,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Falls Church City,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Gallia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Kewaunee,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Story,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Essex,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
NY,Broome,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
VT,Windham,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
OH,Lake,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pasco,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clark,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Lawrence,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
HI,Maui,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,8,0,Completed,07/16/2018 15:11,Local PPO
MN,Watonwan,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
CA,Santa Cruz,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Santa Cruz (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,54,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Oconee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Putnam,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,2,0,Completed,07/20/2018 11:11,Local PPO
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
MN,Cass,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WA,Skagit,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Lawrence,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Steuben,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SD,Ziebach,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Wilkinson,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,4,0,Completed,07/24/2018 10:50,HMO/HMOPOS
NY,Saratoga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Acadia,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Tangipahoa,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Putnam,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Boone,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bucks,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IN,Howard,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
TX,Webb,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,5,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NC,Union,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Fulton,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lycoming,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
NV,Churchill,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,5,0,Completed,07/24/2018 17:55,Local PPO
IL,Macon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
SC,Lee,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
SC,Saluda,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
PA,Lawrence,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
OH,Stark,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Delaware,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Douglas,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MO,Maries,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Muskogee,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PA,Clinton,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Columbia,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Cumberland,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Potter,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
WV,Tucker,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
SC,Berkeley,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
IN,St. Joseph,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Citrus,"ULTIMATE HEALTH PLAN, INC.",Ultimate Elite (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,3,0,Completed,07/06/2018 11:25,HMO/HMOPOS
WV,Taylor,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Columbia,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
VA,Louisa,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Lincoln,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
NE,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marinette,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
CA,San Mateo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Westmoreland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Allegheny,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Broome,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MO,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
SD,Stanley,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,East Feliciana,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Brown,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
OH,Cuyahoga,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
MA,Plymouth,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,159,0,Completed,07/17/2018 11:44,Local PPO
WA,Mason,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
WA,Pierce,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
GA,Schley,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PA,Huntingdon,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
WI,Kenosha,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
LA,Vermilion,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,234,0,Completed,07/17/2018 11:44,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
MS,DeSoto,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
OK,Adair,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
IN,Owen,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Burke,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
GA,Marion,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
NC,Rowan,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
IA,Lee,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Lyon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,El Paso,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MI,Keweenaw,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IA,Palo Alto,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Haralson,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
SC,Lexington,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Harlan,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OH,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Montgomery,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
CA,San Diego,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,91,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Louis,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Madison,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,6,Completed,07/16/2018 9:33,HMO/HMOPOS
OH,Champaign,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
SD,Codington,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
MI,Kalkaska,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
VA,Powhatan,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
ND,Sioux,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Wood,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Walton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,New York,Personal Touch Holding Corp.,Integra Synergy Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,2,0,Completed,09/11/2018 14:34,HMO/HMOPOS
OK,Canadian,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,Craig,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MT,Madison,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
MT,Pondera,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
OH,Wyandot,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
LA,Red River,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Claiborne,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Dickson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Lampasas,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
AL,Cullman,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NC,Edgecombe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,Granville,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
IN,Jackson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Louisa,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
AR,Carroll,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Hickory,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MI,Muskegon,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
PA,Susquehanna,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
AR,Greene,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
KY,Jackson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Frio,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
AR,Baxter,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Watonwan,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SD,Jerauld,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
PR,Morovis,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
GA,Newton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Cass,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Logan,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
KS,Sedgwick,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
KS,Smith,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Graham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Lee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Cameron,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Hart,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MI,Isabella,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Warren,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NC,Currituck,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Sandusky,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
IL,Madison,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,San Jacinto,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/13/2018 10:20,HMO/HMOPOS
VA,Frederick,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
CO,Las Animas,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MO,Newton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Wright,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
ME,York,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
IA,Washington,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Poweshiek,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Branch,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
WV,Morgan,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Blackford,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KY,Owsley,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
OH,Henry,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
KS,Miami,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
GA,Stephens,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MS,Leake,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
TX,Kleberg,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
OH,Belmont,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,1,Completed,07/24/2018 13:42,Local PPO
OH,Knox,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
MO,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,Washington,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
CT,Litchfield,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Chatham,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
MI,Livingston,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
IN,Morgan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Rockdale,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
WV,Cabell,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Manitowoc,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
OH,Carroll,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Mahoning,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
VA,Pulaski,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Robertson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
FL,Levy,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
WV,Ritchie,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
GA,DeKalb,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Nobles,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
SC,Pickens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Putnam,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
WI,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
IL,Macoupin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
MN,Rice,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Butte,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Wells,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Putnam,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Perry,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Pierce,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,St. Lucie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lares,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Toa Alta,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Mifflin,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Mille Lacs,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
WI,Burnett,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MI,Arenac,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Montmorency,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Manistee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Lorain,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Medina,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H8133,9,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Fayette,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
NM,Santa Fe,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,2,0,Completed,06/20/2018 12:01,Local PPO
MN,Wilkin,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Loudoun,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Ashley,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
IL,Adams,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
VA,King and Queen,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
PR,Lares,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SC,Bamberg,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
WI,Menominee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Jackson,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Waller,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Volusia,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,16,0,Completed,07/18/2018 14:47,HMO/HMOPOS
MN,Aitkin,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MN,Mower,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
MO,Montgomery,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
AR,Carroll,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Smyth,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
IL,Sangamon,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
VA,King George,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,46,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Chattahoochee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Fulton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Sanpete,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,2,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
NY,Bronx,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
MT,Powder River,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Concho,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Nassau,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,1,0,Completed,07/25/2018 11:36,HMO/HMOPOS
MO,St. Francois,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Dubois,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Lorenzo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
ME,Penobscot,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
WV,Marshall,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Berks,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
TX,Franklin,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NY,Queens,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
WI,Clark,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Florence,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
AL,Montgomery,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
OK,Love,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Buchanan,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Sawyer,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Clay,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
AL,Limestone,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Tensas,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Delaware,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WV,Wood,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Montcalm,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
MI,Shiawassee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
OH,Scioto,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,13,Completed,07/27/2018 9:47,Local PPO
PA,Mifflin,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,13,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Yancey,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,10,0,Completed,07/24/2018 9:02,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Haywood,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
TN,Perry,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
NV,Storey,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,7,0,Completed,07/24/2018 17:55,Local PPO
VA,Alexandria City,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Chatham,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Mayaguez,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
VA,Page,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OR,Josephine,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,7,0,Completed,06/12/2018 10:27,Local PPO
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,193,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Florida,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
OK,Canadian,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NJ,Sussex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue (PPO),Y,Y,Y,Y,Y,100,100,175,175,75,75,H7971,1,0,Completed,07/24/2018 12:52,Local PPO
IN,Boone,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pasco,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,2,0,Completed,07/06/2018 11:25,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,Duplin,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Meigs,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WA,San Juan,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Montgomery,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
IA,Floyd,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Harris,Humana Inc.,Humana Gold Plus SNP-DE H0028-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Stewart,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Sauk,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
AR,Faulkner,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,King William,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,2,Completed,07/17/2018 15:41,HMO/HMOPOS
MN,Wabasha,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Pennington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Rapides,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus H1036-157 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,157,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Noble,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,15,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AZ,Santa Cruz,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Switzerland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
FL,Bay,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
IL,Cook,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,07/25/2018 17:17,Medicare-Medicaid Plan HMO/HMOPOS
IL,Will,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Bronx,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Lee,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Wyoming,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
PR,Guanica,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Jackson,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,13,0,Completed,07/24/2018 19:18,Local PPO
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IA,Decatur,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
SD,Lincoln,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
AR,Faulkner,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Northampton,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Wake,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Beaver,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
VA,Washington,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Faulkner,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Baldwin,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
CA,Placer,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,84,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,Pepin,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Vernon,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Bland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Smyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
WI,Richland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
IA,Winnebago,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Morton,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
OH,Defiance,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Isle of Wight,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
PA,Lehigh,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Guayanilla,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
OH,Tuscarawas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
FL,Palm Beach,"UnitedHealth Group, Inc.",Preferred Medicare Assist Palm Beach (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Clinton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Monroe,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Maverick,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,13,Completed,07/27/2018 9:47,HMO/HMOPOS
AL,Jefferson,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Potter,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Auglaize,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Lucas,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,19,1,Completed,07/13/2018 13:32,HMO/HMOPOS
VA,Portsmouth City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
GA,Butts,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IA,Washington,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
VA,Richmond City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MI,Hillsdale,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
GA,Clinch,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
PA,Northampton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Gurabo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MT,Granite,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
NC,Pasquotank,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
WI,Brown,SSM Healthcare Corporation,Prevea360 Medicare Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,8,0,Completed,06/25/2018 12:02,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MA,Hampden,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MS,Harrison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Mayes,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Barbour,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Franklin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hickman,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bedford,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Atascosa,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Gloucester,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Sabana Grande,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,St. Lucie,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Morris,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Meriwether,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MO,Putnam,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Bibb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
SC,Beaufort,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,McLeod,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
GA,Peach,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AL,Elmore,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Huron,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Cedar,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
OH,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
OH,Greene,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lawrence,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Bradley,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Butts,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Montcalm,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WI,Richland,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OH,Montgomery,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
WV,Mingo,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
GA,Chattooga,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
CA,Ventura,AHMC Central Health LLC,Central Health Ventura Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,9,0,Completed,07/27/2018 13:58,HMO/HMOPOS
WY,Uinta,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Delta,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Penuelas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Page,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Weld,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Larimer,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Marion,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NC,Granville,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Ottawa,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,6,Completed,07/19/2018 14:35,Local PPO
TN,Union,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Landry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,101,1,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
AL,Lowndes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Flagler,Guidewell Mutual Holding Corporation,FHCP Medicare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,6,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Montour,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Wyoming,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
FL,Volusia,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,73,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Johnston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Hood River,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,38,0,Completed,07/03/2018 11:07,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,61,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Bryan,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Wichita,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
IN,Harrison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
SD,Edmunds,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Billings,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Sully,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NM,Bernalillo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,10,0,Completed,07/26/2018 11:48,Local PPO
TX,Rusk,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
PR,Culebra,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
AL,Russell,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
IL,Boone,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
SD,Bon Homme,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Calhoun,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
VA,Wythe,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
WI,Marquette,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
TN,Houston,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
MO,Mississippi,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MO,Lafayette,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
AR,Pope,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
OR,Washington,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
MO,Howard,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
CO,Pueblo,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
OK,Rogers,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Oconto,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,18,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,12,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,Franklin,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
IN,Fulton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,33,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,Clarendon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
PA,Sullivan,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
WV,Wayne,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
VA,Westmoreland,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
MT,Petroleum,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Lake,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WY,Sheridan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
CA,Santa Cruz,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,178,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Wirt,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Sequoyah,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
ID,Owyhee,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
MO,Taney,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
PA,Montgomery,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,San Jacinto,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
TN,Dickson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
WA,Whatcom,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
SD,Lincoln,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
GA,Stewart,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
NM,Otero,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,137,0,Completed,07/24/2018 13:42,Local PPO
SC,Anderson,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,Cedar,"Medical Associates Clinic, P.C.",Genesis Health Network Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,13,0,Completed,06/15/2018 10:34,1876 Cost
PR,Rincon,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Sherman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,Orleans,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
SC,Berkeley,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,247,0,Completed,07/17/2018 11:44,Local PPO
PA,Lehigh,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,San German,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Amelia,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Hardin,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
GA,Oglethorpe,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Taylor,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Union,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Effingham,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
NC,Lee,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
WV,Wood,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MO,Oregon,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Custer,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Clermont,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
KY,Montgomery,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,"Tufts Associated HMO, Inc.",CareAdvantage Preferred (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,1,0,Completed,07/03/2018 8:46,HMO/HMOPOS
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,1,Completed,07/20/2018 13:43,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
NM,Dona Ana,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
NE,Saline,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Davidson,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,1,0,Completed,07/20/2018 15:07,Local PPO
SC,Calhoun,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,67,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Mathews,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
PA,Lehigh,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Adjuntas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Crook,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Lee,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
LA,St. Martin,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Livingston,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Porter,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Perry,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Wilson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Fentress,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Archer,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hunt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sarasota,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
VA,Augusta,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KS,Chase,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,Ouachita,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
CT,Litchfield,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Burlington,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Greene,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Washington,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
TX,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Oklahoma,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Dakota,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Linn,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Okaloosa,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
MO,Osage,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Miner,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
IA,Harrison,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Evans,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Montgomery,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NC,Yancey,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,"Tufts Associated HMO, Inc.",CareAdvantage Prime (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,2,0,Completed,07/03/2018 8:46,HMO/HMOPOS
GA,Bryan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,23,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Macomb,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0192,1,0,Completed,07/24/2018 11:05,Medicare-Medicaid Plan HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
WV,Cabell,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Greenbrier,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Mingo,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Brooke,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Renville,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Cape Girardeau,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
WI,Shawano,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MD,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WI,Bayfield,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
SD,Potter,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
TX,Medina,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Wilson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Hillsdale,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
GA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,1,Completed,07/20/2018 13:43,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Calcasieu,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Vernon,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Summit,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Cuyahoga,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,Roanoke City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Mathews,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Denton,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Lafayette,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Clarke,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Henry,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Grand,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
MI,Lenawee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WI,Waukesha,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
CO,Morgan,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Tazewell,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
KS,Leavenworth,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IL,Pope,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
NM,Lincoln,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
TX,Hidalgo,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8197,1,0,Completed,07/26/2018 20:55,Medicare-Medicaid Plan HMO/HMOPOS
MI,Ionia,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
SC,Spartanburg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
WI,Columbia,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
OH,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Cuyahoga,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
OH,Monroe,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Beaver,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Johnson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
AL,Macon,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
MS,Madison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Pointe Coupee,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Buchanan,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,48,0,Completed,07/16/2018 13:15,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
WI,Waupaca,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
PA,Washington,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
TX,Bell,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
AZ,Pima,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Darke,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
IN,Fulton,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
GA,Camden,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Union,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
MN,Dodge,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
OH,Mercer,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NY,Schoharie,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Sullivan,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
ME,Lincoln,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,143,0,Completed,07/17/2018 11:44,Local PPO
FL,Citrus,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
LA,Assumption,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Twiggs,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NY,Jefferson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
NC,Macon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
SD,Day,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
LA,Caddo,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Warren,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Waupaca,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Stearns,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
AR,Pope,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,3,Completed,07/16/2018 15:07,HMO/HMOPOS
VA,Albemarle,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Prince William,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,5,0,Completed,07/13/2018 13:32,HMO/HMOPOS
SC,Colleton,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
MI,Huron,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Jackson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Clark,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Martin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Bradford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
MD,Calvert,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Marshall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Arecibo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
TX,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Kendall,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Knox,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
IA,Sioux,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Richland,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Helena,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,West Carroll,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Wayne,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Indiana,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
PA,Lancaster,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
SC,Berkeley,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Jasper,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
LA,Assumption,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Carroll,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Braxton,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Washington,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Dallas,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
AR,Lonoke,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Tammany,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
WI,Oconto,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
CO,Teller,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Kosciusko,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Taylor,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
IN,Tipton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
NM,Bernalillo,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,1,0,Completed,07/17/2018 11:44,Local PPO
CA,San Diego,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,601,0,301,H3237,2,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
KY,Trimble,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Indiana,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Northumberland,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Columbia,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
NC,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Augusta,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Columbia,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
MO,Lincoln,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,Canadian,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Cumberland,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Cross,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WV,Ritchie,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
ND,Benson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
LA,Natchitoches,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
IN,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
WI,Green,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
HI,Hawaii,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,N,N,Y,N,,,482,482,241,241,H3832,11,0,Completed,07/16/2018 15:11,Local PPO
MN,Olmsted,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
MN,Itasca,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MI,Dickinson,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Eaton,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
OH,Crawford,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IL,Bureau,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
VA,Richmond City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Missaukee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Transylvania,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
PA,Lebanon,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,18,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Spencer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MT,Sweet Grass,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Alexander,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Vega Baja,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Franklin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Fentress,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Robertson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Pickett,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
KY,Bell,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Clinton,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Miami,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Coffee,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
AL,Escambia,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,20,0,Completed,07/24/2018 13:42,Local PPO
MI,Macomb,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Claiborne,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Union,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,El Paso,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,4,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Jasper,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IN,La Porte,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
VA,Wythe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Powhatan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Orleans,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
AR,Franklin,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Select (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,16,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Clay,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Rooks,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
GA,Chattooga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
GA,McDuffie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
ND,Williams,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jones,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Bowman,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Taliaferro,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Butts,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
VT,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cheatham,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Steuben,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IA,Guthrie,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
NE,Cheyenne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Liberty,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NC,Alamance,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
GA,Crawford,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Taylor,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NJ,Salem,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,13,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Medina,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MS,Clay,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
GA,Rabun,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
SD,Roberts,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
VA,Pulaski,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Hardy,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,22,0,Completed,07/24/2018 13:42,Local PPO
WV,Upshur,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
MO,DeKalb,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Muscatine,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
GA,Webster,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
OH,Clermont,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
WI,Juneau,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Hancock,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Philadelphia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Berkeley,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Rogers,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Calloway,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
TX,Bandera,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
MN,Beltrami,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MO,Montgomery,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Clay,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
VA,Bland,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
WV,Wood,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
OK,Canadian,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OK,Oklahoma,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MO,Callaway,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
GA,Carroll,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
IN,Kosciusko,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Christian,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,Barnwell,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
AR,Marion,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AL,Clay,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
IL,Kane,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
TX,Chambers,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Grimes,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
WV,Mingo,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
NH,Strafford,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
PR,Bayamon,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Scotland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,Sabine,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
DE,Sussex,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,95,0,Completed,07/17/2018 11:44,Local PPO
GA,Burke,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NC,Rutherford,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
PA,Susquehanna,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Yauco,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,DeKalb,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
CA,Riverside,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H9104,6,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
PR,Luquillo,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Columbia,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
NY,Broome,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
MT,Gallatin,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
NJ,Cape May,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,94,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
TX,Tarrant,Imperial Health Plan of California,Imperial Insurance Company of Texas Traditional (HMO),Y,Y,Y,Y,N,,,482,482,20,20,H2793,3,0,Completed,06/08/2018 19:20,HMO/HMOPOS
VT,Windsor,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Walker,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
TN,Maury,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
MI,Calhoun,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
MI,Gladwin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
NY,Sullivan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
OH,Hamilton,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Greene,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Rabun,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
TX,Montgomery,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/13/2018 10:20,HMO/HMOPOS
NY,Saratoga,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
CO,Grand,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
VA,Fredericksburg City,Humana Inc.,HumanaChoice H5216-151 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,151,0,Completed,07/24/2018 13:42,Local PPO
VA,Dickenson,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
IA,Henry,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,Parke,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
SC,Hampton,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
AR,Polk,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Bracken,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
KY,Morgan,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Clark,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
IL,Mercer,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
AR,Sebastian,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Stearns,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
MN,Wabasha,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Dutchess,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
GA,Houston,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AR,Greene,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,38,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Outagamie,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
FL,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Madison,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Washington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
SC,Charleston,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,247,0,Completed,07/17/2018 11:44,Local PPO
CO,Douglas,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
MI,Ottawa,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IA,Johnson,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Codington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Lac qui Parle,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
GA,Meriwether,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
AR,Montgomery,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
KY,Grant,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
MN,Cottonwood,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Dallas,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
MN,Ramsey,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
MT,Custer,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Delaware,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Lares,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Dallas,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,1,0,Completed,07/25/2018 7:53,Local PPO
MO,Barton,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
FL,Manatee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Hanover,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NV,Washoe,Renown Health,Senior Care Plus: Value Rx Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,12,0,Completed,07/24/2018 17:58,HMO/HMOPOS
PA,Mercer,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
CA,Contra Costa,Humana Inc.,Humana Gold Plus H5619-029 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Pickens,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Norfolk City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Sussex,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
OK,Seminole,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NY,Essex,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
NY,Schenectady,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Renville,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
AR,Conway,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Plymouth,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Pearl River,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,St. Johns,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Jefferson,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
FL,Collier,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Fillmore,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MO,Cedar,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
OH,Ashland,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
TX,Hill,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Morgan,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IL,Wabash,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,Cass,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
NM,Roosevelt,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
CA,Los Angeles,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,6,0,Completed,07/27/2018 13:58,HMO/HMOPOS
TX,Maverick,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,St. Joseph,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Gregg,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Chautauqua,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Blackford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Manati,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Warren,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Hawkins,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
MN,Anoka,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lincoln,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Douglas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
KY,Garrard,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Highland,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
VA,Charles City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
PA,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Claiborne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,5,Completed,06/22/2018 9:28,HMO/HMOPOS
MN,Otter Tail,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
KS,Jefferson,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Franklin,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Dallas,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,1,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Canyon,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,10,0,Completed,07/13/2018 13:55,Local PPO
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Shenandoah,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Nobles,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
AZ,Yuma,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,El Dorado,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,140,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Harris,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Gray,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,St. Clair,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
NC,Davie,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Laclede,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Hancock,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Union,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Fort Bend,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Middlesex,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Butler,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Charles,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,McKean,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
AR,Benton,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Hot Spring,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,42,0,Completed,07/26/2018 11:48,Local PPO
NY,Schoharie,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Chemung,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Wheeler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,Vernon,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
IN,Brown,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
TX,Chambers,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
OH,Geauga,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
FL,Lee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
IN,Shelby,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
NC,Henderson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
PA,Montour,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
LA,Lafayette,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
TN,Williamson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
GA,Morgan,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Lawrence,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,Humana Inc.,HumanaChoice H5216-153 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,153,0,Completed,07/24/2018 13:42,Local PPO
TX,Colorado,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
SC,Georgetown,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Sullivan,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,5,0,Completed,06/18/2018 13:49,HMO/HMOPOS
CO,Costilla,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,6,0,Completed,07/30/2018 13:44,1876 Cost
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
NM,San Juan,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
WI,Shawano,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,St. Louis,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Brookings,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
SC,Fairfield,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MN,Dodge,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
TX,Fannin,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Orleans,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,New York,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NY,Genesee,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
IA,Chickasaw,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Tallapoosa,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
KS,Sedgwick,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
NH,Hillsborough,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Empowered MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9712,1,0,Completed,07/24/2018 15:11,Medicare-Medicaid Plan HMO/HMOPOS
SD,Union,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cavalier,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Newton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Marshall,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Poinsett,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,39,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Lynn,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Evangeline,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Washington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Queens,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,63,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Marion,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Medina,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,43,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
TN,Carter,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Grundy,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Zavala,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Allegany,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
PA,Susquehanna,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
OH,Wyandot,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
WV,Ritchie,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
GA,Heard,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Madison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Graves,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,97,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Broome,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Hamilton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
IA,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Kings,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,56,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Door,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PR,Maunabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Maunabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Sumter,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OK,Beckham,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
WI,Wood,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Colbert,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Pike,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Champaign,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hardeman,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Montgomery,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Chambers,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Throckmorton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Fulton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MA,Bristol,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,2,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Onondaga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Delaware,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,McPherson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
FL,Highlands,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
MI,Calhoun,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
GA,Chatham,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
TX,Williamson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
GA,Dougherty,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
SC,Laurens,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Johnson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
CO,Chaffee,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MO,Howell,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
WV,Lewis,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
WV,Lincoln,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Hardy,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
AL,Marengo,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
IL,McHenry,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
TX,Colorado,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
FL,Miami-Dade,Humana Inc.,CareFree PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,76,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
PA,Wayne,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
PA,Wyoming,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
WI,Adams,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
IA,Appanoose,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Frederick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Select (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,16,0,Completed,07/23/2018 10:18,HMO/HMOPOS
NJ,Salem,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Linn,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,2,0,Completed,06/29/2018 15:38,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Miami-Dade,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Harrison,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
MO,DeKalb,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,11,0,Completed,07/27/2018 16:18,HMO/HMOPOS
WI,Kewaunee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Switzerland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
PA,Dauphin,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hickman,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,2,Completed,07/25/2018 7:53,HMO/HMOPOS
KY,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Williamson,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NC,Guilford,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Ware,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MA,Middlesex,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
MI,Wayne,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,2,Completed,07/24/2018 13:42,Local PPO
MS,Leflore,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
FL,Bradford,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
MD,Frederick,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,129,0,Completed,07/24/2018 13:42,Local PPO
GA,Forsyth,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
WI,Door,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
WI,Racine,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
GA,Muscogee,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Brazoria,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TN,Campbell,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
MN,Chisago,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
ID,Elmore,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Ascension,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SC,Bamberg,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Bibb,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Conway,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,East Baton Rouge,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
NY,Washington,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Kings,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MO,Dade,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,Johnson,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Calhoun,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Butler,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NJ,Union,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Delaware,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
CA,Santa Clara,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
GA,Peach,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Limestone,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H4922,10,0,Completed,07/27/2018 16:18,HMO/HMOPOS
MA,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Liberty,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Wilson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Upshur,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
PA,Juniata,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,13,Completed,07/27/2018 9:47,Local PPO
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
PR,Sabana Grande,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Brown,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
TN,Dickson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Grant,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NE,Douglas,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
IA,Story,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Lawrence,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Williams,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
SC,Laurens,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Fauquier,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NE,Furnas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Lumpkin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,Buncombe,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Marion,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
PA,Montour,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Buncombe,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,7,0,Completed,07/24/2018 9:02,HMO/HMOPOS
AZ,Yuma,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Centre,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Tippecanoe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Paulding,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Liberty,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Muscogee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Wayne,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
NE,Dawson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WY,Weston,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Travis,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,199,0,Completed,07/17/2018 11:44,Local PPO
PA,Cumberland,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
ME,Somerset,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
NY,Sullivan,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
VA,Falls Church City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Heard,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
MA,Norfolk,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
NJ,Mercer,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
VA,Prince William,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,York,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IN,Kosciusko,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
SC,Georgetown,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Benton,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
GA,Meriwether,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
AR,Prairie,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
TX,Martin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
MN,Chippewa,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Karnes,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Owsley,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OH,Guernsey,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
MN,Kittson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Franklin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MN,Traverse,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Stark,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
LA,Jackson,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
AL,Cullman,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cumberland,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
MI,Charlevoix,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
FL,Levy,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
WV,Summers,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IN,Switzerland,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
NM,Torrance,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
OH,Fayette,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Renville,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H8133,9,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Callahan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Slope,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MD,Allegany,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Leake,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Caguas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Arroyo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Mifflin,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
PA,Lebanon,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Carbon,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Cuyahoga,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Hancock,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
FL,Palm Beach,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,84,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Richmond City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Williamson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,10,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
NC,Macon,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Ozaukee,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
FL,Martin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Grant,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Geauga,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Warren,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Mecosta,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Osceola,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
WA,Pierce,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,1,0,Completed,07/17/2018 16:12,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
PA,Lackawanna,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
VA,Botetourt,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
VA,Buchanan,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
OH,Columbiana,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McLean,The Carle Foundation,Simplete 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,24,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Pope,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
NC,Forsyth,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Edwards,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Freestone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Dimmit,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Chester,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Dewey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Adjuntas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Adjuntas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Westmoreland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Crawford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Perry,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
SC,Laurens,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Adair,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
ME,Oxford,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,143,0,Completed,07/17/2018 11:44,Local PPO
OH,Medina,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
IN,La Porte,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,226,0,Completed,07/17/2018 11:44,Local PPO
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Geauga,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Geauga,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
GA,Randolph,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Menifee,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Habersham,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WV,Tyler,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
VA,Manassas City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
IN,Noble,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OR,Hood River,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IA,Jasper,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
AZ,Mohave,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Lafayette,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
IL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
ND,LaMoure,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pierce,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Schley,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
VA,Rockingham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jackson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Parke,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maunabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MD,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Bexar,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,8,0,Completed,06/20/2018 12:01,Local PPO
WV,Morgan,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
SC,Cherokee,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
OK,Craig,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Wagoner,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OH,Henry,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Wheeler,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
GA,Forsyth,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Dyer,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hays,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Marion,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Cooke,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Wyandotte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
CT,New Haven,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,9,0,Completed,07/26/2018 11:48,Local PPO
PR,Las Marias,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Turner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PA,Cambria,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
GA,Terrell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Clayton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
IN,Cass,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
NY,Putnam,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
WV,Lincoln,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
GA,Coweta,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
IN,Delaware,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KY,Edmonson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
KY,Logan,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
IN,Johnson,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
IA,Jones,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
LA,LaSalle,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
OK,Nowata,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Twiggs,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Cobb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
SD,Clark,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Harding,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Houston,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Willacy,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Spencer,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Shawano,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Broward,InnovaCare Inc.,MMM - PLATINUM (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,4,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IL,Fulton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
NY,Chemung,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Breckinridge,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Mahoning,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Goochland,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jefferson,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Kent,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Jackson,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
PA,Potter,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
AR,Lee,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,Luce,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IN,Spencer,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MO,Jefferson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Grayson,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
MI,Leelanau,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
GA,Morgan,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Chester,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,18,Completed,07/27/2018 9:47,HMO/HMOPOS
NE,Seward,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
IA,Monroe,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Platte,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Davidson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Northampton,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Surry,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Richland,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Essential Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,28,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Macomb,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,23,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Polk,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Sampson,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3822,6,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Marion,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,8,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Cleveland,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Oklahoma,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MO,St. Louis City,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Ascension,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
CA,Alameda,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,5,0,Completed,07/18/2018 17:46,HMO/HMOPOS
FL,Hernando,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,160,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Lee,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Pike,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,3,Completed,07/12/2018 15:19,HMO/HMOPOS
MO,Barry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Kern,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,173,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Chester,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Hernando,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,29,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Menominee,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
NC,Person,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,97,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Chittenden,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
CA,Los Angeles,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,49,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NE,Sarpy,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
AR,St. Francis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
OH,Noble,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Broome,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Monroe,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NH,Carroll,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
TN,Anderson,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
IA,Butler,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
PA,Berks,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,31,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WI,Menominee,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Houston,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Fulton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Rockdale,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
VA,Rockbridge,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Westchester,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
VA,Scott,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Posey,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Pierce,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,2,0,Completed,07/13/2018 13:55,HMO/HMOPOS
MN,Pope,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Fillmore,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
TX,Ellis,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Henry,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Broward,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,237,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Bay,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,245,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Burke,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Rensselaer,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Polk,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NC,Vance,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Washington,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Christian,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
FL,Marion,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Pinellas,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Todd,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Newton,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Etowah,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MD,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Faulk,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Burleigh,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Campbell,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MN,Anoka,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
CO,Archuleta,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
WV,Cabell,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
MI,Baraga,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Bay,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
NM,Dona Ana,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,137,0,Completed,07/24/2018 13:42,Local PPO
WV,Wayne,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
HI,Maui,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,40,0,Completed,07/24/2018 13:42,Local PPO
AR,Poinsett,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
IN,Cass,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
OK,Stephens,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Bee,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
MN,Faribault,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Appomattox,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NY,Queens,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/04/2018 14:42,HMO/HMOPOS
NE,Dakota,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Chesapeake City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
CA,Los Angeles,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,14,0,Completed,07/03/2018 15:53,HMO/HMOPOS
IN,Pike,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lorain,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NH,Strafford,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,12,0,Completed,07/17/2018 11:44,Local PPO
NY,Onondaga,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Snyder,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Albany,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Albany,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NJ,Passaic,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Nassau,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Seminole,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MO,Gentry,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Russell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Bibb,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Lamar,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Dodge,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
PA,Venango,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Willacy,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Orange,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MN,Clearwater,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Cumberland,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,13,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Kearny,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Roosevelt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Henderson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Trujillo Alto,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Smyth,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Decatur,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
TN,Madison,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
PA,Clinton,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
ID,Payette,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
PA,Mifflin,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
VA,Lexington City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Larimer,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,20,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OK,Canadian,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
OH,Henry,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
CT,Fairfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Pierce,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
ME,Penobscot,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,2,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Boone,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Bremer,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Butler,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Adair,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
GA,Bryan,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
GA,Richmond,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
PA,Centre,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,12,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NC,Chowan,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
AR,St. Francis,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MS,Holmes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Suffolk,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,6,Completed,06/22/2018 9:28,HMO/HMOPOS
NY,Queens,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,2,0,Completed,07/20/2018 15:07,Local PPO
OK,Jefferson,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Hardin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
MN,Wilkin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Upshur,Humana Inc.,Humana Gold Plus H0028-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Somerset,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
NY,Fulton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
FL,Volusia,Humana Inc.,Humana Gold Plus SNP-DE H1036-241 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,241,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Henrico,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Franklin,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
TN,Lake,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Panola,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Bartholomew,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Montgomery,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Terry,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Williamson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Douglas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
TN,Sumner,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NH,Belknap,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
OH,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
OH,Medina,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NY,Tompkins,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Cayuga,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Chenango,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
TN,Davidson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
OH,Butler,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,87,0,Completed,07/17/2018 11:44,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Montgomery,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
TX,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Clay,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Lamar,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
PA,Columbia,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MN,Rock,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Sibley,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WV,Marshall,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Butler,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Dawson,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Oglethorpe,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
DE,Kent,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,28,0,Completed,07/24/2018 13:42,Local PPO
KY,Jessamine,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Crittenden,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,Jefferson,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
MD,Anne Arundel,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
PA,Fayette,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
TN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Avery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,74,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,91,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Orleans,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Bullock,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Citrus,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AL,Elmore,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Marengo,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Denton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
ND,Wells,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
LA,Evangeline,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Heard,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Union,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Ashland,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Bracken,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Maricopa,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Niagara,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Sandusky,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
GA,Liberty,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
AR,Perry,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Davidson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
GA,Houston,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NC,Rowan,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
PR,Isabela,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Bradley,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
WA,Yakima,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
CO,Park,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Crook,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
TX,Collin,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
MN,Faribault,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
TN,Pickett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,White,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Acadia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Henry,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
CO,Summit,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IA,Mills,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
NY,Chemung,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NC,Wilkes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wood,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Salinas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Fulton,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
TX,Dallas,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,2,0,Completed,07/25/2018 7:53,Local PPO
OK,Craig,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,Pettis,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Chatham,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Defiance,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Bradford,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,Juniata,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
AR,Greene,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Pickens,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Coffee,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
WA,Thurston,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Gordon,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
NY,Tioga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
NM,Colfax,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,17,0,Completed,07/13/2018 13:32,HMO/HMOPOS
IL,Will,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/24/2018 13:42,Medicare-Medicaid Plan HMO/HMOPOS
TN,Hamilton,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Bay,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
PR,Guayanilla,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
DE,Kent,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Banks,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Chesapeake City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
IN,Morgan,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
NC,Martin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Pondera,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Lauderdale,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Tunica,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MA,Norfolk,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Eaton,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NC,Robeson,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,3,0,Completed,07/26/2018 10:44,Local PPO
NC,Bertie,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Sampson,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
WV,Logan,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
TN,Hancock,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Obion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Luzerne,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
PR,Luquillo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Maunabo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
VA,Albemarle,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MA,Suffolk,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Hanover,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Calhoun,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,8,2,Completed,07/24/2018 14:36,HMO/HMOPOS
KY,Grant,Humana Inc.,Humana Gold Plus H0292-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Harney,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
TX,Rockwall,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Sarasota,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Tangipahoa,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,3,0,Completed,07/20/2018 16:01,Local PPO
TN,Hickman,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Moca,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Kitsap,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
TX,Denton,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,1,0,Completed,07/25/2018 7:53,Local PPO
WV,Putnam,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
NC,Halifax,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NY,Queens,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,2,0,Completed,06/07/2018 11:28,HMO/HMOPOS
OH,Fulton,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
WV,Taylor,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
VA,Campbell,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
SC,Greenville,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VA,Campbell,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
WV,Doddridge,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Socorro,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Tuscaloosa,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Rogers,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Red Lake,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
IA,Story,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Sequatchie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Helena,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Fairfax,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Butler,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AZ,Pima,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,1,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Lagrange,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wayne,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
OH,Sandusky,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,2,0,Completed,06/15/2018 10:34,1876 Cost
TX,El Paso,Imperial Health Plan of California,Imperial Insurance Company of Texas Value HMO SNP (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NC,Columbus,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Penuelas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OK,Latimer,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NJ,Camden,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,123,0,Completed,07/17/2018 11:44,Local PPO
TN,Smith,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
GA,Dawson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Union,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
AZ,Santa Cruz,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,34,0,Completed,07/24/2018 13:42,Local PPO
ID,Canyon,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
IN,Hamilton,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
AR,Grant,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AL,Lamar,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
GA,Haralson,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Worth,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MO,Pettis,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MS,Claiborne,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
AZ,Santa Cruz,Humana Inc.,Humana Value Plus H5216-197 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,197,0,Completed,07/24/2018 13:42,Local PPO
MN,Fillmore,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WI,Trempealeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
SC,Orangeburg,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
IN,Noble,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
GA,Taliaferro,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Sequatchie,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Acadia,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Marion,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Pulaski,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Stark,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NC,Gaston,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,125,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Willacy,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
IA,Louisa,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Liberty,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Chatham,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
MI,Gogebic,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
SD,Turner,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. James,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
ME,Waldo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
NH,Belknap,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Chemung,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
PR,Naguabo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Black Hawk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Morrow,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lucas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Snyder,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
PR,Moca,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TN,Campbell,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Manati,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Richmond,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Brooke,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Muscatine,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
WV,Wood,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
MO,Taney,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
GA,Fayette,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Hyde,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,Lafayette,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Monroe,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,Miami,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,16,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Bell,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
GA,Effingham,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NY,Genesee,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
TX,Harris,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Winona,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Clinton,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,13,Completed,07/27/2018 9:47,HMO/HMOPOS
AR,Benton,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,White,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cumberland,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Franklin,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Bolivar,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Schoharie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OH,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
NC,Wilson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Villalba,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Marshall,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,226,0,Completed,07/17/2018 11:44,Local PPO
GA,Crisp,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
VA,Arlington,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Stewart,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MN,Roseau,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
KY,Allen,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MN,Swift,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
OR,Deschutes,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
OH,Vinton,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
PA,Carbon,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
KS,Reno,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
TX,Harris,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
AR,Madison,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
WI,Milwaukee,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CT,Tolland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,New York,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Sullivan,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,2,Completed,07/20/2018 13:43,HMO/HMOPOS
VA,Arlington,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Pennington,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,1,0,Completed,07/24/2018 13:32,HMO/HMOPOS
WI,Crawford,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
VA,Fairfax City,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,Lee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Kings,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
TN,Van Buren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Bernard,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Clearwater,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WI,Oconto,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
KY,Clinton,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
KY,Morgan,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
PA,Butler,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,17,0,Completed,07/24/2018 13:42,Local PPO
OH,Fayette,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
TX,Dallas,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
NV,Nye,Humana Inc.,Humana Gold Plus H6622-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Transylvania,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Mahoning,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
OH,Columbiana,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
KY,Campbell,Humana Inc.,Humana Gold Plus H0292-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,1,Completed,07/17/2018 15:41,HMO/HMOPOS
PR,Ciales,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NJ,Hudson,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,1,0,Completed,07/26/2018 14:48,Local PPO
NC,Alamance,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WV,Kanawha,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
AZ,Pinal,Centene Corporation,Allwell CHF/Diabetes Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,38,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Terrebonne,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NJ,Ocean,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5322,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Dauphin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
SC,Florence,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,4,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Marengo,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
GA,Talbot,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NY,St. Lawrence,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Mahnomen,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Lake of the Woods,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TX,Medina,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Yavapai,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Bernard,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,99,0,Completed,07/20/2018 11:11,Local PPO
FL,Manatee,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,160,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Broward,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,121,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,Humana Gold Plus H1036-054C (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,213,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Forsyth,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Benton,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
NE,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Escambia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Hart,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Callahan,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Adair,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MI,Bay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
IN,Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
SD,Harding,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Pennington,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
RI,Newport,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Warren,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Ceiba,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lucas,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
PR,Ponce,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
FL,Miami-Dade,InnovaCare Inc.,MMM - EXTRA (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,3,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TN,Greene,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hamilton,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sequatchie,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Graham,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,1,0,Completed,07/26/2018 13:57,HMO/HMOPOS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,Contra Costa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Contra Costa (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,33,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Mason,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
WI,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Macoupin,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
MO,Cooper,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Elkhart,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Johnson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Marion,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Knox,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Humphreys,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MO,Buchanan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Jasper,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,10,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Centre,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
IN,Morgan,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,King,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Snohomish,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Spokane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1286,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
DC,District of Columbia,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Gwinnett,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
VA,Lynchburg City,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Montgomery,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Cherokee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MS,Pearl River,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Bledsoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Petersburg City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Jay,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
KY,Oldham,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,28,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NE,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
VA,Powhatan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,58,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Cambria,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
KY,Clinton,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Butler,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Tuscaloosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Winnebago,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MD,Frederick,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
IL,St. Clair,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sevier,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Whitley,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Marshall,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Juniata,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
MI,Sanilac,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Dane,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
SC,Edgefield,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
GA,Liberty,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hays,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
OH,Warren,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguada,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Yellowstone,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
MA,Plymouth,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,14,0,Completed,07/23/2018 15:54,HMO/HMOPOS
IL,De Witt,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IA,Lyon,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
FL,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,11,0,Completed,07/26/2018 11:48,Local PPO
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Jasper,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Charles City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Iberville,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Jefferson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
PA,Lancaster,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Lawrence,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
CA,Madera,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Wythe,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Baltimore City,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
LA,Winn,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Hillsborough,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Hancock,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Holmes,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,9,Completed,06/22/2018 9:28,HMO/HMOPOS
LA,Orleans,Aetna Inc.,Aetna Medicare Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3239,1,0,Completed,07/18/2018 8:11,HMO/HMOPOS
KY,Knox,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MS,Hinds,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Cortland,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TN,Lauderdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,3,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Sagadahoc,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,2,Completed,07/20/2018 11:11,Local PPO
FL,Sarasota,Humana Inc.,Humana Gold Plus H1036-215 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,215,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Audrain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vanderburgh,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
FL,Martin,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Juniata,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Franklin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Martin,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Herkimer,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Madison,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NC,Gaston,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Anderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Harvey,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Hudson,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Roane,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Logan,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
WI,Brown,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MD,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
SD,Butte,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
LA,Concordia,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Bibb,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Preston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,White,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Jackson,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,McMinn,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Meigs,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Tipton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Lafayette,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
IL,DuPage,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,39,0,Completed,07/26/2018 11:48,Local PPO
NC,Hoke,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Toa Baja,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Lucas,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
LA,St. James,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Butts,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
NY,Otsego,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
FL,Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrCare (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,3,0,Completed,07/25/2018 17:00,HMO/HMOPOS
AR,St. Francis,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Luquillo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Umatilla,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
MN,Becker,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Washington,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Fairfax City,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ME,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
ME,Sagadahoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
GA,Burke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Villalba,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Ouachita,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,St. Francis,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Norfolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Manassas City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Bucks,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
TX,Tarrant,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8786,1,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
OR,Clatsop,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Barranquitas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Corozal,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Christian,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
WV,Wirt,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
KS,Atchison,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
IA,Marshall,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
GA,Paulding,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Barry,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Plaquemines,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Greene,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
ID,Bonner,Humana Inc.,Humana Gold Plus H5619-078 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,78,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Walton,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
ID,Canyon,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,31,0,Completed,07/26/2018 11:48,Local PPO
IN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
IN,Lagrange,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
MN,Pine,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
GA,Pulaski,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
UT,Utah,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
TN,DeKalb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vernon,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Polk,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
NY,Onondaga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Iberia,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
LA,Morehouse,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Harris,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
AL,Talladega,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
NY,Orange,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PR,Lajas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Lorain,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Allen,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
FL,Martin,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,62,0,Completed,07/24/2018 13:42,Local PPO
KY,Martin,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MS,Montgomery,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Wayne,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SC,Beaufort,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
SD,Grant,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,Putnam,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
AR,Greene,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,Kittson,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
AR,Nevada,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
OH,Huron,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
FL,Broward,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
SD,Corson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Clay,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Worcester,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,1,Completed,07/23/2018 15:54,HMO/HMOPOS
NY,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Logan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
VA,Dickenson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Oconee,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Madison,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Spokane,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5010,4,0,Completed,07/13/2018 13:55,Local PPO
LA,Iberia,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,Orleans,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
TX,San Augustine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Craighead,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
SC,Horry,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
TX,Tarrant,Aetna Inc.,Aetna Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8597,2,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Casey,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Cass,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
KS,Miami,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Atascosa,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Newton,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Mohave,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
HI,Maui,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Bernardino,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Focus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,170,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
FL,Pinellas,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,29,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
TN,White,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Mayaguez,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Warren,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
MO,Cole,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Susquehanna,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
PA,Bedford,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
AR,Grant,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Thurston,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
SC,Greenville,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
OK,Muskogee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
SC,York,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
GA,Hancock,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Steele,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
MD,Frederick,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
OH,Delaware,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,1,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Polk,ATRIO Health Plans,ATRIO Silver Rx (Willamette) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7006,3,0,Completed,07/28/2018 12:06,Local PPO
KY,Pendleton,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Sumter,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Seneca,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
VA,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Dickenson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Swain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Peoria,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Wyoming,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
PA,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Woodbury,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Bibb,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Holt,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Cleburne,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Perry,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Shelby,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Jasper,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IL,Edgar,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
ME,Kennebec,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Fayette,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Tioga,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,27,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NH,Hillsborough,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buchanan,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Shelby,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Lonoke,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Angelina,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Licking,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Classic Care I Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,25,0,Completed,07/12/2018 18:43,HMO/HMOPOS
VA,Appomattox,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
WV,Mineral,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,8,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Denton,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Kleberg,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sequatchie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Oklahoma,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
MN,Wilkin,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Monroe,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,15,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
MO,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Juniata,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
TX,Rockwall,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,1,0,Completed,06/11/2018 23:54,Local PPO
WI,Forest,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Norfolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rowan,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Stanislaus,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Dallas,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Cape May,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Jefferson,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Hale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
UT,Davis,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9455,1,0,Completed,07/30/2018 15:49,HMO/HMOPOS
TX,Jefferson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Refugio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
WI,Racine,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,St. Louis,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Anderson,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Leon,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
MI,Benzie,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Kent,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,13,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Otsego,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Conway,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Swisher,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
VA,Emporia City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Antrim,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
OH,Union,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Simplete 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,24,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,18,Completed,07/27/2018 9:47,Local PPO
PA,Clearfield,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Iredell,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Polk,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Bourbon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Grant,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Norton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Coconino,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Fulton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Bastrop,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Yalobusha,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
GA,Crawford,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Jennings,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Kosciusko,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Arecibo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Anderson,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MN,Sibley,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Paulding,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Wayne,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
OH,Carroll,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
NY,Delaware,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
PR,Jayuya,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Boone,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
OH,Trumbull,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
OH,Champaign,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
CA,San Mateo,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,6,0,Completed,07/18/2018 17:46,HMO/HMOPOS
VA,Bedford,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Woodford,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Orange,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Ouachita,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SD,Bon Homme,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Terrell,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Carter,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sullivan,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Monroe,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Wayne,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Putnam,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WA,Thurston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Burke,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PA,Tioga,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Fajardo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
KY,Fayette,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
KY,Warren,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Butts,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
OK,Kingfisher,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Harrison,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Hocking,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Wetzel,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
MS,Claiborne,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
GA,Glynn,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KS,Harvey,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Uvalde,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Tolland,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,La Crosse,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
GA,Spalding,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
ND,Logan,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
FL,Sarasota,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,8,0,Completed,07/25/2018 8:35,HMO/HMOPOS
TN,Warren,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Stewart,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Lauderdale,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Forest,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Cumberland,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hancock,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Warren,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
FL,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
PR,Vega Alta,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Kaufman,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
NY,Nassau,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,40,0,Completed,07/17/2018 11:44,Local PPO
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Stark,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
GA,Franklin,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
IN,White,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Walton,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
VA,Bedford,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
TX,Wharton,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Denton,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Shackelford,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Grant,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
SC,Greenville,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
IA,Winnebago,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,42,0,Completed,07/18/2018 10:13,1876 Cost
SD,Todd,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lawrence,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Cherokee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Chester,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,Whatcom,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,4,0,Completed,07/24/2018 10:50,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Hart,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Greenup,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lake,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Outagamie,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
GA,Habersham,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Ottawa,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,13,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Chaffee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Roanoke,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
OH,Fairfield,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
MO,Dallas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,DeKalb,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NE,Keith,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Montague,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
NJ,Monmouth,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
VA,Chesterfield,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
NY,Schuyler,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
IL,DeKalb,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Dawson,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
AR,Poinsett,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Pine,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Owsley,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
IN,Marshall,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,McCracken,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
KY,Warren,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,20,0,Completed,07/24/2018 13:42,Local PPO
MN,Brown,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Clinton,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
PA,Chester,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,37,0,Completed,07/26/2018 11:48,Local PPO
SD,Fall River,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
GA,Dodge,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Dunn,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Unicoi,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
FL,Brevard,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
AR,Washington,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Clay,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
PA,Berks,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
AZ,Pinal,CIGNA,Cigna-HealthSpring Achieve Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Langlade,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Fayette,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NC,Chatham,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
FL,Indian River,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
CO,Otero,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Cheboygan,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
GA,Greene,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Highland,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vermillion,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Hennepin,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H8133,9,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,San Mateo,Chinese Hospital Association,CCHP Senior Program (HMO),Y,N,Y,N,N,,,,,,,H0571,1,0,Completed,07/19/2018 17:24,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Greene,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
ME,Knox,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Page,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Ashe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Lincoln,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Isle of Wight,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AZ,Santa Cruz,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,30,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Jefferson,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Mayes,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
FL,Manatee,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,119,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Mahnomen,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
AL,Cullman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Grant,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,New York,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Onondaga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Kings,Humana Inc.,HumanaChoice H5970-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,23,0,Completed,07/24/2018 13:42,Local PPO
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NC,Stokes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Manassas City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Houston,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Francisco,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,69,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
NY,Erie,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
GA,Henry,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Rockdale,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
MN,Red Lake,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
IN,Tippecanoe,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
MA,Suffolk,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
TX,San Augustine,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
WY,Weston,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,McLean,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Rio Grande,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Henry,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Carolina,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OH,Stark,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Columbia,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,McCracken,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MD,Frederick,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,97,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Excela Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,49,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Kandiyohi,Medica Holding Company,Medica Advantage Solution H8889-002 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,2,0,Completed,07/18/2018 10:13,Local PPO
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MI,Saginaw,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Emmet,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,McDowell,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IN,Boone,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Lee,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
NM,Sierra,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
MN,Olmsted,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
IL,Kankakee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Bowie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Howard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
VA,Richmond City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MI,St. Clair,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,DeSoto,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
WV,Mingo,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
WV,Pocahontas,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
PA,Dauphin,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
IA,Sac,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,Hemphill,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Madison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Henderson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Yazoo,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Rincon,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Tioga,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
CO,Clear Creek,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Montgomery,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Quebradillas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Humacao,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Westchester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,23,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Hampton City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
WV,Barbour,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
AZ,Pinal,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,103,0,Completed,07/24/2018 13:42,PFFS
IL,Douglas,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Johnson,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
OH,Miami,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hendry,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,7,0,Completed,07/20/2018 11:11,Local PPO
IL,Coles,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,17,Completed,07/27/2018 9:47,Local PPO
KS,Stafford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Schleicher,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Orocovis,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Hatillo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Bollinger,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Pike,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Dutchess,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Morrison,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Erie,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,Jones,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
KY,Trigg,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
KY,Wayne,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
PA,Sullivan,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
WI,Waukesha,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2879,1,0,Completed,07/26/2018 20:15,HMO/HMOPOS
GA,Chatham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NC,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Carbon,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Oklahoma,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,212,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Jackson,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
TN,Trousdale,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Washington,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
MO,Moniteau,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
MO,Montgomery,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Jasper,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
OK,McIntosh,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
IN,Johnson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Emporia City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MT,Granite,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Chowan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MD,Queen Anne s,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,White,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Fentress,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
WI,Marinette,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
IL,DuPage,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
IN,Lake,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
NC,Brunswick,Humana Inc.,HumanaChoice H5525-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,33,0,Completed,07/24/2018 13:42,Local PPO
OH,Shelby,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Wayne,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MO,Platte,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Calhoun,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Essex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NC,Henderson,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Jackson,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,16,1,Completed,07/24/2018 19:18,Local PPO
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
LA,Caldwell,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Luquillo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Kings,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,8,7,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lawrence,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
MI,Kent,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,4,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WV,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Monroe,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Wirt,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Garland,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
NE,Platte,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Burke,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Faribault,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
TX,Jefferson,Humana Inc.,Humana Gold Plus H0028-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Rutherford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Maricopa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Warren,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NC,Stanly,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,45,0,Completed,07/16/2018 13:15,HMO/HMOPOS
FL,Volusia,Guidewell Mutual Holding Corporation,FHCP Medicare Rx Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,2,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,Warren,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
KY,Larue,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cheatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Francisco,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,19,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Clayton,Aetna Inc.,Aetna Medicare Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Porter,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
KY,Mason,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
UT,Weber,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Juana Diaz,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
VA,Roanoke City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Suffolk City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Coamo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Sabana Grande,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OH,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
PR,Cidra,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PR,Naguabo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Thurston,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NY,Kings,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IL,Mason,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IL,Logan,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
VA,Giles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Tulare,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,2,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Cook,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Lee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MS,Jones,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Knox,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Rankin,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,151,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Gaston,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
KS,Wyandotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Monroe,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
PA,Potter,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
FL,Pasco,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Chautauqua,Humana Inc.,HumanaChoice SNP-DE H5970-020 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,20,0,Completed,07/24/2018 13:42,Local PPO
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
IA,Bremer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hood,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Manati,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Randolph,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
WV,Pocahontas,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
WV,Marion,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Randolph,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Cumberland,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Nottoway,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,51,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Miami-Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Marion,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Monroe,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Bedford,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Pottawatomie,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Harlan,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Douglas,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
IA,O Brien,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Love,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
IN,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marquette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
OH,Adams,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IN,Hendricks,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,28,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,Herkimer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
VA,Virginia Beach City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Johnston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marinette,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,Maricopa,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IA,Harrison,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
NJ,Essex,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Henry,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,4,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Greene,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Maui,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,68,0,Completed,07/26/2018 11:48,Local PPO
SD,Perkins,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ransom,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NM,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,11,0,Completed,07/26/2018 11:48,Local PPO
TN,Van Buren,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Westchester,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
LA,Union,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
IN,Warrick,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Meigs,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Lyon,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Delaware,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
IA,Des Moines,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Van Buren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Iberville,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
MO,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Anderson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
ME,Lincoln,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
MN,Washington,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
TN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Rockland,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
CA,San Francisco,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,89,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PA,Lancaster,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Mahaska,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
NY,Richmond,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,3,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Calhoun,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
OH,Summit,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
IN,Switzerland,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Bailey,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Benton,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
TX,Travis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Cleburne,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
AR,Pope,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
TN,Wayne,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
GA,Franklin,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Jackson,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
WV,Calhoun,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
MI,Midland,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
TN,Lauderdale,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
SD,McCook,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
VA,Poquoson City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
MO,Moniteau,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
IA,Dallas,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
OH,Lake,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
TX,Webb,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TN,Blount,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
TX,Bandera,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NY,Montgomery,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NE,Saunders,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
AR,St. Francis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lincoln,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,2,0,Completed,06/29/2018 15:38,HMO/HMOPOS
GA,Putnam,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Bullock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Allen,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
NY,Dutchess,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Washington,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Douglas,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
OR,Yamhill,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
TX,Wise,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Penuelas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NH,Belknap,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Keya Paha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NC,Warren,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
MI,St. Clair,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
KY,Logan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
WA,Thurston,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
NC,Person,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PA,Allegheny,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Williamsburg City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
AR,Franklin,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Sumter,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
PA,Lebanon,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MO,Cole,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
KY,Hickman,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
OH,Wood,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,57,0,Completed,07/24/2018 13:42,Local PPO
NC,Alamance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Sullivan,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,36,0,Completed,07/13/2018 14:00,Local PPO
LA,St. Charles,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
OK,Grant,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Larue,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
KY,Montgomery,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Lewis,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Hubbard,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
TN,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,White,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Cabarrus,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cayuga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
NE,Butler,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
KY,Cumberland,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
WI,Waupaca,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
TN,Sequatchie,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Washington,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Grand Traverse,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Gratiot,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,13,0,Completed,06/26/2018 15:07,HMO/HMOPOS
TX,Cherokee,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Paulding,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Quitman,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Mason,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Clackamas,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
FL,Alachua,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
FL,Charlotte,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,4,0,Completed,06/15/2018 10:34,1876 Cost
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Villalba,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,St. Joseph,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,223,0,Completed,07/17/2018 11:44,Local PPO
IL,McHenry,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Pickens,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
ID,Ada,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
FL,Manatee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4094,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Washington,Humana Inc.,Humana Gold Plus H6622-053 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,53,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Chester,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fulton,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Santa Isabel,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
AZ,Navajo,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
PR,Morovis,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IA,Plymouth,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,8,0,Completed,07/17/2018 11:44,Local PPO
OK,Nowata,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PA,Dauphin,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
PA,Fulton,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
AR,Washington,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
TN,Bledsoe,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Carroll,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Sullivan,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NC,Wake,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Cayey,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Arthur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Orange,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
LA,Union,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
NJ,Cumberland,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
OH,Portage,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Baldwin,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OK,Cleveland,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
TN,Cheatham,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MS,Monroe,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
IA,Dallas,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
CO,San Miguel,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NC,Cherokee,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,St. Clair,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Dorado,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Nassau,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
IL,Moultrie,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
ME,Oxford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Webster,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
GA,Newton,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
OK,Washington,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
LA,Rapides,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Franklin,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,1,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Clark,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Prince Edward,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
KY,Scott,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Wadena,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TN,Moore,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,100,1,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Manassas Park City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Winchester City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Cottonwood,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Clinton,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,3,Completed,07/12/2018 15:19,HMO/HMOPOS
TX,Fannin,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IN,Gibson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Larimer,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Gibson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
WI,Winnebago,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Montgomery,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
AR,Independence,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,67,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
VA,Highland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Lincoln,Humana Inc.,Humana Gold Plus H6622-057 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
MO,St. Louis City,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Orleans,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
WV,Pendleton,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
IL,St. Clair,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
SD,Minnehaha,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,4,0,Completed,07/17/2018 11:44,Local PPO
VA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Richmond City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Adams,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
IN,De Kalb,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
PA,Cameron,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Crawford,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Adams,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Island,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Montgomery,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NY,Oswego,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TX,Delta,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Martin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Murray,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus H1036-199 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,199,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Roanoke,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
TN,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,East Feliciana,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Camden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Douglas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Clark,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Green Lake,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
IN,Madison,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Yolo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Duval,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
AZ,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,49,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,4,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Hernando,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Camden,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Platinum Rewards Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,96,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MI,Berrien,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Osceola,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
AR,Benton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Miami,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
WV,Wetzel,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
VA,Salem City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MT,Phillips,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Iron,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Vermillion,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
OH,Meigs,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Fulton,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,6,Completed,07/19/2018 14:35,Local PPO
TN,Weakley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Blackford,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Tarrant,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Clinton,"Medical Associates Clinic, P.C.",Genesis Health Network Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,13,0,Completed,06/15/2018 10:34,1876 Cost
PR,Las Marias,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Natchitoches,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
LA,Bossier,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
OH,Trumbull,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
LA,Franklin,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,230,0,Completed,07/17/2018 11:44,Local PPO
LA,St. Bernard,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
TX,Ellis,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
PA,Perry,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
DE,Sussex,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Williamsburg City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,2,Completed,07/30/2018 13:14,HMO/HMOPOS
GA,Haralson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,23,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Conecuh,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Nowata,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Fillmore,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Wood,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Big Stone,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Harrison,Humana Inc.,Humana Gold Plus H0028-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Maricopa,Humana Inc.,Humana Gold Plus H0028-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
NY,Cattaraugus,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
RI,Bristol,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,9,0,Completed,07/17/2018 11:44,Local PPO
FL,Hillsborough,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TN,Maury,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Muskingum,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Clark,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Kenosha,"Network Health, Inc.",Network Health Medicare Explore (HMO),Y,N,Y,Y,N,,,150,482,150,241,H5644,2,0,Completed,06/27/2018 15:22,HMO/HMOPOS
WV,Berkeley,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
WV,Logan,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
WI,Marquette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Warrick,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
ND,Dunn,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Burnett,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. Landry,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TN,Scott,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Grainger,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Kosciusko,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Chambers,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,DeKalb,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Comal,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
PA,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
IA,Jackson,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,2,0,Completed,06/15/2018 10:34,1876 Cost
PR,Mayaguez,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Miami,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
WI,Washington,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
GA,Evans,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
AL,Limestone,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
WI,Columbia,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
OH,Geauga,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
FL,Gadsden,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Orleans,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Champaign,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WA,Kitsap,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,126,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NV,Washoe,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,115,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Sequatchie,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Meade,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
WI,Barron,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WI,Juneau,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OH,Greene,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IL,Hardin,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,St. Clair,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,Clinton,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
OH,Adams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lancaster,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,17,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Marion,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
TX,Hartley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Beaverhead,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Judith Basin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Brazos,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Jayuya,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Hendricks,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Caguas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Clearfield,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Canyon,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
NC,Brunswick,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
NC,Scotland,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
SC,McCormick,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Yell,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,King George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Suffolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,El Paso,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Morris,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Nelson,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ceiba,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
MO,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Price,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Green Lake,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
PA,Erie,UPMC Health System,UPMC for Life HMO Rx Choice (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,49,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TN,Robertson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Walworth,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PA,Cambria,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Clay,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,McNairy,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Macon,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Queens,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Ray,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
IL,St. Clair,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,1,0,Completed,06/15/2018 10:34,1876 Cost
PR,Comerio,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San German,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Jack,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,St. Charles,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Forsyth,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Chattahoochee,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,13,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Columbiana,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MS,Tate,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
MN,Nobles,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
SD,Roberts,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Pocahontas,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
AL,Chilton,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
MS,Pearl River,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,66,0,Completed,07/24/2018 13:42,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,57,0,Completed,07/24/2018 13:42,Local PPO
KY,Bath,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
GA,Lincoln,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,138,0,Completed,07/24/2018 13:42,Local PPO
TX,Milam,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Martin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Lee,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
WI,Outagamie,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
SC,Cherokee,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
KY,Greenup,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MN,Isanti,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WI,Door,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
WV,Pleasants,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
ND,Cass,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Hutchinson,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
GA,Douglas,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
OK,Dewey,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
VA,Lynchburg City,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
WI,Forest,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
VA,Colonial Heights City,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,6,2,Completed,06/18/2018 13:49,HMO/HMOPOS
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
IL,Jersey,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
SD,Hyde,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Douglas,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
VA,Salem City,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Lee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Collier,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Genesee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,East Feliciana,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Columbia,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Monroe,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Brazoria,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Douglas,ATRIO Health Plans,ATRIO Bronze (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,6,0,Completed,07/28/2018 12:06,Local PPO
MO,Laclede,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Manitowoc,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
OH,Carroll,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
PA,Luzerne,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
PA,Sullivan,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Pasco,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AL,Walker,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Buffalo,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Columbia,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
CA,Monterey,Montage Health,Aspire Health Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H8764,1,0,Completed,07/23/2018 13:14,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MO,Mercer,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Walton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OR,Malheur,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Louis,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,McKean,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MS,Benton,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Emmet,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,Daviess,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Dubois,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IA,Marion,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
IN,Switzerland,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
TX,El Paso,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Jim Wells,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Orange,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
WI,Kenosha,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
CT,Tolland,"Tufts Associated HMO, Inc.",CareAdvantage Preferred (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,1,0,Completed,07/03/2018 8:46,HMO/HMOPOS
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
OH,Butler,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Pickaway,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Cameron,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TN,Rutherford,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,2,0,Completed,07/20/2018 15:07,Local PPO
ID,Twin Falls,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
PR,Vega Baja,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ponce,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Sequoyah,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
VA,Hampton City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Sullivan,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
IN,Clinton,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Leavenworth,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
CA,Orange,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Otero,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Kiowa,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
IL,Peoria,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OR,Yamhill,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
IL,Stark,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Henry,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,10,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Grayson,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Androscoggin,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Posey,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Bedford,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Barbour,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NM,Roosevelt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Fairfield,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
GA,Barrow,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Douglas,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
IA,Mills,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Harford,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
ME,Somerset,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
OH,Preble,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,2,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Waukesha,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,10,0,Completed,06/27/2018 15:22,Local PPO
WI,Door,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
IN,Boone,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,Green,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,Cocke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Barceloneta,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
GA,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Smith,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Trousdale,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Perry,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Real,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Montgomery,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,29,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Dawes,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
IN,Delaware,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
OH,Henry,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
NC,Franklin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
NY,Wayne,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
GA,Douglas,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
MI,Manistee,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Polk,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
WV,Roane,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
OK,McIntosh,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Bandera,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
NM,Taos,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
OH,Auglaize,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wood,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Carroll,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Stevens,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,17,Completed,07/27/2018 9:47,Local PPO
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
NM,Catron,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,York,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,18,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Andrews,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Alexander,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Mohave,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Marion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Randolph,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Red River,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Niagara,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Loiza,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Adams,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Starke,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Hickman,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
MO,St. Clair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Allegheny,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Butler,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
GA,Fayette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wood,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Sabana Grande,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yabucoa,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Pueblo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Bradford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Rockland,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
MO,Audrain,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
SD,Yankton,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
FL,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,10,0,Completed,07/26/2018 11:48,Local PPO
NJ,Morris,"Clover Health Holdings, Inc.",Clover Health Choice Premier (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,32,0,Completed,07/26/2018 14:48,Local PPO
NC,Orange,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NE,Wayne,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
IN,Kosciusko,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
AL,Marshall,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KY,Jessamine,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
WI,Walworth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8029,1,0,Completed,07/02/2018 16:20,Medicare-Medicaid Plan HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fayette,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Crawford,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Grant,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,17,Completed,07/27/2018 9:47,Local PPO
IL,Bond,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
WV,Gilmer,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,Snohomish,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Breathitt,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KY,Kenton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
TX,Wilson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,5,0,Completed,07/26/2018 11:48,Local PPO
WI,Waupaca,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
IL,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
FL,DeSoto,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Natchitoches,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Henderson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Rock,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Union,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
PA,Centre,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,13,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Warrick,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,3,0,Completed,07/24/2018 19:18,Local PPO
IN,De Kalb,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TX,Kendall,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Newport News City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Washington,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,15,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AL,Talladega,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lake,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
OH,Trumbull,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Duval,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
ID,Ada,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
FL,Charlotte,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,35,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,York,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
DE,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
ND,Emmons,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MD,Montgomery,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
LA,Pointe Coupee,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Pike,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PR,Toa Baja,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Greene,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
VA,Falls Church City,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Person,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
SD,Codington,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Carter,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Boulder,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
TX,Lee,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Richland,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MI,Ottawa,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,1,Completed,07/26/2018 15:53,Local PPO
FL,Dixie,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,8,0,Completed,07/20/2018 11:11,Local PPO
IL,Marion,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
PA,Susquehanna,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Cameron,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,5,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NJ,Salem,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NC,Cleveland,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Queens,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
IL,Crawford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Wise,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Union,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Martin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Bibb,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Patillas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Hart,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
VA,Campbell,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,Richmond City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
SD,Moody,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,16,0,Completed,06/26/2018 15:07,HMO/HMOPOS
OH,Coshocton,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
TX,Falls,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
WI,Green,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Hennepin,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
UT,Wasatch,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Tioga,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,11,Completed,07/27/2018 9:47,HMO/HMOPOS
NJ,Hunterdon,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
IL,Wabash,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Robertson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Lehigh,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Alcorn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Pulaski,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,White,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NE,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lancaster,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,York,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lawrence,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,Edmonson,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Bertie,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
GA,Warren,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SC,Marlboro,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Arapahoe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Lee,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NC,Polk,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Franklin,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Morovis,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,Thurston,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
SD,Lincoln,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
WV,Wirt,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
MO,Hickory,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
WA,King,Humana Inc.,Humana Gold Plus H5619-097 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,97,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Floyd,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,2,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Fresno,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
OH,Lake,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Pike,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
IN,Warrick,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Union,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Rockdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Tuscaloosa,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
GA,Johnson,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MS,Hinds,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Crow Wing,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TN,Humphreys,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Okmulgee,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
WI,Green Lake,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
MO,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,20,0,Completed,07/16/2018 13:15,HMO/HMOPOS
FL,Hillsborough,"BayCare Healht System, Inc.",BayCarePlus Complete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,1,0,Completed,07/26/2018 15:03,HMO/HMOPOS
FL,Dade,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Will,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Jackson,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Newton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,Kingfisher,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Woodruff,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Escambia,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Bradley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Yamhill,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
TX,Fort Bend,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Gem,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
LA,Ouachita,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
SD,Moody,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Wayne,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
ME,Lincoln,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
WA,Cowlitz,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
ND,Richland,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
DE,Kent,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,127,0,Completed,07/24/2018 13:42,Local PPO
MO,Pulaski,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,Newberry,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OH,Adams,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Midland,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Huron,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sequatchie,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
PA,Northumberland,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Washington Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,46,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Galax City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Monroe,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,7,0,Completed,06/26/2018 15:07,HMO/HMOPOS
VA,Halifax,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
VA,Salem City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
IL,Jo Daviess,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Toa Alta,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Yabucoa,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Miami-Dade,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,27,0,Completed,07/25/2018 8:35,HMO/HMOPOS
IL,Brown,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
PA,Warren,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Sanilac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Oakland,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Warren,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Marion,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
AR,Johnson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,7,Completed,06/22/2018 9:28,HMO/HMOPOS
TN,Cumberland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Overton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lawrence,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Perry,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hardeman,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Moore,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Marion,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
NY,Rockland,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,11,0,Completed,07/20/2018 11:11,Local PPO
OH,Preble,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Union,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Gem,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
PA,Lehigh,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,15,Completed,07/27/2018 9:47,Local PPO
NC,Wake,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct preferredPLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,6,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IL,Calhoun,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Haywood,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Greene,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Gregg,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
OH,Allen,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,6,Completed,07/19/2018 14:35,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Monroe,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
NY,Cortland,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Gonzales,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
NC,Swain,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,239,0,Completed,07/17/2018 11:44,Local PPO
NJ,Bergen,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Stokes,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
OH,Montgomery,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
SD,Hanson,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
NM,Torrance,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
MN,Rock,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MI,Dickinson,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
KY,Madison,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
KS,Pottawatomie,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Austin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TN,Blount,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
IA,Dallas,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
IA,Tama,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
MO,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Adams,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Lackawanna,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
PA,Union,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Isanti,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Clarion,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Troup,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
KY,Clark,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Isanti,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
CO,Broomfield,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Latah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,2,0,Completed,07/13/2018 13:55,Local PPO
NY,Jefferson,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
VA,Franklin,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Franklin,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
CA,San Bernardino,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,14,0,Completed,07/03/2018 15:53,HMO/HMOPOS
AL,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Allen,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Anderson,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
VT,Orange,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WV,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Middlesex,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Pittsburg,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Lincoln,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
TN,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Kootenai,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,4,0,Completed,07/13/2018 13:55,Local PPO
ID,Nez Perce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,4,0,Completed,07/13/2018 13:55,Local PPO
VA,King and Queen,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Milwaukee,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,9,0,Completed,06/27/2018 15:22,Local PPO
MO,Cole,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Marion,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Pinellas,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
NY,Ontario,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
NY,Columbia,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Chilton,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,Cherokee,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Monmouth,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,82,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Atlantic,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Indian River,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Liberty,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerivantage Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,37,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Steuben,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,DeWitt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Clark,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TX,Wharton,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
NC,Clay,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,239,0,Completed,07/17/2018 11:44,Local PPO
TX,Kendall,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
TN,Dickson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
VA,Franklin,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
MO,St. Clair,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Screven,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MN,Otter Tail,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Cerro Gordo,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Montrose,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
SC,Union,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
OH,Lucas,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Calumet,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
WA,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stokes,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Crosby,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Dickens,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Howell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Richmond City,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Coffee,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Wilson,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
NY,Oswego,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lebanon,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
WI,Racine,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Houston,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Barrow,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Marion,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NC,New Hanover,Humana Inc.,HumanaChoice H5525-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,33,0,Completed,07/24/2018 13:42,Local PPO
SC,Marion,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
NY,Onondaga,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
NY,Delaware,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
PA,Huntingdon,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Prowers,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
CO,Park,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NC,Jackson,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Lane,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Kennebec,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NY,Suffolk,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Putnam,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
KS,Johnson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MO,Howard,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
IA,Shelby,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MO,Hickory,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Luzerne,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
IL,Kane,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Buchanan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Westmoreland,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Faribault,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,McClain,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,McLean,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Auglaize,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Bleckley,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
ME,Kennebec,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
CO,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Kendall,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Gilpin,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
OH,Franklin,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Waukesha,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Aibonito,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Benton,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Bossier,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
WA,King,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WV,Raleigh,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
IL,Jersey,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Cedar,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
IN,Shelby,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Orleans,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
OH,Hocking,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Cleburne,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,4,Completed,07/16/2018 15:07,PFFS
OH,Medina,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
MN,Red Lake,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TN,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
CO,Denver,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Tippecanoe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Cass,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Ventura,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Ulster,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
MO,Barton,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,94,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Piscataquis,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Dale,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
SD,Bennett,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hand,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cavalier,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
IN,La Porte,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Clay,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Brown,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Iowa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
PA,Westmoreland,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Middlesex,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,10,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Washington,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
OH,Marion,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
MI,Oceana,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
TX,Blanco,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
TX,Willacy,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Cass,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
VA,Pittsylvania,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,2,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Adams,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,9,0,Completed,07/20/2018 11:11,Local PPO
IL,Saline,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,15,Completed,07/27/2018 9:47,Local PPO
TX,Hopkins,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Hughes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Hinds,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
GA,Hall,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Queens,Bright Health Management,Bright Advantage Assist (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,5,0,Completed,07/20/2018 15:07,HMO/HMOPOS
VA,Brunswick,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Clinton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Spencer,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,Chaves,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,137,0,Completed,07/24/2018 13:42,Local PPO
VA,Arlington,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
SD,Clark,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
SC,Horry,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
AR,Dallas,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
SD,Dewey,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
PR,Loiza,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
CT,Hartford,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Montgomery,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Chambers,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Randolph,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
OH,Warren,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
IN,Parke,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Tyler,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
KY,Logan,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
NC,Cleveland,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Catawba,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Hockley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Shelby,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Carolina,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Gibson,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Giles,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
WI,Kewaunee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Sherburne,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
OH,Portage,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
PA,Lycoming,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
GA,Houston,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
PA,Northampton,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
ID,Bonneville,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Carroll,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Lafayette,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Hampton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Smyth,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
WV,Taylor,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WA,Pierce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
KS,Reno,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
GA,Spalding,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Highland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Harrison,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
ID,Twin Falls,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
CA,San Francisco,Imperial Health Plan of California,Imperial Traditional (HMO) (HMO),Y,Y,Y,Y,N,,,601,601,25,25,H5496,7,0,Completed,06/08/2018 19:20,HMO/HMOPOS
MS,Rankin,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,99,0,Completed,07/20/2018 11:11,Local PPO
NY,Montgomery,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
MO,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Harrison,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Simpson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Wake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Osage,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,Cass,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
IA,Keokuk,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
SD,Minnehaha,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
MD,Frederick,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
IN,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ME,Oxford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
KY,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Washington,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
GA,Gilmer,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
TX,Randall,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
NY,Greene,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
OH,Mahoning,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Jefferson,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Washington,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Colbert,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
PA,Beaver,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Berks,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
TX,Llano,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Licking,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Hampshire,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Schenectady,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Orleans,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
MD,Howard,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Jackson,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
MO,St. Louis,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
WV,Putnam,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Bond,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TN,Crockett,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Fannin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Candler,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Cabo Rojo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Denton,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Guanica,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Albany,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
TX,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Effingham,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
SD,Hutchinson,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
PA,Clinton,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
IA,Henry,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
TX,Midland,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Wood,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CO,Fremont,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
IA,Fayette,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WI,Vernon,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Nobles,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Williamsburg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
ID,Canyon,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
AR,Miller,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Saline,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Dade,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,64,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Chesterfield,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
NC,Polk,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Walton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Ballard,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
PA,Luzerne,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
WI,Oconto,SSM Healthcare Corporation,Prevea360 Medicare Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,8,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Spokane,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Pima,Anthem Inc.,Amerivantage CareMore COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Christian,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
IA,Jones,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,2,0,Completed,06/15/2018 10:34,1876 Cost
PR,Barranquitas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Quitman,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Stark,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
OH,Columbiana,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
NY,Rockland,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OK,Kay,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MS,Coahoma,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
OK,McIntosh,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
ME,Cumberland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Mecklenburg,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Josephine,Centene Corporation,Health Net Violet 3 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,15,0,Completed,07/24/2018 19:18,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Cumberland,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
NY,Kings,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,6,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IL,Putnam,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Lycoming,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,36,0,Completed,07/13/2018 14:00,Local PPO
VA,Tazewell,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
OH,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Bertie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
OH,Guernsey,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,East Baton Rouge,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Saluda,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Columbia,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MS,Rankin,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OR,Polk,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H5995,1,0,Completed,07/28/2018 12:06,HMO/HMOPOS
VA,Petersburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Pueblo,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,18,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,Portsmouth City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Baker,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Lafayette,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
IL,McLean,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
ME,Cumberland,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Benton,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Fayette,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Clay,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Columbus,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Fayette,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
PA,Union,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
AR,Lawrence,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Baxter,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,San Diego,Humana Inc.,Humana Gold Plus H5619-016 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Spokane,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hendricks,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,Belknap,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Lee,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OR,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,8,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Harrison,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
SC,Georgetown,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,3,0,Completed,06/21/2018 16:47,Local PPO
OK,Pottawatomie,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Sherman,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Madison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KS,Johnson,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Benton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Coffee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Lafayette,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cattaraugus,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
FL,Miami-Dade,Humana Inc.,Humana Value Plus H1036-264 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,264,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,56,0,Completed,07/16/2018 13:15,HMO/HMOPOS
WI,Brown,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Green,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
GA,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Crawford,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Butler,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Monroe,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
AR,Madison,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Howell,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Pulaski,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,44,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Oswego,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
VA,Virginia Beach City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Shawano,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
MO,Platte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Lafayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Canyon,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Focus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,169,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Greene,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
MN,Carver,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
WI,Outagamie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
AL,Elmore,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,14,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Florence,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
WI,Sauk,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MO,Ray,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
NM,Valencia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,46,0,Completed,07/26/2018 11:48,Local PPO
GA,Upson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
SD,Perkins,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pierce,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
AL,Shelby,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Hidalgo,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Washington,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Mary,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Greene,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TN,Monroe,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Emmet,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Cabell,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MI,Jackson,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
PA,Wyoming,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Cuyahoga,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Camden,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
OH,Butler,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
LA,Assumption,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
LA,Morehouse,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
IL,Henry,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
LA,East Feliciana,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ME,York,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Dorchester,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Hempstead,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Kitsap,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Kent,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
VA,Amelia,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IN,Whitley,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,Wagoner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Indiana,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,McClain,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Jefferson,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Chippewa,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
NC,Anson,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro Plus (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,7,0,Completed,06/25/2018 20:32,Local PPO
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
FL,Sumter,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,269,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buena Vista City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Jackson,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,7,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Nassau,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Oswego,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NY,Chemung,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Marinette,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
IA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Transylvania,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Haywood,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,81,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Ogle,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Talladega,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Blue Shield Promise TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,601,0,301,H5928,9,0,Completed,07/25/2018 12:48,HMO/HMOPOS
KS,Haskell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Rush,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,New York,"ParkerCare New York, LLC",AgeWell New York PlanWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,8,0,Completed,07/27/2018 16:18,HMO/HMOPOS
GA,Bleckley,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
SD,Brookings,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
HI,Honolulu,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,San Diego,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Escambia,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Montour,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
FL,Marion,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,92,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
PA,Butler,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
NY,Herkimer,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
ME,Cumberland,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,4,Completed,07/20/2018 11:11,PFFS
WI,Kewaunee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Addison,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,Oswego,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Colbert,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
PA,Beaver,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,San Joaquin,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Saline,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Pierce,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Maury,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Fayette,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,33,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Augusta,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Washington,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
AL,Madison,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
AL,Walker,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
LA,Claiborne,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
VA,Richmond City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
SC,Jasper,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,253,0,Completed,07/17/2018 11:44,Local PPO
NC,Randolph,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
TX,Johnson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Trumbull,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
GA,Jefferson,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
VA,Washington,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
NM,Los Alamos,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
IA,Black Hawk,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Worth,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NC,Buncombe,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Nash,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Macon,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Shelby,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
VA,Spotsylvania,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NE,Adams,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Wyoming,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,Montgomery,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
IN,Whitley,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,20,0,Completed,07/26/2018 11:48,Local PPO
IN,Jay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
IA,Mitchell,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Morton,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
GA,Forsyth,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,DeKalb,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
OH,Lorain,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Jones,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
HI,Maui,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,N,N,Y,N,,,482,482,241,241,H3832,11,0,Completed,07/16/2018 15:11,Local PPO
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
KY,Henry,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
WV,Mercer,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
PA,Potter,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
NJ,Gloucester,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
KS,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Wichita,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Albany,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,San Sebastian,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Reynolds,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Holmes,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Giles,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
GA,Polk,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Douglas,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
CA,San Mateo,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,2,Completed,07/12/2018 18:43,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NY,Kings,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,2,0,Completed,07/20/2018 15:07,Local PPO
CA,Kern,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Palm Beach,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,22,0,Completed,07/25/2018 8:35,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Jackson,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
PA,Union,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,15,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Blackford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Putnam,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Creek,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Grayson,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Haywood,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
MO,Clinton,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
MN,Anoka,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
NC,Chowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
VA,Martinsville City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,83,0,Completed,07/17/2018 11:44,Local PPO
NY,St. Lawrence,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Pike,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Washington,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
TN,Hickman,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
OH,Clinton,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
KY,Carroll,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
SD,Clark,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Winston,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Brooke,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MO,Bates,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
ME,Cumberland,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
WV,Boone,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Cass,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
AL,Perry,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
TX,Cooke,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
KY,Grant,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
VA,Sussex,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
MN,Murray,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
ME,Oxford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
AR,Perry,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Pike,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,DeSoto,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Calhoun,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hancock,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Gregg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Stevens,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
GA,Twiggs,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Cannon,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lauderdale,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
KY,Daviess,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Jessamine,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,Mille Lacs,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Madison,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Rockdale,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Huerfano,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
SC,Greenville,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Pulaski,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
AR,Crawford,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Kanawha,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,46,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Polk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Wabash,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Rice,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
OK,Canadian,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Lamb,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Westmoreland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
WI,Winnebago,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
MO,Stone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,53,0,Completed,07/16/2018 13:15,HMO/HMOPOS
NH,Hillsborough,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,12,0,Completed,07/17/2018 11:44,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
NY,Schuyler,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Bradley,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,74,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Rock Island,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lee,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
OR,Linn,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,450,450,225,225,H3811,1,0,Completed,06/29/2018 15:38,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Lee,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MD,Allegany,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,129,0,Completed,07/24/2018 13:42,Local PPO
OH,Noble,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
IA,Johnson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Ingham,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Davison,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
IN,Steuben,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Vigo,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Allen,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Lincoln,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Pike,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
AR,Franklin,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MO,Dade,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Gordon,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Renville,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
NE,Douglas,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Spalding,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
ND,Cass,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
GA,Madison,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Screven,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,Vanderburgh,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
KY,Larue,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
IN,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
MN,Pine,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lawrence,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,McIntosh,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
WV,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
AR,Mississippi,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,38,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Holmes,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Perry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clark,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,33,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Meeker,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Marion,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Livingston,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
NC,Chatham,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
WI,Rusk,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IL,Stephenson,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
TX,Tarrant,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
CA,Napa,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,32,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Alpena,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MN,Isanti,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Fairfax,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Macon,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Moore,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Izard,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Bronx,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Fannin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Arapahoe,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
PR,San Juan,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Scotts Bluff,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
DE,Sussex,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,262,0,Completed,07/17/2018 11:44,Local PPO
IN,Posey,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,211,0,Completed,07/17/2018 11:44,Local PPO
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
GA,Evans,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
OH,Fairfield,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
GA,Forsyth,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
PA,Sullivan,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
NC,Catawba,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Lac qui Parle,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
KS,Labette,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
IA,Webster,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Henry,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,Phelps,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Fayette,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Taylor,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Ohio,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
VA,Goochland,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
IL,Ogle,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
PA,Franklin,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
PA,Forest,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PR,Moca,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Cross,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Van Buren,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Hanover,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Floyd,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Greene,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Sheboygan,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Coamo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Clackamas,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,1,Completed,07/24/2018 19:18,Local PPO
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,194,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Pierce,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
LA,St. James,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,13,0,Completed,07/25/2018 16:54,HMO/HMOPOS
PA,Carbon,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,8,0,Completed,06/15/2018 10:34,1876 Cost
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
GA,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MO,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Crisp,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KY,Fayette,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
KY,Franklin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
OH,Franklin,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Wilcox,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Bland,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
MS,Tate,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
MS,Panola,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Monongalia,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
SD,Spink,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KS,Johnson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
CO,Broomfield,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
OK,Cleveland,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Lee,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Monroe,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
PA,Huntingdon,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
TX,Dallas,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AZ,Yavapai,Humana Inc.,Humana Value Plus H5216-197 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,197,0,Completed,07/24/2018 13:42,Local PPO
NM,Chaves,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
CA,San Bernardino,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,63,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Vilas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
SD,Moody,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
NE,Dixon,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
SD,Campbell,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Williams,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Macon,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Tarrant,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Pickett,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vilas,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Florence,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA9 Vantage 100 (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,22,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Robertson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Berkeley,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Columbiana,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
KS,Norton,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Ellsworth,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Mobile,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AR,Mississippi,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Lake,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NY,Franklin,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Coffee,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Bandera,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Jim Hogg,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
NC,Alamance,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
VA,Alexandria City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
IL,Bureau,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
GA,Clayton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Cuyahoga,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Trumbull,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
NJ,Hudson,Humana Inc.,HumanaChoice H5216-170 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,170,0,Completed,07/24/2018 13:42,Local PPO
GA,Sumter,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Taney,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Fall River,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
ID,Ada,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
MS,Noxubee,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
GA,Bulloch,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
NC,Iredell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
ND,Richland,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
AL,Etowah,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
SC,Dorchester,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Miami,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Ripley,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Jackson,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Denton,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Wilson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NE,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NE,Saunders,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KY,Harlan,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
KY,Johnson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Waller,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Sauk,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
MN,Koochiching,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Roberts,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Cannon,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Morgan,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Gilchrist,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
PA,Schuylkill,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
MS,Lee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
PA,Beaver,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
NC,Hertford,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
OH,Mercer,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
GA,Peach,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
TN,Williamson,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,2,0,Completed,07/20/2018 15:07,Local PPO
SC,Newberry,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Douglas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,Larimer,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,21,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,Hancock,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
TN,Wilson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Scott,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
WV,Doddridge,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
SD,Clay,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
MO,Hickory,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
GA,Chatham,"Clover Health Holdings, Inc.",Clover Health Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,43,0,Completed,07/26/2018 14:48,Local PPO
KY,Carroll,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
OH,Sandusky,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Montgomery,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Hempstead,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Petersburg City,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
PA,Lancaster,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,5,Completed,07/13/2018 14:00,HMO/HMOPOS
IL,Mercer,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MS,Hancock,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Murray,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Waseca,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
TX,Cass,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fayette,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,3,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Starke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,54,0,Completed,07/16/2018 13:15,HMO/HMOPOS
IN,Lake,Humana Inc.,Humana Gold Plus H5619-053 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,53,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Fayette,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Amber II Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Elbert,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Plus H1036-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,13,Completed,07/27/2018 9:47,Local PPO
PA,Wayne,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,12,Completed,07/27/2018 9:47,Local PPO
MD,Carroll,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
TX,Comanche,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Kingsbury,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Leflore,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Ulster,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Kosciusko,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Coamo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Forsyth,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Isabella,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bledsoe,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Swisher,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bradley,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Weakley,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hancock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
GA,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
GA,Walton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Loiza,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Taylor,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
TN,Fayette,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,154,0,Completed,07/17/2018 11:44,Local PPO
NC,Robeson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
MI,Wayne,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
PA,Montgomery,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Hampton City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Logan,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
GA,Cobb,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Benton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Lincoln,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
NC,Montgomery,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Meeker,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
VA,Wise,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
SC,Lancaster,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Jennings,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
ND,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Douglas,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Lamar,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
PR,Aguada,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TX,El Paso,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Osceola,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Branch,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
IA,Louisa,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IN,Putnam,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Pocahontas,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MI,Calhoun,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
MI,Otsego,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
GA,Henry,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Greene,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Jackson,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Salt Lake,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
UT,Weber,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Anoka,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Mower,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
UT,Emery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Dorado,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guaynabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Taney,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Butler,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Yellow Medicine,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Fairfield,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,6,Completed,07/19/2018 14:35,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
AR,Little River,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
NC,Haywood,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguada,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Cumberland,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IA,Boone,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
TX,Parmer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Catano,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Bibb,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Poquoson City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Charlotte,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chenango,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Ouachita,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Caldwell,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Utuado,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Juneau,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Cedar,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
OH,Medina,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,Poquoson City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Henry,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
TN,Sumner,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Sumter,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
VA,Isle of Wight,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
OH,Clark,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Dauphin,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,17,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Ottawa,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Chickasaw,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Colonial Heights City,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,DeKalb,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,Monroe,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TX,Fannin,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
PA,Clearfield,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Lake,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
UT,Uintah,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,240,0,Completed,07/17/2018 11:44,Local PPO
TX,Upshur,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
LA,Winn,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
NC,Burke,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Stewart,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Dauphin,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
GA,Heard,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Lucas,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
GA,Clarke,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WV,Monroe,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MN,Kandiyohi,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
OH,Licking,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
WI,Sheboygan,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IN,Randolph,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
PA,Wyoming,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
KY,Webster,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
MO,Taney,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MD,Prince George s,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cortland,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NM,Valencia,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2134,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Gasconade,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Martin,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Stewart,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Baldwin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Loudon,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Benton,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
IN,Harrison,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Chester,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Chester,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Niagara,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,9,0,Completed,07/26/2018 11:48,Local PPO
TX,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
NC,Washington,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Yauco,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
SC,Hampton,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Corozal,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cidra,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Humacao,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Wagoner,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Larimer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Washington,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,210,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Benton,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
ME,Penobscot,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Woodbury,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,8,0,Completed,07/17/2018 11:44,Local PPO
WV,Randolph,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
NC,Northampton,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Vance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NV,Nye,Renown Health,Senior Care Plus: Value Rx Complete (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2960,19,0,Completed,07/24/2018 17:58,HMO/HMOPOS
PA,Monroe,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Mifflin,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
OH,Hamilton,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,14,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Montgomery,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,McLean,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
NC,Vance,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
LA,Natchitoches,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
PA,Snyder,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
NY,Essex,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
PA,Washington,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PA,Potter,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
AZ,Maricopa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Greene,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Buckingham,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,Fairfield,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Coamo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,2,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,199,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,193,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
OH,Fulton,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,Lucas,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Susquehanna,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
NH,Belknap,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Kitsap,Humana Inc.,Humana Gold Plus H5619-104 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,104,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Washington,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,New Kent,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Bedford,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
PA,Somerset,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
NM,Rio Arriba,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,1,0,Completed,07/30/2018 11:21,HMO/HMOPOS
VA,Chesterfield,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
KY,Carroll,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
MI,Alger,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
CO,Cheyenne,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MS,Perry,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Craig,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,193,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Richmond,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
WV,Monroe,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
NC,Mitchell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
SC,York,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Ulster,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
SC,Laurens,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,Marshall,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Platte,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Gloucester,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Williamsburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Nueces,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Mercer,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Sandusky,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Lake,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Jackson,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Charlevoix,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,5,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,5,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Union,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
SC,Union,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Hopkins,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Sherburne,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
CA,Fresno,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
WI,Marquette,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
PA,Washington,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
FL,Citrus,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Onondaga,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NE,Gage,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,1,0,Completed,07/26/2018 11:48,Local PPO
IL,St. Clair,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Meriwether,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Mason,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
AL,Coffee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
SD,Sully,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
TN,Wilson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Rusk,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Graves,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Maricopa,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Franklin,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Preble,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
AR,Lawrence,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Ritchie,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
AZ,Pima,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,103,0,Completed,07/24/2018 13:42,PFFS
IL,Kendall,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
CA,Riverside,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H7621,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Cumberland,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Izard,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
WA,Spokane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CO,Boulder,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
MO,Newton,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
IL,La Salle,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
NC,Bladen,Humana Inc.,HumanaChoice H5525-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,33,0,Completed,07/24/2018 13:42,Local PPO
OH,Champaign,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Stark,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Macomb,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
GA,DeKalb,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Stewart,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Wabash,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Warren,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Weakley,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Galveston,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Roane,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Van Zandt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alexandria City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
PR,Penuelas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Arthur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
GA,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NC,Graham,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,239,0,Completed,07/17/2018 11:44,Local PPO
AL,Shelby,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
GA,Tift,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Fulton,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Geauga,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
AR,Yell,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Winneshiek,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Dodge,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
SD,Hutchinson,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MS,Rankin,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
SC,Dorchester,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IA,Plymouth,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WI,Douglas,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IN,Clay,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
PA,York,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
GA,Pickens,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
WI,Milwaukee,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
TX,Fannin,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Van Buren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Venango,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
GA,Jones,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Broward,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,80,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
OH,Franklin,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guaynabo,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Vega Alta,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MN,Kanabec,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
WA,Chelan,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WV,Wood,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
IA,Cedar,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Forest,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,7,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Cleburne,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Chester,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Effingham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Tucker,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Susquehanna,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Fulton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
SC,Sumter,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
IL,Mercer,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Summit,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
AR,Logan,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
TX,Kent,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Teton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Benton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Perry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Niagara,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Arecibo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Manati,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Laclede,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
ME,Oxford,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
WV,Tucker,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
TX,Tyler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Coshocton,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Limestone,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Randolph,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Blaine,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Cotton,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Clark,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Wadena,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TX,Fannin,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Ray,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
FL,Putnam,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,270,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Dakota,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Milwaukee,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,10,0,Completed,06/27/2018 15:22,Local PPO
IL,DuPage,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,N,Y,Y,100,0,0,482,0,241,H1415,21,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
ME,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
IA,Linn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,75,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Tuscarawas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Warren,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Mercer,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Scott,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Clay,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Hinds,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Martin,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Scott,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Josephine,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
IA,Mahaska,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
VT,Caledonia,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
VT,Essex,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Jayuya,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Dorado,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Queens,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
IL,Pike,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
OK,Pittsburg,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,Perry,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Iowa,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
WV,Hancock,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Washington,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Fluvanna,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Comerio,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Cameron,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,2,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,201,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Nassau,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Bronx,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,McIntosh,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Stokes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
FL,Hernando,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,1,0,Completed,07/06/2018 11:25,HMO/HMOPOS
TX,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Hood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Macon,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Lawrence,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Fulton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
IA,Iowa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Burke,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Chesterfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Bennington,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
LA,Concordia,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,4,0,Completed,07/20/2018 11:11,Local PPO
UT,Morgan,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,15,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Pike,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,12,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Pipestone,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
SD,Lincoln,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
WI,Polk,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
IN,Jackson,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Montgomery,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Wyoming,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MS,Holmes,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
OH,Champaign,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
FL,Seminole,"Devoted Health, Inc.",Devoted Health Central Florida (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,5,0,Completed,07/25/2018 11:54,HMO/HMOPOS
NY,Sullivan,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Rensselaer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Crawford,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Houston,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Lawrence,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Kershaw,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Mississippi,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Chicot,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
VA,Richmond City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,1,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Knox,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
OH,Putnam,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Wyoming,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
FL,Broward,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WV,Kanawha,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
SC,Saluda,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Hot Spring,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Smith,Humana Inc.,Humana Gold Plus H0028-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Atascosa,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
WI,Portage,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
OR,Klamath,ATRIO Health Plans,ATRIO Silver (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,2,0,Completed,07/28/2018 12:06,Local PPO
MN,Clay,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
MO,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
OR,Morrow,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
MO,Jackson,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AZ,Maricopa,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,6,4,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
SD,Lyman,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Clayton,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Riverside,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IN,Brown,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marshall,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MN,Scott,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Dallas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
KY,Robertson,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Delaware,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Meigs,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Marlboro,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Drew,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Randolph,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
WI,Lafayette,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,2,0,Completed,06/15/2018 10:37,1876 Cost
VA,Westmoreland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Fond du Lac,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Humacao,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Clatsop,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,8,0,Completed,06/12/2018 10:27,Local PPO
MN,Goodhue,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
TN,Morgan,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IA,Pottawattamie,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
KY,Spencer,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Elite Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,24,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Woodford,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Howard,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Kershaw,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
SC,Pickens,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
MA,Barnstable,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,7,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,Beaufort,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
KS,Butler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Warren,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Johnson,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,Cheshire,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Hampton City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Perry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iron,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,20,0,Completed,07/25/2018 8:35,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
WI,Dane,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
IA,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Mobile,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Christian,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,York,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
AL,Fayette,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
PA,Lebanon,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
GA,Heard,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
CT,Hartford,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
OH,Fairfield,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Hart,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
NY,Greene,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Hardin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TN,Fayette,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
WA,Island,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
MO,Wayne,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Hamlin,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MN,Pope,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MI,Presque Isle,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Butte,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KY,Cumberland,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
PA,Snyder,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
NM,Grant,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MI,Calhoun,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,29,0,Completed,07/26/2018 11:48,Local PPO
TX,Comanche,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Clark,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TN,Hamilton,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
IN,White,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
SD,Union,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
UT,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
WI,Florence,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
OH,Fayette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,Powell,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Breathitt,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Taylor,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Menominee,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
PA,Washington,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Bullitt,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Antrim,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Joseph,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Charlevoix,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
UT,San Juan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Chemung,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,43,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Boyd,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
KY,Union,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
OH,Licking,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Schoolcraft,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
CA,San Diego,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,1,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Wayne,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Logan,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NY,Queens,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,1,0,Completed,07/20/2018 15:07,Local PPO
TN,Johnson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Delaware,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Ray,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
OR,Linn,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
IA,Poweshiek,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Aguadilla,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NC,Union,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
NY,Albany,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Holmes,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
TN,Lewis,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
TN,Warren,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MO,Newton,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
CO,Alamosa,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
TN,Haywood,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
WV,Pendleton,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Montgomery,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Forsyth,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Meriwether,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Coryell,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IL,Richland,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
TX,Bee,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,4,0,Completed,06/20/2018 12:01,Local PPO
MN,Roseau,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Alleghany,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MO,Cass,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Villalba,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Benton,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
OK,Marshall,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
OK,Carter,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
WI,Portage,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Tompkins,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
VT,Caledonia,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
OH,Hamilton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Carteret,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
WI,Walworth,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,7,0,Completed,07/20/2018 11:11,Local PPO
MN,Anoka,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
MD,Charles,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
PA,Lehigh,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,15,Completed,07/27/2018 9:47,HMO/HMOPOS
CA,San Joaquin,AHMC Central Health LLC,Central Health Inspire HMO (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,13,0,Completed,07/27/2018 13:58,HMO/HMOPOS
TN,Anderson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Ionia,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
IN,Ripley,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Rutherford,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
PA,Clinton,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Newport,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,19,2,Completed,07/13/2018 13:32,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Virginia Beach City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Wahkiakum,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
MI,Bay,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
TX,Caldwell,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
WV,Upshur,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IN,Brown,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Tarrant,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Choctaw,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Orocovis,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Lehigh,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lancaster,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
IA,Polk,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
ME,Cumberland,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
WV,Taylor,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Neosho,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Osborne,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Lauderdale,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Jones,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lewis,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Utuado,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Grimes,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
LA,Lincoln,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,230,0,Completed,07/17/2018 11:44,Local PPO
GA,Crawford,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,115,0,Completed,07/17/2018 11:44,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Stafford,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IL,Madison,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Terrell,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
SD,Hanson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Fayette,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,75,0,Completed,07/24/2018 13:42,Local PPO
PA,Potter,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
GA,Effingham,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Fulton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Monroe,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Medina,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NH,Belknap,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
MN,Martin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
ME,Somerset,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SC,Sumter,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
WV,Taylor,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
NJ,Ocean,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
OH,Marion,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
LA,Claiborne,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,230,0,Completed,07/17/2018 11:44,Local PPO
IN,Hamilton,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
NC,Catawba,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
SD,Douglas,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
PA,Philadelphia,"Independence Health Group, Inc.",Personal Choice 65 Medical Only (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,7,0,Completed,07/16/2018 13:15,Local PPO
VT,Bennington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Crawford,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WV,Nicholas,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
GA,Warren,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
PA,York,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
UT,Box Elder,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Grundy,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,McLeod,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
UT,Box Elder,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Cache,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Riley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Northampton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Johnston,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Cass,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Wicomico,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Fairfax City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Chesapeake City,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Parke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Sullivan,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,McNairy,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
TN,Blount,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,Osage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Ozaukee,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
VA,Fairfax,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Colonial Heights City,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
KY,Hickman,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Scotland,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
KY,Nicholas,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Jefferson,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,6,Completed,07/19/2018 14:35,Local PPO
MI,Lapeer,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
PA,Cumberland,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Lincoln,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
MS,Forrest,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,48,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
TX,Hidalgo,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,2,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,Houston,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Comerio,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Culebra,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Morgan,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
ME,Cumberland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Licking,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
IN,Marion,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
NH,Strafford,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,11,0,Completed,07/17/2018 11:44,Local PPO
NY,Oswego,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
MO,Webster,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Clinton,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Randolph,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Iowa,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
SC,Berkeley,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Fairfield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Marion,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Jefferson,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MA,Hampden,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Cumberland,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Surry,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Lewis and Clark,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Portsmouth City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Mitchell,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,1,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
WA,Walla Walla,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
MO,Ste. Genevieve,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
WV,Hardy,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
FL,Santa Rosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,8,0,Completed,07/26/2018 11:48,Local PPO
PA,Armstrong,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
MN,Chisago,Medica Holding Company,Medica Advantage Solution H6154-002 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
SC,Spartanburg,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Harris,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
KS,Miami,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Overton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Charlotte,Humana Inc.,Humana Gold Plus H1036-278 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,278,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,16,0,Completed,07/12/2018 15:19,HMO/HMOPOS
MO,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Vilas,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Portage,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
OH,Fulton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Montgomery,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,14,0,Completed,07/17/2018 11:44,Local PPO
FL,Pinellas,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Suffolk,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Marinette,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NE,Cuming,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NY,Orange,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OK,Cherokee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
GA,Clarke,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
ME,Androscoggin,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
IA,Madison,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
AL,Jackson,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
WI,Marinette,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
MO,Benton,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OK,Osage,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
NC,Jackson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
NC,Rutherford,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
KY,Woodford,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Hubbard,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SC,Beaufort,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Thurston,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,4,0,Completed,07/24/2018 10:50,HMO/HMOPOS
WV,Roane,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
WI,Waupaca,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Chisago,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Newport News City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MO,Platte,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Racine,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,10,0,Completed,06/27/2018 15:22,Local PPO
OR,Washington,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,8,0,Completed,07/17/2018 11:44,Local PPO
PA,Susquehanna,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Cayuga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
CA,San Benito,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Audrain,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Polk,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Warren,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bucks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Aibonito,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
CA,San Diego,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,10,0,Completed,07/25/2018 12:48,HMO/HMOPOS
GA,McDuffie,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Douglas,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Lowndes,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Simplete 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,25,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Summit,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
WI,Burnett,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Dunn,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Putnam,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,16,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Crawford,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MI,Ingham,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H7419,1,0,Completed,07/16/2018 9:33,Medicare-Medicaid Plan HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
PA,Somerset,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Porter,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Dallas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Scotland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IN,Knox,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Barton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Sauk,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Carlton,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
OH,Medina,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Montgomery,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Montmorency,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
WI,Milwaukee,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2879,1,0,Completed,07/26/2018 20:15,HMO/HMOPOS
PR,Guayanilla,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Benton,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
NJ,Hudson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mahoning,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,Marion,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Manitowoc,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,Richland,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
LA,Tensas,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Villalba,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Snohomish,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IA,Dickinson,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Johns,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Cumberland,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
PA,Somerset,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
MO,Cole,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Johnston,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Washington,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
WA,Snohomish,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
NC,Brunswick,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,23,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Etowah,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Maricopa,Centene Corporation,Allwell Medicare Essentials II (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,50,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,La Porte,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Colquitt,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WV,Mercer,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Morgan,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Lincoln,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Okfuskee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,McIntosh,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Jefferson,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,21,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Barren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
TX,Comal,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,251,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hopewell City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Stone,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,St. Lucie,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
AZ,Yuma,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,16,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Crawford,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Lenawee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,1,Completed,07/26/2018 15:53,Local PPO
NY,Richmond,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8029,1,0,Completed,07/02/2018 16:20,Medicare-Medicaid Plan HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Utah,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
MN,Dakota,Medica Holding Company,Medica AccessAbility Solution Enhanced (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H9952,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MO,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Northampton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Whitley,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Rush,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Johnson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Sauk,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Chelan,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,5,0,Completed,06/26/2018 15:07,Local PPO
NY,Schuyler,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
CO,Weld,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Bollinger,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
WI,Calumet,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Manitowoc,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Houston,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
MN,Kanabec,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
MN,Rock,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TX,Maverick,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Rockdale,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Lumpkin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Milwaukee,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
NM,Union,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
CA,San Joaquin,AHMC Central Health LLC,Central Health Elite HMO SNP (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,14,0,Completed,07/27/2018 13:58,HMO/HMOPOS
ND,Barnes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
VA,Bristol City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Barton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Madison,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
OH,Harrison,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
MI,Chippewa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
DC,District of Columbia,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
DE,Sussex,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
AR,Yell,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
MA,Franklin,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Nowata,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
PA,Venango,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Neshoba,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Floyd,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Orleans,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Guaynabo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Florida,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
TN,McMinn,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IA,Ida,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,8,0,Completed,07/17/2018 11:44,Local PPO
PA,Lackawanna,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,1,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WV,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
OK,Kingfisher,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Kingfisher,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NE,Custer,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Genesee,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
NC,Sampson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Champaign,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Cobb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
MN,Kanabec,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Todd,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,Herkimer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Calcasieu,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Jackson,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,Posey,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,3,0,Completed,07/24/2018 19:18,Local PPO
NY,Queens,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,1,0,Completed,07/25/2018 11:36,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Delaware,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Greene,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Talladega,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
MI,Berrien,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Schuyler,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Lamb,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MS,Tate,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Roberts,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Comerio,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
OR,Marion,ATRIO Health Plans,ATRIO Silver Rx (Willamette) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7006,3,0,Completed,07/28/2018 12:06,Local PPO
MN,Goodhue,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
KY,Campbell,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,4,0,Completed,07/03/2018 11:24,HMO/HMOPOS
GA,Clarke,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,1,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Preston,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
TX,Johnson,Aetna Inc.,Aetna Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8597,2,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,9,Completed,06/22/2018 9:28,HMO/HMOPOS
KY,Warren,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
TN,Cannon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Kern,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,92,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
OR,Clackamas,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,8,0,Completed,07/17/2018 11:44,Local PPO
PA,Chester,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,43,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Union,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Hood River,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,39,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Elmore,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
PA,Beaver,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NJ,Essex,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Wayne,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Atchison,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Outagamie,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Carroll,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Perry,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Waller,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Tarrant,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Kings,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,1,Completed,07/20/2018 13:43,HMO/HMOPOS
MO,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
MN,Rock,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
LA,Tangipahoa,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,3,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Cherokee,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Liberty,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
PR,Guayanilla,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Sullivan,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Berks,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Spencer,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Dade,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Graham,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Marion,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
TN,McMinn,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
FL,Sarasota,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
IA,Floyd,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
PR,Loiza,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Live Oak,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,Vermilion,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
LA,Webster,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
NC,Durham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
GA,Emanuel,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Westmoreland,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PA,Beaver,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
NJ,Gloucester,Humana Inc.,Humana Value Plus H5216-186 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,186,0,Completed,07/24/2018 13:42,Local PPO
IN,Carroll,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Bulloch,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Carter,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MN,Douglas,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
NJ,Hudson,Humana Inc.,HumanaChoice H5216-169 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,169,0,Completed,07/24/2018 13:42,Local PPO
IN,Brown,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Daviess,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Clarke,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Coweta,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Hall,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MS,Yazoo,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
TX,Bosque,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Howard,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Bullitt,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
MN,Winona,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
WI,Marquette,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Westchester,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
WI,Chippewa,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Slope,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
PA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
SC,Calhoun,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,251,0,Completed,07/17/2018 11:44,Local PPO
OH,Hamilton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,87,0,Completed,07/17/2018 11:44,Local PPO
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Fulton,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
KY,Bourbon,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
PA,Susquehanna,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
GA,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
NC,Rowan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
SD,Deuel,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Oglethorpe,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Forest,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hidalgo,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Carroll,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lewis,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Canyon,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
OH,Franklin,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,York,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Bond,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
VA,Henrico,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Hardin,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MN,Sherburne,Medica Holding Company,Medica Advantage Solution H6154-002 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
AL,Walker,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
OK,Alfalfa,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Glascock,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
CA,Kern,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,2,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Milam,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NY,Fulton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
NC,Wake,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Nassau,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,El Paso,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,Sacramento,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,Lewis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DuPage,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Lake,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Gogebic,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
PA,Luzerne,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MI,Houghton,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MO,Cedar,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Walker,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
TX,Wilson,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
VA,Bland,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
ID,Adams,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Potter,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Ellis,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Taylor,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Laramie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Hood,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Cleveland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Cumberland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cattaraugus,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Stearns,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MO,Dent,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MI,Cheboygan,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
SC,Union,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
GA,Muscogee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Calhoun,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
NC,Yancey,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,197,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Orange,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Rockland,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Appanoose,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Crawford,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NE,Dodge,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
NC,Duplin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Vance,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NY,Saratoga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Oconee,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Pope,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Braxton,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
PA,Bradford,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
MI,Sanilac,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OH,Defiance,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,3,0,Completed,07/20/2018 11:11,Local PPO
IL,Boone,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Isanti,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
NM,San Juan,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
NC,Richmond,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
TX,Refugio,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Benton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Dutchess,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Salinas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Penuelas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Newton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,McDonald,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Clay,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,De Kalb,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Penuelas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cocke,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
NY,Wyoming,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Marshall,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MT,Powell,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
PA,Lancaster,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Brown,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Newton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SC,Clarendon,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
PR,Naranjito,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Sebastian,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Barceloneta,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,Fresno,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,181,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,25,0,Completed,07/25/2018 8:35,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Hart,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Oswego,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Fulton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Greene,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
OH,Muskingum,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Butler,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,3,0,Completed,07/23/2018 10:18,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
CA,San Luis Obispo,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,39,0,Completed,07/20/2018 14:52,HMO/HMOPOS
KS,Lyon,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Baldwin,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Queens,"ParkerCare New York, LLC",AgeWell New York Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H4922,10,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NY,Putnam,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Adams,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Schuylkill,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Columbiana,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
GA,Towns,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IL,Grundy,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Grundy,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Lamar,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Carolina,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
KY,Larue,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MT,Missoula,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
OH,Ottawa,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
TN,Jefferson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Gibson,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Union,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Jack,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Richmond,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Victoria,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
CT,Windham,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
GA,Columbia,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guaynabo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,Oconee,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Appomattox,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
MI,Calhoun,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MI,Kalamazoo,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IN,Posey,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IL,White,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Castro,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,New Hanover,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Pitt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Orange,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Panola,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Naranjito,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Pleasants,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Blair,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
TX,Camp,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MO,Pike,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
GA,Jasper,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
TN,Obion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Walker,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MN,Grant,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WI,Fond du Lac,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
CO,La Plata,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
PR,Toa Alta,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Ellis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NY,Erie,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,212,0,Completed,07/17/2018 11:44,Local PPO
MA,Essex,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,159,0,Completed,07/17/2018 11:44,Local PPO
PA,Luzerne,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
GA,Wilcox,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
SC,York,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Fountain,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
OH,Hardin,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
IN,Jay,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
AR,Randolph,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Knott,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
AR,Faulkner,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
KY,Union,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Freeborn,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
TX,Randall,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,"Tufts Associated HMO, Inc.",CareAdvantage Premier (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,3,0,Completed,07/03/2018 8:46,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
WV,Randolph,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,1,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WA,Spokane,Humana Inc.,Humana Gold Plus H5619-102 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Lake,Humana Inc.,HumanaChoice Florida H7284-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Cobb,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Elbert,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OK,Pottawatomie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Gilmer,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Choctaw,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Hart,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
MN,Olmsted,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
TX,Aransas,Humana Inc.,Humana Gold Plus H0028-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,San Patricio,Humana Inc.,Humana Gold Plus H0028-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Barry,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Christian,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Yolo,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,103,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,68,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Alamance,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Dade,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Fond du Lac,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
CA,Contra Costa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,70,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Tioga,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Westmoreland,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Lee,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,35,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KY,Kenton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Fairfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Middlesex,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
NJ,Atlantic,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
AL,Houston,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Moniteau,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Warren,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Pickaway,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
GA,Floyd,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AL,Morgan,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Copiah,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Cochran,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Scott,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Jackson,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
IA,Adair,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,San Sebastian,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MN,Aitkin,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
CO,Arapahoe,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
OH,Knox,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
AR,Jefferson,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
NY,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Highlands,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Coamo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NY,Westchester,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
MO,Greene,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
AR,Carroll,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
LA,West Baton Rouge,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,West Feliciana,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fulton,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
VA,Pulaski,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Henderson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
OH,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Leavenworth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Plymouth,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Madison,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
AR,Perry,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
OK,Grady,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Wagoner,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Nowata,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Clackamas,PacificSource Health Plans,PacificSource Medicare MyCare Rx 39 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,39,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Franklin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
SC,Saluda,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
SC,Union,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
MS,Covington,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Blue Earth,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
MN,Dodge,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
TN,McMinn,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Essex,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
IN,Vigo,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
MO,Dallas,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Van Zandt,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Sabana Grande,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Clay,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
TX,Bosque,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
PA,Jefferson,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
IN,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
MN,Pipestone,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
SC,Greenville,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
GA,McIntosh,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
WV,Berkeley,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
FL,Bay,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
SC,Chester,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Lagrange,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
KY,Adair,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
IL,DuPage,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
PA,York,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
NM,Taos,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
SC,Horry,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Kern,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,31,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Kenosha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Forest,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Jennings,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
ND,Hettinger,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,Rabun,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Bryan,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
OH,Butler,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
NM,Torrance,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
NM,Los Alamos,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Huntingdon,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Lawrence,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Bayamon,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Newton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
KY,Perry,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
PA,Philadelphia,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,5,0,Completed,07/24/2018 13:42,Local PPO
OH,Hardin,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
SC,Richland,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
GA,Bartow,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,99,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,82,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Essex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
AZ,Pinal,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,6,0,Completed,06/28/2018 17:45,HMO/HMOPOS
OH,Carroll,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,McIntosh,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Jefferson,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Hernando,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Randall,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Freeborn,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Falls Church City,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,Chester,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Florence,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Androscoggin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
CO,Huerfano,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
TX,San Saba,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IA,Pottawattamie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Sarpy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Clearwater,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
WI,Oconto,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Lyon,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Falls Church City,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,Kershaw,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
SC,Lancaster,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
NM,Santa Fe,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3251,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MA,Bristol,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,2,Completed,07/23/2018 15:54,HMO/HMOPOS
MS,George,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Elbert,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bexar,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Jim Wells,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Platte,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Giles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Landry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
CA,Riverside,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,1,0,Completed,07/03/2018 15:53,HMO/HMOPOS
IL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,14,0,Completed,07/17/2018 11:44,Local PPO
MO,Osage,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,Washington,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
OR,Benton,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,9,0,Completed,06/29/2018 15:38,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Patillas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
TN,Smith,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Simplete 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,24,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Washington,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
CO,Phillips,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Middlesex,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Southampton,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Cook,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
OK,Seminole,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Bee,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OH,Perry,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
IN,Jennings,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
TX,Delta,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Fort Bend,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Shelby,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Isabella,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
SC,Newberry,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
WI,Florence,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SD,Aurora,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Chippewa,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
GA,Talbot,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Madison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Price,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Broome,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Beauregard,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Brown,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
TX,Bosque,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,5,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MN,Dodge,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
KY,Oldham,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
AR,Benton,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
OH,Wayne,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
VA,Hampton City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
GA,Butts,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Ross,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Richland,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Twin Falls,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Loudoun,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
TX,Roberts,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Mecklenburg,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Williams,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,George,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Anasco,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Laclede,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Gasconade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Sullivan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ND,Cavalier,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Baldwin,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Ritchie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Moore,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Bexar,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Etowah,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vernon,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,St. James,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,LaSalle,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Lorain,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WV,Raleigh,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Craig,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Carter,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Pittsylvania,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,99,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Davis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,2,0,Completed,07/13/2018 13:55,Local PPO
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
AR,Pulaski,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IN,Clark,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MO,McDonald,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
MI,Clare,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
WI,Vilas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Clay,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
NM,Eddy,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
TX,Mitchell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Petersburg City,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aibonito,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Butler,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Le Sueur,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pennington,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Traverse,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Shawano,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Pickens,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Wagoner,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Hyde,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
NC,Jackson,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Trumbull,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Camuy,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Adair,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MD,Montgomery,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
IN,Warrick,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Colleton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
KS,Miami,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
TX,Gregg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Ionia,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
IL,Tazewell,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,2,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Pendleton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
GA,Jones,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MO,St. Louis,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Somerset,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
NY,Chemung,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
WI,Portage,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
AL,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Montgomery,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,43,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Potter,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Madison,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Lee,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Tioga,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
LA,St. Tammany,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Crawford,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Newton,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Monroe,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,3,0,Completed,07/23/2018 10:18,HMO/HMOPOS
NJ,Salem,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Barbour,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Osborne,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NY,Greene,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
WI,Adams,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
MN,Sibley,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lawrence,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Union,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Stewart,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Dane,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Grant,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Ogle,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
WV,Clay,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Howard,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Howard,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MO,Caldwell,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
MO,Clinton,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Orange,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Fulton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Harrison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NH,Cheshire,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,2,0,Completed,07/23/2018 14:30,Local PPO
NY,Schoharie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NY,Chautauqua,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
NC,Wilson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Blackford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
NM,Dona Ana,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
NE,Holt,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Eddy,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Fall River,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
PR,Fajardo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Knott,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Lac qui Parle,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,17,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Gaston,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Richmond,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,Rutherford,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Falls,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Guernsey,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
MI,St. Clair,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Louis City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vega Baja,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Logan,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Chambers,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Stone,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
IN,Dearborn,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Lewis,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Lawrence,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
VA,Alexandria City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
TN,Fayette,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
MO,Barry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Schenectady,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Carbon,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Nicollet,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Wabasha,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Douglas,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,2,0,Completed,06/26/2018 17:06,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Tuscarawas,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
SC,McCormick,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Alamosa,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,Moffat,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
OH,Lorain,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Stafford,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Onondaga,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
PR,Guayama,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
MA,Suffolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,14,0,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Ponce,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IA,Ringgold,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Crawford,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Poweshiek,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
KS,Cowley,Aetna Inc.,Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,17,0,Completed,07/17/2018 11:44,Local PPO
MO,Jasper,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
MO,Pulaski,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Defiance,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MI,Monroe,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,9,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Lee,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Tippecanoe,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Allen,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
IN,Lake,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,Grafton,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Jefferson,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
SD,Haakon,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Roberts,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Hart,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Barron,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Cook,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
PR,Rio Grande,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Rockland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,23,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Wallowa,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
TN,Chester,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NY,Westchester,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Washington,Humana Inc.,Humana Gold Plus SNP-DE H1951-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Morehouse,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Jefferson,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
FL,Miami-Dade,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Montgomery,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,16,0,Completed,07/25/2018 16:54,HMO/HMOPOS
ME,Sagadahoc,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
WA,Pierce,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
CA,San Mateo,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Washington,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Morgan,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Ohio,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,Rapides,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Shelby,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
SC,Jasper,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
SC,Beaufort,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
TN,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Lawrence,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Anson,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,6,0,Completed,06/25/2018 20:32,Local PPO
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,100,0,Completed,07/20/2018 11:11,Local PPO
OK,Wagoner,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
OH,Greene,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Dodge,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
PA,Lancaster,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Coamo,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Clinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Norfolk City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
LA,Allen,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,135,0,Completed,07/24/2018 13:42,Local PPO
IA,Cedar,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
CO,Fremont,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MO,Carroll,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
AL,Bullock,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
IN,Henry,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
SC,York,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,Polk,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
VA,Campbell,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
NC,Person,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
TX,DeWitt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
CA,Orange,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,56,0,Completed,07/17/2018 11:44,Local PPO
AL,DeKalb,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
GA,Henry,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
MI,Macomb,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
GA,Meriwether,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NC,Nash,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,243,0,Completed,07/17/2018 11:44,Local PPO
PR,Corozal,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Warren,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Mahoning,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OK,Delaware,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MN,Renville,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
ID,Boise,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
ME,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
CO,San Juan,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
VA,Northumberland,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,McDuffie,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
NC,Wake,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
MI,Saginaw,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MN,Isanti,Medica Holding Company,Medica Advantage Solution H6154-002 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
VA,Bath,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
OH,Pike,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Wayne,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Gilmer,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Erie,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Lawrence,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MS,Marion,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Onondaga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Clearwater,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
KS,Sumner,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Pinal,Humana Inc.,Humana Gold Plus H0028-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Coconino,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Rockingham,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,4,0,Completed,06/25/2018 20:32,Local PPO
NY,Cayuga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NH,Merrimack,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NH,Rockingham,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Swisher,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Morgan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Lyman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Lincoln,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Orange,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Coamo,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
KY,Warren,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Salt Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Augusta,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Powell,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
GA,Cobb,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
TX,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Oswego,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
LA,LaSalle,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Schuyler,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
OH,Ottawa,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CA,Santa Clara,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,2,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Muskingum,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Sullivan,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Franklin,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,16,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Union,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,Gaston,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Madison,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Travis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Travis,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Montgomery,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Cass,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
SC,Fairfield,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
NY,Richmond,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,18,0,Completed,07/27/2018 15:56,HMO/HMOPOS
MI,Leelanau,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OH,Delaware,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
PR,Cayey,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
KY,Ohio,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Nueces,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Berrien,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CA,Sutter,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Gwinnett,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Fillmore,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,McKinley,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
UT,Piute,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Rock Island,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,San Lorenzo,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Audrain,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Decatur,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Geauga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,McNairy,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
IA,Louisa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Crawford,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,Winnebago,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Rockdale,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Howard,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
KY,Todd,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
UT,Davis,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Salinas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
KS,Wyandotte,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Garland,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Liberty,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Washington,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Logan,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
OH,Medina,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Tioga,Humana Inc.,Humana Gold Plus H6622-052 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Florida,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Manati,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Santa Isabel,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,DeKalb,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
TX,Live Oak,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Spencer,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
MI,Clare,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
FL,Hillsborough,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,East Carroll,"Vantage Holdings, Inc.",AAA9 Vantage 100 (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,22,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Venango,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Houghton,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MO,Barton,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OK,Canadian,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Brunswick,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
TX,Harris,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8197,1,0,Completed,07/26/2018 20:55,Medicare-Medicaid Plan HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
OH,Mercer,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Litchfield,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
MD,Calvert,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
PA,Lancaster,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,17,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Runnels,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Chambers,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Comerio,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Chester,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Hickman,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
MN,Rice,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Clayton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Kings,Personal Touch Holding Corp.,Integra Synergy Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,2,0,Completed,09/11/2018 14:34,HMO/HMOPOS
CO,Douglas,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
OH,Lorain,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
PR,Ciales,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Greenwood,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Larimer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Bergen,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Montgomery,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Prince William,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Warren,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Cidra,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MN,Lake,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
GA,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
IA,Davis,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Stanislaus,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Fresno,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,87,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Polk,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Dade,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Northampton,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
GA,Bryan,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Morgan,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,12,1,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
IN,Ohio,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,124,0,Completed,07/24/2018 13:42,PFFS
GA,Echols,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
WI,Waushara,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Koochiching,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Morgan,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Tucker,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Fayette,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IA,Dallas,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Aguada,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Powder River,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Calloway,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TN,Wayne,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
SC,York,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
PA,Lackawanna,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Rensselaer,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Wayne,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MN,Todd,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
NM,San Miguel,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
IA,Winnebago,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CO,Douglas,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MI,Antrim,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
OR,Jefferson,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
KS,Bourbon,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
TX,Grimes,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OH,Mahoning,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
PA,Lebanon,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Patrick,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
IA,Webster,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
TX,Scurry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Buffalo,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Fergus,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Crittenden,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
CA,San Joaquin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,177,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lebanon,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,Vermilion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Muskogee,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Williams,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Miami,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
GA,Butts,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
AR,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Austin,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Chenango,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
GA,Bulloch,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
NJ,Camden,Humana Inc.,Humana Value Plus H5216-186 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,186,0,Completed,07/24/2018 13:42,Local PPO
AR,Newton,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SC,Pickens,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
GA,Baldwin,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OK,Rogers,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
AL,Jefferson,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
OH,Stark,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
KS,Cowley,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Walker,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KS,Cowley,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OH,Noble,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
AR,Sharp,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Le Sueur,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Coweta,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Guayama,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Fallon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
AL,Lamar,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,216,0,Completed,07/17/2018 11:44,Local PPO
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MI,Hillsdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Douglas,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,1,0,Completed,07/19/2018 0:49,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NE,Gage,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
IA,Hardin,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Stokes,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Crawford,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
PA,Berks,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
IN,Madison,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Mason,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Premium - LI (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,22,0,Completed,07/27/2018 15:56,HMO/HMOPOS
TX,Zavala,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Cabell,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Monongalia,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NE,Holt,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Wright,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TN,Obion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,McNairy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Orleans,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
FL,Santa Rosa,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,143,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Chenango,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NY,Erie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
VA,Norfolk City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Roanoke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Wapello,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Livingston,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
PA,Crawford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Lancaster,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,10,0,Completed,07/25/2018 15:07,HMO/HMOPOS
MN,Clay,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Twiggs,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Colbert,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Hot Spring,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Dallas,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Platte,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Perry,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Clay,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Osceola,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MN,Le Sueur,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Bronx,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Cowlitz,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NC,Richmond,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Mercer,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
VA,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Henry,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Cambria,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
WV,Summers,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1537,4,0,Completed,07/26/2018 11:48,Local PPO
VA,Norton City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Cowlitz,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
CA,Riverside,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Lewis,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Forest,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Coosa,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Jefferson,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
CO,Denver,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Hawkins,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Stanly,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro Plus (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,7,0,Completed,06/25/2018 20:32,Local PPO
NC,Gaston,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Wadena,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
AL,Baldwin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,8,0,Completed,07/16/2018 13:15,HMO/HMOPOS
WI,Waupaca,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,El Paso,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,18,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Bucks,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Santa Rosa,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Indian River,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Barceloneta,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
MI,Branch,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
WV,Taylor,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
GA,Coweta,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
WV,Harrison,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Halifax,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Monroe,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Washington,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
PA,Centre,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
OH,Lucas,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,11,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WI,Waupaca,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
AZ,Pinal,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
GA,Wilcox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
FL,Holmes,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Juana Diaz,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NY,Schoharie,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3342,19,0,Completed,07/23/2018 14:30,Local PPO
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Morgan,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Wyoming,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Douglas,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Le Sueur,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MI,Leelanau,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
VA,New Kent,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Prince George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
TX,Tarrant,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Ciales,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guayanilla,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Harris,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8786,1,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
NY,Bronx,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Kings,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,15,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Cass,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
VA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Cherokee,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Adams,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,James City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Vermilion,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Coos,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
PA,Cambria,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Cotton,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Pushmataha,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,Lane,PacificSource Health Plans,PacificSource Medicare Essentials Rx 36 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,36,0,Completed,07/06/2018 16:48,HMO/HMOPOS
SC,Dillon,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Walton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Cleburne,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Salem City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
PA,Clearfield,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
DE,Sussex,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,104,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MI,Midland,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Erie,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
GA,Franklin,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
KS,McPherson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Greenlee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Burnet,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Butler,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WV,Webster,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NY,Nassau,Personal Touch Holding Corp.,Integra Synergy Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,6,0,Completed,09/11/2018 14:34,HMO/HMOPOS
OH,Wayne,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Richland,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
NY,Erie,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Marquette,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
TN,Campbell,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hamblen,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Obion,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Franklin,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,Livingston,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
GA,Marion,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Poquoson City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
WV,Morgan,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
WV,Ohio,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
ME,Knox,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
IA,Clayton,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KS,Sedgwick,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,DeKalb,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MN,Marshall,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KS,Cherokee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Galveston,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Atascosa,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
VA,Culpeper,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Oneida,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,6,0,Completed,06/26/2018 15:07,Local PPO
VA,Bland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NY,Erie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Essex,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Morgan,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
TN,Meigs,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Anderson,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
FL,Broward,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
GA,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
TX,Travis,Imperial Health Plan of California,Imperial Insurance Company of Texas Value HMO SNP (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NC,Pitt,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Naguabo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Rawlins,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Carter,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
GA,Oglethorpe,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
TN,Putnam,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Loiza,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guanica,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Clinch,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TX,Brazoria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Grady,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
ID,Canyon,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
KY,Letcher,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
OK,Pittsburg,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SC,Allendale,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
IN,Switzerland,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
WV,Nicholas,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
OH,Van Wert,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
MO,Montgomery,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Burnet,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Parker,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Dearborn,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
TX,Van Zandt,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
AR,Prairie,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
VA,Hopewell City,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
GA,Treutlen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Ulster,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
WI,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
PA,Lehigh,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,29,0,Completed,07/26/2018 11:48,Local PPO
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Koochiching,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
GA,Taylor,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Polk,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ME,Cumberland,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Manassas City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Martin,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Merrimack,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Gain Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,9,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OH,Holmes,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Cleveland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Halifax,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
WA,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Blount,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Okmulgee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Paulding,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
AR,Baxter,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Bonner,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,1,0,Completed,07/13/2018 13:55,Local PPO
NY,Genesee,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NC,Anson,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Manassas City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IL,Cook,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oneida,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
NM,Sandoval,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,1,0,Completed,07/17/2018 11:44,Local PPO
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Anderson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Washington,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
CA,Los Angeles,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,61,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
WV,Mercer,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
KS,Smith,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
IN,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
MD,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
MN,Cook,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pierce,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Warren,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Macon,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Grant,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Arroyo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,4,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kane,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/24/2018 13:42,Medicare-Medicaid Plan HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
NY,Westchester,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
NY,Saratoga,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Pope,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TX,Collin,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. John the Baptist,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Niagara,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
OH,Highland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Steuben,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Cortland,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Loudon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9047,43,0,Completed,07/03/2018 11:07,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,72,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Quebradillas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan smartHMO (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,13,0,Completed,07/26/2018 15:08,HMO/HMOPOS
GA,DeKalb,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,4,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Oconee,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Worth,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Coffey,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Marathon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
SC,Laurens,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Moody,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Yankton,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Claiborne,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,DeKalb,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Pendleton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Haywood,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Wood,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
AL,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Lake,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lamar,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Wayne,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
PA,Butler,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
GA,Tift,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NY,Cayuga,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
GA,Irwin,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NY,Schenectady,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PA,Philadelphia,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Coamo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rincon,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MO,Lincoln,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Stephens,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Richmond,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
OR,Wheeler,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
LA,St. Bernard,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
IA,Linn,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cannon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Crockett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Plaquemines,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Plus H1036-140 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,140,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Yadkin,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Kane,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,Stone,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,York,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
AR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,Trujillo Alto,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
OH,Clark,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
ME,Penobscot,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
GA,Effingham,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Wayne,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
MA,Worcester,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Johnson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Walker,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,De Witt,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
MS,Jones,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Washington,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Grant,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Jayuya,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,San Francisco,Chinese Hospital Association,CCHP Senior Select Program (HMO SNP),Y,N,Y,N,N,,,,,,,H0571,5,0,Completed,07/19/2018 17:24,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Iberville,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
IL,Jo Daviess,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
IL,Vermilion,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
OK,Johnston,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
CO,Bent,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
OH,Columbiana,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Boise,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Bernard,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
OH,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,6,0,Completed,07/26/2018 11:48,Local PPO
VA,Alleghany,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Bristol,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,122,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Advantra Southeast Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Claiborne,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Hall,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Arapahoe,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
FL,Sarasota,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
AL,Montgomery,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
CO,Delta,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Marshall,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
TX,Dallas,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Barry,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,4,Completed,07/26/2018 15:53,Local PPO
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Darke,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Delaware,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,13,Completed,07/27/2018 9:47,Local PPO
TX,Liberty,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Bailey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Haskell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Beaufort,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,Hancock,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
GA,Houston,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Howell,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Morovis,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Denver,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Northampton,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
WI,Lafayette,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
KY,Lyon,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
OH,Harrison,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Preble,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
FL,Walton,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,143,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Portage,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
WI,Sheboygan,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
MN,Becker,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
IN,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Gilliam,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
OR,Josephine,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Columbia,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
MI,Chippewa,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Shiawassee,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Muskegon,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Jackson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
OH,Pickaway,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
WV,Mingo,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
NM,Luna,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Arenac,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
MI,Washtenaw,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
OH,Fayette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Champaign,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clermont,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Payette,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Montour,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
PA,Sullivan,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,13,Completed,07/27/2018 9:47,Local PPO
AZ,Pinal,Humana Inc.,Humana Gold Plus H2463-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2463,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Matagorda,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
KS,Douglas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Lafayette,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Humacao,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Goochland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ponce,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
IN,Warren,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
OH,Marion,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
NJ,Monmouth,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
LA,Livingston,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Washtenaw,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,8,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,23,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Lee,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Ritchie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
MI,Ionia,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Dauphin,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,9,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Covington,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
TX,Jefferson,Humana Inc.,Humana Gold Plus H0028-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,42,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Roane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MS,Holmes,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IA,Harrison,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Spencer,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
MO,Warren,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
AR,Dallas,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
NC,Graham,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
KY,Barren,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
FL,St. Johns,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Villalba,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Hamilton,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WV,Grant,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Norfolk City,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
WV,Raleigh,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
TX,Blanco,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Corozal,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PA,Wayne,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Polk,ATRIO Health Plans,ATRIO Gold Rx (Willamette) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7006,1,0,Completed,07/28/2018 12:06,Local PPO
CA,Tulare,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Gallia,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Hampshire,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,5,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Owen,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
IN,Clinton,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
NC,Cumberland,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Franklin,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Trumbull,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
AR,Pike,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Kings,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
PR,Camuy,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maricao,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
NJ,Union,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
TN,Lawrence,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Liberty,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Itasca,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
IL,Calhoun,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
WV,Mason,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
MO,St. Clair,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
NE,Lancaster,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
NH,Hillsborough,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Tarrant,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,1,0,Completed,06/11/2018 23:54,Local PPO
NC,Buncombe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Rockbridge,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SD,Brule,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MD,Baltimore City,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
PR,Corozal,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Bayamon,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Warren,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
NJ,Hudson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Utah,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,7,0,Completed,07/13/2018 13:55,Local PPO
IL,DuPage,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Charlevoix,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Hocking,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
NY,New York,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,19,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Harrisonburg City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Suffolk City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Blackford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Juan,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,55,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cambria,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,10,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MI,Antrim,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
DE,New Castle,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Fulton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MI,Kalkaska,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
AR,Sebastian,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
TX,Lynn,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Monroe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Turner,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Dauphin,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
MO,Christian,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Warren,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NJ,Union,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MO,Bollinger,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Chautauqua,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TX,Hood,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IA,Linn,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MI,Calhoun,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MI,Huron,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
OH,Columbiana,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Rich,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Henry,The Carle Foundation,Reid Health Alliance Medicare POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,22,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Henry,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
WA,Pierce,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
NC,Halifax,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OR,Coos,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,26,1,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Peach,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NE,Madison,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Collin,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,1,0,Completed,06/11/2018 23:54,Local PPO
OH,Columbiana,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Pine,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
NE,Cedar,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
ND,Steele,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hanson,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
FL,Hernando,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Kenton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,St. Louis,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
WA,Whatcom,Premera,Premera Blue Cross Medicare Advantage Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,6,0,Completed,07/17/2018 16:12,HMO/HMOPOS
MN,Brown,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
AR,Sharp,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IN,Fountain,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WA,Pierce,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Milam,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Bedford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Union,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Juana Diaz,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Chatham,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Warren,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
ME,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
NY,Columbia,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NH,Rockingham,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Marion,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,247,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Anson,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
IN,Hendricks,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Clay,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
PA,Northumberland,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Shelby,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Tioga,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NY,Cayuga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
OR,Lane,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
MO,Audrain,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Howard,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
GA,Barrow,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Russell,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
TN,Robertson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Coffee,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Gibson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Cass,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Nassau,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
WA,King,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
NY,Herkimer,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Haywood,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Isabela,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Tarrant,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
KY,Meade,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
GA,Lincoln,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Clark,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Anasco,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TN,Humphreys,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
GA,Gordon,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MO,Oregon,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Scott,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
FL,Walton,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
IA,Monroe,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Oconee,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Walton,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Union,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WV,Putnam,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
VA,Northumberland,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
AL,Choctaw,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MI,Oscoda,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
OH,Defiance,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
KY,Fayette,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
OK,Hughes,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Clay,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Washtenaw,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NH,Strafford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,5,0,Completed,06/18/2018 13:49,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MO,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Hancock,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Swift,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Erie,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
SC,Bamberg,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
SC,Calhoun,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AR,Dallas,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Suffolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Tazewell,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Park,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Somerset,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MT,Sanders,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Geauga,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3251,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CO,Arapahoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Alachua,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,189,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ME,Knox,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Somerset,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Perry,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Schuylkill,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Juniata,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
TX,Ector,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Lake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MN,Pennington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Redwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
IA,Marion,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Madison,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Orange,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,247,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Mecklenburg,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
PA,Fayette,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Polk,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
GA,Chattahoochee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Erie,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
NC,Brunswick,Humana Inc.,HumanaChoice H5525-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,34,0,Completed,07/24/2018 13:42,Local PPO
MS,Pike,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Forrest,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Scott,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Clay,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Harrison,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Stanton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,San Jacinto,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
SC,Kershaw,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,251,0,Completed,07/17/2018 11:44,Local PPO
OH,Warren,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,87,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MA,Hampshire,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
AR,Grant,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Kanabec,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WV,Morgan,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MS,Leake,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
AR,Scott,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Dade,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Dooly,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Uvalde,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TN,Sequatchie,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
CA,San Bernardino,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H9104,6,0,Completed,07/16/2018 13:40,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Lac qui Parle,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,72,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
TX,Denton,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
IN,Wells,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MS,Forrest,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Kandiyohi,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Polk,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Otter Tail,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
AZ,Pinal,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
PA,Mifflin,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
FL,Hernando,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Geauga,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
PA,Bucks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Santa Fe,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
FL,Sumter,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
TX,Denton,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,2,0,Completed,06/20/2018 12:01,Local PPO
GA,Cherokee,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Smith,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,St. Lawrence,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IN,Wells,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
TX,Tarrant,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
PR,San Sebastian,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Fairfield,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
OH,Madison,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
TX,Midland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
GA,Schley,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NJ,Salem,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
OH,Hancock,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Wayne,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
IN,Blackford,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
OH,Clermont,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
GA,Cherokee,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
NC,Davidson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Ramsey,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
VA,Hampton City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
OH,Washington,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
FL,Manatee,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
MI,Allegan,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
PA,Greene,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
IL,Logan,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
IA,Wapello,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Wheeler,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,39,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Schuyler,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,Niagara,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
AL,Walker,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Fresno,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,52,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Callaway,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Morrison,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Logan,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Cooke,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TN,Grundy,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
TX,Cooke,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Telfair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Wilson,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WI,Dodge,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SD,Stanley,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Nelson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,McNairy,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Hickman,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Burnett,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Eaton,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Morehouse,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Gilmer,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Clarion,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Venango,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Quitman,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NJ,Camden,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Sabana Grande,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Fort Bend,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,482,482,241,241,H7115,1,0,Completed,07/26/2018 9:38,HMO/HMOPOS
MA,Bristol,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
NY,Saratoga,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
SC,Spartanburg,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
MN,Rock,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Louis City,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Wright,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Dallas,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Louis,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
OH,Wyandot,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
AL,Randolph,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
GA,Fayette,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Matagorda,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Coleman,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
CO,Grand,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Ray,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chenango,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
IA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Miller,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Cleburne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Pinellas,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
IA,Mitchell,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,42,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TX,El Paso,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Sequatchie,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Austin,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sevier,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Morgan,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Nacogdoches,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Atascosa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Clayton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Manati,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Jefferson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
NC,Wake,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,183,0,Completed,07/17/2018 11:44,Local PPO
PA,Lawrence,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
GA,Pike,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
GA,Barrow,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Jones,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
IL,Winnebago,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
UT,Davis,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,246,0,Completed,07/17/2018 11:44,Local PPO
PR,Comerio,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TX,Waller,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Falls Church City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Lincoln,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
GA,Irwin,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,Leflore,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
ME,Cumberland,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
MN,Washington,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WV,Gilmer,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
SD,Deuel,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
SD,Marshall,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SC,Allendale,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
AL,Covington,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
TN,Sevier,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KY,Oldham,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Winona,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KS,Sedgwick,Aetna Inc.,Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Brevard,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NC,Cherokee,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Henry,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Las Marias,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,King,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
MO,Lewis,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,35,0,Completed,07/17/2018 11:44,Local PPO
IA,Jasper,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
OH,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Meriwether,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Lake,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
OK,Kiowa,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,Lafayette,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Wilkes,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,72,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chenango,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MI,Dickinson,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
IL,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,16,0,Completed,07/26/2018 11:48,Local PPO
NM,Santa Fe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,49,0,Completed,07/26/2018 11:48,Local PPO
SD,Custer,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Griggs,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Adams,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Cass,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
NY,New York,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
PR,Sabana Grande,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CA,San Diego,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Jackson,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NC,Cabarrus,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Jefferson,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Waukesha,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
TX,Cameron,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Ontonagon,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
VA,Norfolk City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Armstrong,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
SD,Meade,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Webster,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Lamar,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Twiggs,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,Brown,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TX,Hutchinson,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
OH,Hardin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SC,Barnwell,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
OH,Madison,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,1,Completed,07/16/2018 9:33,HMO/HMOPOS
WA,Snohomish,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,127,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New London,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
MI,Huron,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Charlevoix,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
IN,Brown,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
CA,Kings,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,38,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,DeKalb,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,12,Completed,07/27/2018 9:47,Local PPO
KS,Republic,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Sumner,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Young,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
WY,Goshen,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Saratoga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Huntington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Preble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OK,Kingfisher,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Richmond,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
NC,Chatham,Humana Inc.,HumanaChoice H5525-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,32,0,Completed,07/24/2018 13:42,Local PPO
OH,Jefferson,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Saline,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Crockett,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Wilson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NY,Niagara,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,215,0,Completed,07/17/2018 11:44,Local PPO
TX,Potter,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
IN,Brown,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,Santa Rosa,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Jefferson Davis,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Charles,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Patillas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
PR,Guayanilla,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Fayette,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,Louisa,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Warren,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
MN,Faribault,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
SD,Brookings,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hancock,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Rhea,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Alpena,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Luce,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
IL,Gallatin,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
CA,Placer,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OR,Marion,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,2,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Putnam,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Washington,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Litchfield,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,21,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Edgar,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Bonneville,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Box Elder,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,15,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Irion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Rush,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
UT,Sanpete,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Adams,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Frederick,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Pike,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Barton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Madison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Adams,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Porter,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Fountain,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Cuyahoga,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Susquehanna,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Hennepin,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lincoln,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Morrison,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
SC,Chesterfield,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
MI,Eaton,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Roane,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MI,Macomb,Centene Corporation,Michigan Complete Health (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9487,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
OH,Cuyahoga,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
TX,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Butler,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Washburn,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
LA,East Baton Rouge,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
LA,Caldwell,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Tuscarawas,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MD,Howard,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,97,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Snyder,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Kanabec,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
OH,Summit,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
VA,Bedford,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MO,Boone,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
WV,Harrison,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
VA,Fredericksburg City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
OH,Delaware,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Simplete 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,24,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Beaver,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Cidra,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Juana Diaz,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Florida,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Isle of Wight,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,McNairy,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Benton,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
MN,Dodge,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Lake,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Fulton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Greene,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
VA,Radford City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Wythe,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hendricks,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Porter,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Alfalfa,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Clackamas,PacificSource Health Plans,PacificSource Medicare MyCare Rx 40 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,40,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Jessamine,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Lewis,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NY,Allegany,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
PA,Bucks,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,15,Completed,07/27/2018 9:47,HMO/HMOPOS
VA,Greene,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Canovanas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Union,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ND,Cass,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TX,Matagorda,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Menominee,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MN,Winona,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
AR,Jefferson,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
TX,Cooke,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,La Salle,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Greene,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Lincoln,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Durham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Travis,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
FL,Duval,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
MA,Suffolk,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Monongalia,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,St. Francis,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
ME,Androscoggin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6786,2,0,Completed,07/23/2018 14:30,Local PPO
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Paulding,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Morris,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
TX,Wood,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MO,Jasper,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
NC,Warren,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
KY,Daviess,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
NC,Pender,Humana Inc.,HumanaChoice H5525-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,33,0,Completed,07/24/2018 13:42,Local PPO
OH,Monroe,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
MI,Ontonagon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
TX,Waller,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hamilton,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Dallas,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Lafayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Cayuga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NV,Nye,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MT,Ravalli,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
TN,Bradley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Moore,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Highlands,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,268,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Manitowoc,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
WI,Vilas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
IN,Clinton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Hamilton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
NY,Richmond,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Snyder,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Schuylkill,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
NY,Tioga,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
IA,Hamilton,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Bartow,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Mingo,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Trego,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WV,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
RI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Jefferson,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Union,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Craig,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
TX,Tarrant,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,3,Completed,07/24/2018 19:18,HMO/HMOPOS
OR,Polk,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,3,Completed,07/24/2018 19:18,Local PPO
LA,St. Bernard,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
PR,Lajas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Greene,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
IA,Greene,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
OH,Lorain,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
PA,Wyoming,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Sullivan,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Lycoming,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Crawford,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
ME,Sagadahoc,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Madison,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Morgan,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Los Angeles,Humana Inc.,Humana Gold Plus H5619-021 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Pierce,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Braxton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
GA,Habersham,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Noble,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Chatham,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
PR,Patillas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aibonito,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Villalba,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Titus,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
GA,Gwinnett,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Knox,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
PA,Cambria,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Lake,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Preble,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
PA,Huntingdon,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
AL,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Jackson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Marion,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Archer,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,York,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
OH,Trumbull,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
MD,Frederick,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
PR,Ciales,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Polk,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
GA,Morgan,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Pike,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
AL,Macon,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
KY,Trimble,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Hocking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Codington,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
GA,Chatham,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
NC,Davie,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Scott,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MO,Phelps,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
PA,Bradford,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
MO,Ozark,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Delta,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Edwards,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OH,Jackson,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
MN,Faribault,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
MN,Rock,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Gladwin,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Putnam,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
MN,Itasca,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
SD,Haakon,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
CA,Santa Clara,Anthem Inc.,Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,601,0,301,H6229,6,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
GA,Twiggs,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Hardeman,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Elliott,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Eaton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
VA,Stafford,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
VA,Powhatan,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MT,Flathead,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Henrico,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Boone,Humana Inc.,Humana Gold Plus H0292-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,215,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,199,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marion,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NY,New York,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,McDowell,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
WV,Mineral,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
MO,Dallas,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NJ,Camden,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,41,0,Completed,07/26/2018 14:48,Local PPO
PA,Allegheny,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
AL,Tuscaloosa,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Union,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Anne Arundel,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,22,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,Prince George s,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Caroline,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,Wayne,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
LA,West Baton Rouge,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
PA,Beaver,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Socorro,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
PA,Union,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Elk,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Somerset,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Talladega,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
TX,Tarrant,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Van Buren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Helena,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Scott,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IN,Hamilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Tipton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Collier,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
IN,Madison,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Tipton,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
FL,Palm Beach,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,28,0,Completed,07/25/2018 8:35,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,601,0,301,H3237,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
PA,Venango,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Owen,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Allegany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Sequatchie,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OR,Multnomah,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
NY,Yates,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Otsego,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
IN,Jennings,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
PA,Potter,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
GA,Fannin,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NY,Rockland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,121,0,Completed,07/17/2018 11:44,Local PPO
NV,Washoe,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,201,0,Completed,07/17/2018 11:44,Local PPO
GA,Forsyth,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Cidra,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
SD,Butte,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
IA,Emmet,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
VA,Scott,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
KY,Boone,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
GA,Washington,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Steele,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
TX,Liberty,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Pope,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MI,Muskegon,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
TN,Maury,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
PA,Fayette,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Swift,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NJ,Union,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Boone,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
IN,Whitley,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Becker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
MN,Lincoln,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
AR,Benton,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Fort Bend,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
HI,Kauai,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Forsyth,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,4,0,Completed,06/25/2018 20:32,Local PPO
OH,Franklin,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
CO,Douglas,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Bartholomew,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Forest,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
FL,Hernando,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Richmond,Humana Inc.,HumanaChoice H5970-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,23,0,Completed,07/24/2018 13:42,Local PPO
TX,Dallas,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,1,0,Completed,06/11/2018 23:54,Local PPO
ME,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
WI,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Francisco,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NY,Broome,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
OH,Lucas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,56,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Houston,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NE,Boone,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ransom,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
OH,Preble,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Harrison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Hillsdale,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Medina,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Pickaway,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Franklin,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Berrien,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MO,Barry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Wayne,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Brunswick,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
IN,Perry,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IN,Vanderburgh,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Bee,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
PA,Susquehanna,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
TX,Jefferson,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
IL,Johnson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Martin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Yell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Kaufman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Northampton,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Madison,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Clarion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Armstrong,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
TX,Dallas,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7678,1,0,Completed,07/26/2018 20:42,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,McKean,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NC,Harnett,Humana Inc.,HumanaChoice H5525-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,32,0,Completed,07/24/2018 13:42,Local PPO
TN,Tipton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,San Jacinto,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hale,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
FL,Citrus,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Dade,Anthem Inc.,HealthSun MediMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Richland,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Waukesha,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Webster,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Marion,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Marin,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Monroe,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Oscoda,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,6,0,Completed,07/20/2018 11:11,Local PPO
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AL,Marengo,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Chilton,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Macon,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,DeKalb,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Wilson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Giles,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WA,Clark,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
MS,Chickasaw,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
VA,Suffolk City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Mayes,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
KY,Franklin,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
WV,Marion,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
WV,Gilmer,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
IA,Franklin,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WI,Richland,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IN,Ohio,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KY,Bath,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
IA,Buchanan,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Lincoln,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Bastrop,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Panola,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Kerr,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
TX,Montgomery,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IN,Ohio,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
VT,Chittenden,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Lares,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,St. Tammany,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
NY,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
NY,Warren,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
TN,Grainger,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cleveland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Lamoille,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Clarion,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MO,McDonald,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Ripley,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Spencer,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Cumberland,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Union,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Nassau,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2018 12:05,Medicare-Medicaid Plan HMO/HMOPOS
VA,Alexandria City,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Forest,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Hardin,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
PA,Juniata,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
AL,Baldwin,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,20,0,Completed,07/24/2018 13:42,Local PPO
MI,Ingham,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
PR,Las Piedras,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Morovis,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
VA,Portsmouth City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Arapahoe,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
PA,Philadelphia,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
VA,Covington City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Maunabo,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Adjuntas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Rincon,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cidra,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Hatillo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Hampshire,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,New York,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Benton,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
TX,Hood,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Delaware,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
MO,Dade,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
FL,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,16,0,Completed,07/26/2018 11:48,Local PPO
NC,Caswell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Hudson,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
WV,Upshur,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
MI,Schoolcraft,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
RI,Bristol,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,2,0,Completed,07/26/2018 11:48,Local PPO
IN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
ND,McHenry,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,McPherson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sargent,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
PA,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Dakota,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
OH,Fairfield,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Appomattox,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,King and Queen,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Penuelas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MN,Wadena,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
TN,Bradley,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
TN,Johnson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
NY,Dutchess,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Westchester,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NE,Adams,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
KS,Bourbon,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
WV,Logan,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
SD,Union,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
IA,Linn,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Walton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,8,0,Completed,07/26/2018 11:48,Local PPO
FL,Suwannee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,14,0,Completed,07/26/2018 11:48,Local PPO
LA,Calcasieu,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Union,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
AL,Marshall,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Ramsey,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
IL,Peoria,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,2,0,Completed,07/25/2018 16:54,HMO/HMOPOS
GA,Haralson,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
ME,Penobscot,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
AZ,Santa Cruz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Avery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Yamhill,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
VT,Chittenden,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
FL,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Jackson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Rowan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Hamilton,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Fajardo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Wilson,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Davie,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
LA,Lafourche,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
SC,Hampton,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,253,0,Completed,07/17/2018 11:44,Local PPO
NY,Chenango,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NV,Storey,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5945,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
GA,Crawford,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
VA,Shenandoah,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Oglethorpe,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
PA,Centre,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WA,Walla Walla,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IA,Sac,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Morrow,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
IA,Cedar,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Roane,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
FL,Palm Beach,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,65,0,Completed,07/24/2018 13:42,Local PPO
IA,Ringgold,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
OK,Delaware,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Barren,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
IN,Martin,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
NE,Cass,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Fulton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
ID,Kootenai,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Guayama,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
UT,Utah,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2486,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Gloucester,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Essex,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Essex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,5,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Ulster,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,198,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lake,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
OH,Delaware,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
NC,Robeson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
GA,Quitman,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
CT,New Haven,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IN,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
MN,Sibley,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
CT,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
PA,Clarion,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Forest,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,West Carroll,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
KY,Lewis,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Rockcastle,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayama,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
IA,Muscatine,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
OH,Seneca,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Stevens,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
AZ,Gila,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,1,0,Completed,07/26/2018 13:57,HMO/HMOPOS
AZ,Pinal,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,7,0,Completed,07/26/2018 13:57,HMO/HMOPOS
OH,Stark,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Elbert,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
TX,Kendall,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
NM,Santa Fe,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
KY,Fleming,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
OH,Fayette,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Darke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Anoka,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
NC,Wake,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct smartHMO (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,5,0,Completed,07/24/2018 9:02,HMO/HMOPOS
KS,Hodgeman,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Cumberland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Van Buren,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Portsmouth City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,La Porte,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Johnson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
TN,Tipton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Montgomery,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Polk,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MN,Hennepin,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Wise,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Acadia,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
WI,Jefferson,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
GA,Richmond,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Middlesex,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
WV,Marion,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Creek,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NE,Nuckolls,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,McNairy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Tipton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. James,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Putnam,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,68,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Dade,Humana Inc.,Humana Gold Plus H1036-054C (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,New Kent,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Pulaski,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Stafford,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
PA,Bradford,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lehigh,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Mifflin,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Miami-Dade,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Pierce,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
OH,Preble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,72,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Macon,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Benito,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MN,Winona,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
AL,Barbour,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tallahatchie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Saline,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Allen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NC,Catawba,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NY,Delaware,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WY,Crook,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Franklin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
LA,Tangipahoa,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Fulton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Catano,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
LA,Caldwell,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
MN,Kanabec,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
SD,Brookings,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
SD,Pennington,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
WV,Marshall,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
MI,Gladwin,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
FL,Orange,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,11,0,Completed,07/20/2018 11:11,Local PPO
PA,Cambria,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
MN,Yellow Medicine,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
PR,Toa Alta,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Ulster,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Cuyahoga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Highland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Genesee,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WI,Marquette,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
FL,Miami-Dade,"Devoted Health, Inc.",Devoted Health Prime Miami-Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,6,0,Completed,07/25/2018 11:54,HMO/HMOPOS
IN,Orange,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Baltimore City,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AZ,Cochise,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Bon Homme,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Yankton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Indiana,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Cumberland,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,52,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NC,Orange,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MI,Cass,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
VA,Prince Edward,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
NJ,Monmouth,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
MD,Howard,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bradley,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Desha,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Wise,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Ulster,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Jackson,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
CO,El Paso,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
IA,Cedar,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
NC,Franklin,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Jayuya,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lajas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MS,Hancock,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,66,0,Completed,07/24/2018 13:42,Local PPO
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Morgan,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IN,Lake,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Kitsap,Humana Inc.,Humana Gold Plus H5619-099 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,99,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Lafourche,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
SC,Greenville,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NY,Chautauqua,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
MN,Lyon,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Cottonwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
WI,Shawano,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IN,Morgan,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Gilliam,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,4,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,San Bernardino,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,1,0,Completed,07/26/2018 15:08,HMO/HMOPOS
KS,Barber,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
IL,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
ND,Stutsman,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
ND,Foster,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
GA,Heard,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,DeKalb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,McNairy,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Haywood,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WV,Wyoming,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
KS,Linn,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
SD,Yankton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
WV,Hancock,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
NE,Dakota,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
NE,Wayne,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
FL,Hendry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
OK,Canadian,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Marshall,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,1,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,5,0,Completed,07/26/2018 11:48,Local PPO
NY,Chemung,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
NC,Caldwell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Daviess,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Clarion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Wetzel,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Essex,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,8,Completed,06/22/2018 9:28,HMO/HMOPOS
GA,Camden,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Bingham,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,9,0,Completed,07/06/2018 16:48,Local PPO
KY,Graves,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
MT,Lake,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
NC,Pender,Humana Inc.,HumanaChoice H5525-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,34,0,Completed,07/24/2018 13:42,Local PPO
SC,Dillon,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Forsyth,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Baker,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,74,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Perry,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Allen,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Camden,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Toa Alta,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Sabana Grande,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MN,Todd,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
WA,Okanogan,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
ME,Sagadahoc,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Pendleton,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Marion,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Franklin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
KY,Anderson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
MN,Marshall,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
NC,Cabarrus,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
IA,Audubon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
VA,Washington,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
OH,Crawford,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
MO,Carroll,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Wood,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Ellis,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Nueces,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NM,Dona Ana,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MN,Murray,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Oxford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MN,Itasca,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Clark,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grant,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MD,Frederick,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Kewaunee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Chippewa,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
FL,Flagler,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,16,0,Completed,07/18/2018 14:47,HMO/HMOPOS
FL,Seminole,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,16,0,Completed,07/18/2018 14:47,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
GA,Clayton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Fulton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Meigs,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Marion,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,Colfax,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
IA,Poweshiek,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KY,Menifee,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
TX,Armstrong,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
OH,Williams,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
NH,Strafford,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MO,Clay,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
ND,Steele,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
VA,Fredericksburg City,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Tama,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Clay,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
IN,Ripley,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
OH,Hancock,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
OR,Crook,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
KY,Jessamine,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
KY,Edmonson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
KY,Letcher,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
MN,Redwood,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Isabella,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
PR,Bayamon,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Livingston,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Monroe,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Keweenaw,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
VA,Greene,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Tolland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
MI,Clinton,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,13,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
WI,Fond du Lac,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OR,Crook,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
PA,Bucks,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,15,Completed,07/27/2018 9:47,Local PPO
UT,Wasatch,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
FL,Polk,"Devoted Health, Inc.",Devoted Health Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,4,0,Completed,07/25/2018 11:54,HMO/HMOPOS
TX,Pecos,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Tyrrell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Monroe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Walker,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Union,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Utuado,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Perry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Allen,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Campbell,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
OH,Pike,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
PA,Northampton,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
OK,Comanche,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Carter,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Nelson,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
SC,Barnwell,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Custer,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
GA,Baker,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Sevier,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,DeKalb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Pierce,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WA,Pierce,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,11,0,Completed,07/24/2018 10:50,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Bracken,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Alcona,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
OH,Ashland,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Charles,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,McLeod,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
AR,Clay,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Lawrence,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Denver,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WI,Outagamie,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Butler,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cabo Rojo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Lake,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Franklin,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Juana Diaz,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NC,Lee,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Harrison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Wolfe,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KY,Woodford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
TN,Cocke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Davidson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Niagara,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Alleghany,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Fairfax City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
AR,Grant,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Terry,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bexar,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,26,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Columbia,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IL,Kankakee,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,153,0,Completed,07/17/2018 11:44,Local PPO
MI,Allegan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Nevada,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
AR,Saline,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Oconee,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
GA,Muscogee,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
PA,Dauphin,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
SD,Day,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
OH,Union,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Mineral,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
NJ,Morris,Humana Inc.,HumanaChoice H5216-169 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,169,0,Completed,07/24/2018 13:42,Local PPO
IN,Jennings,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
SC,Richland,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
PA,Dauphin,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
TX,Morris,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Defiance,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
GA,Peach,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Allegan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Queens,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,1,Completed,07/20/2018 13:43,HMO/HMOPOS
IA,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,10,0,Completed,07/16/2018 13:40,HMO/HMOPOS
VA,Richmond City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,2,Completed,07/24/2018 12:03,Local PPO
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Dallas,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
LA,St. Landry,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
MN,Brown,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
TX,Medina,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Manatee,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,251,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Perry,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,15,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
PA,Montour,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
WI,Lincoln,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Ozark,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Juneau,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Berks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Monterey,Montage Health,Aspire Health Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H8764,2,0,Completed,07/23/2018 13:14,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NM,San Miguel,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,Perry,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Greeley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Fountain,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Dubois,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Le Sueur,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Clarion,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Blair,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
NC,Scotland,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,Athens,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
SC,Orangeburg,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Cleveland,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Williamsburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Dolores,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Jackson,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Gloucester,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Naranjito,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Lane,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,5,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Branch,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Genesee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Maricao,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IA,Clinton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Hyde,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Elite Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,24,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Chester,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Fulton,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Tipton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Starr,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Northampton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Boone,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Mercer,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Tallapoosa,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
LA,Jefferson,Aetna Inc.,Aetna Medicare Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3239,1,0,Completed,07/18/2018 8:11,HMO/HMOPOS
OK,Haskell,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
TN,Weakley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Lafourche,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Hamilton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
NY,Clinton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Luzerne,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Nicollet,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Isanti,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Juneau,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Fayette,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Rowan,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
NC,Camden,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,Jackson,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Tuscarawas,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Belmont,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Weber,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,6,0,Completed,07/26/2018 20:21,HMO/HMOPOS
AR,Marion,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,78,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Cuyahoga,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Mecosta,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Multnomah,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,9,0,Completed,06/12/2018 10:27,Local PPO
PR,Vega Alta,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
KS,Allen,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
MO,St. Francois,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NC,Pamlico,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
KY,Clark,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
OH,Ottawa,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
CA,San Joaquin,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,9,Completed,06/22/2018 9:28,HMO/HMOPOS
ID,Elmore,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Fulton,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
NE,Otoe,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,De Kalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Delaware,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,45,0,Completed,07/16/2018 13:15,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
RI,Providence,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,10,0,Completed,07/17/2018 11:44,Local PPO
PA,Lancaster,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Allen,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Duval,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Montgomery,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Mitchell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,91,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Waupaca,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
KS,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Dubois,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,48,0,Completed,07/16/2018 13:15,HMO/HMOPOS
IN,Warrick,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Wallowa,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
FL,Pinellas,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,75,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Walker,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Laclede,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Butler,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Martin,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Washington,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
NY,Rockland,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,18,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Sullivan,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Brevard,"Health First, Inc.",Health First Value Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,6,0,Completed,07/18/2018 14:47,HMO/HMOPOS
TN,Cumberland,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Dickenson,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
MI,Barry,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Polk,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Rockdale,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
PA,Blair,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
MS,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Lares,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Scotland,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,3,0,Completed,07/26/2018 10:44,Local PPO
MO,Bollinger,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
NC,Cleveland,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
VA,James City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,2,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Giles,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
PA,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Venango,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Braxton,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Indiana,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Clearfield,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Indiana,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Hot Spring,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,121,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Coweta,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
FL,Marion,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Dade,"Athena Healthcare Holdings, LLC",SOLIS SPF 002 (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H0982,2,0,Completed,07/20/2018 18:11,HMO/HMOPOS
WV,Wirt,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
WV,Gilmer,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
WV,Putnam,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,13,0,Completed,06/15/2018 12:33,Local PPO
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Blount,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Bledsoe,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Randolph,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Morgan,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Carver,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
PA,Lycoming,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,13,Completed,07/27/2018 9:47,Local PPO
PA,Cambria,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
ME,Kennebec,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,7,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Fredericksburg City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Madison,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Aguadilla,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Comerio,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Arecibo,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Jayuya,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Clark,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IA,Keokuk,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
IA,Warren,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Pender,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
TN,Davidson,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,33,0,Completed,07/26/2018 14:48,Local PPO
PA,Perry,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
PA,Franklin,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
MI,Livingston,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,9,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,Ventura,Humana Inc.,Humana Gold Plus H5619-023 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ME,Piscataquis,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
PR,Arecibo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Wells,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,99,0,Completed,07/17/2018 11:44,Local PPO
GA,Glynn,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Jasper,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NY,Westchester,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,121,0,Completed,07/17/2018 11:44,Local PPO
GA,Laurens,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Fayette,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OR,Douglas,ATRIO Health Plans,ATRIO Bronze Rx (Umpqua) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,7,0,Completed,07/28/2018 12:06,Local PPO
OH,Seneca,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
NY,Delaware,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
IA,Muscatine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Jessamine,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,68,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,68,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Bremer,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hernando,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Anoka,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Gwinnett,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Breckinridge,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
WI,Pierce,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MI,Barry,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Ionia,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Fairfield,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Breckinridge,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Holmes,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NY,Tioga,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,Pierce,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,126,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,Wake,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Bexar,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Lake,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/24/2018 13:42,Medicare-Medicaid Plan HMO/HMOPOS
TN,Jefferson,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,Graham,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,13,0,Completed,07/26/2018 13:57,HMO/HMOPOS
GA,Pickens,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,St. Joseph,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Waupaca,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IN,Montgomery,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Jefferson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
VA,Norfolk City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
TX,Van Zandt,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
OH,Belmont,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Fayette,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Forest,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Delaware,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Cumberland,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,17,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Catawba,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Scott,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
DE,Sussex,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Little River,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Lares,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MS,Lafayette,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Jewell,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Herkimer,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Coffee,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
ME,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
TN,Sumner,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marquette,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MA,Norfolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,St. Tammany,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barranquitas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cidra,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Boone,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Scott,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jefferson,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Williamson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
MO,St. Louis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Blue Earth,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,51,0,Completed,06/26/2018 15:07,Local PPO
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
PA,Blair,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
VA,Emporia City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Pulaski,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Mesa,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MT,Stillwater,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Okmulgee,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Seneca,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lucas,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
SC,Greenville,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7165,1,0,Completed,06/21/2018 16:47,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,213,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,East Carroll,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Ceiba,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Macoupin,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
WV,Hancock,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
MO,Greene,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,East Carroll,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Northampton,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Mifflin,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Elite Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,25,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Hanover,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Brooke,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
SC,Cherokee,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Bedford,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MN,Stearns,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,Swift,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MO,Douglas,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Hickory,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Colonial Heights City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
PA,Blair,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
CA,Kern,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,53,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,Poinsett,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
MN,Mahnomen,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Putnam,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
OK,Choctaw,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
SD,Corson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jackson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
MD,Baltimore,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
TN,Montgomery,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Humphreys,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fayette,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Northumberland,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Aguas Buenas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WV,Lincoln,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
FL,Duval,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
NC,Columbus,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Scott,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
CA,San Bernardino,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Edgefield,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Shawnee,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
AL,Bullock,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
NY,Essex,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NY,Warren,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
LA,Cameron,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Moore,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Defiance,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
AL,Winston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Clay,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Washington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Marion,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Travis,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Burnet,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bexar,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Fairfax City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Saratoga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
CO,Larimer,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
IN,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Dauphin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
IA,Delaware,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,8,0,Completed,06/15/2018 10:34,1876 Cost
NC,Randolph,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Moca,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Eastland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
ME,Androscoggin,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,143,0,Completed,07/17/2018 11:44,Local PPO
MT,Daniels,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Platte,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
FL,Hillsborough,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PR,Moca,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Greene,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
IA,Kossuth,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Crow Wing,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WV,Marion,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
VA,Suffolk City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
AR,Johnson,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Hill,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Marion,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Hardin,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,Monroe,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IN,Warrick,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
MI,Branch,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,2,Completed,07/20/2018 13:43,HMO/HMOPOS
TN,Knox,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Greene,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Allendale,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Portage,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Wapello,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Ottawa,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
UT,Tooele,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,7,0,Completed,07/26/2018 20:21,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,86,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Conejos,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
PR,Cayey,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Champion (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,203,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Calhoun,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Camuy,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,San Lorenzo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
IL,Winnebago,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
IL,Peoria,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
ME,Waldo,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Huron,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
IL,Kane,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,Spencer,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
KS,Wyandotte,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Pottawattamie,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Chenango,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NC,Davie,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Fillmore,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Murray,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Pickaway,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IL,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Malheur,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
ID,Washington,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
CA,Los Angeles,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,153,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Clearfield,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Falls Church City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Lamoille,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Waupaca,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NJ,Warren,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Jackson,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
AL,Tallapoosa,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
MI,Menominee,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
SD,Dewey,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
CA,Fresno,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
NJ,Camden,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Marshall,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Clearfield,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Hughes,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,Effingham,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MS,Harrison,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Big Stone,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
LA,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,Sacramento,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,45,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Broward,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
OR,Umatilla,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
KY,Carroll,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
TN,Unicoi,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Benton,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Erie,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Indiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,York,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MA,Berkshire,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,1,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Broward,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,New York,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,12,2,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Somerset,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Jefferson,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
FL,Volusia,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MI,Osceola,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
WV,Nicholas,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Moultrie,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
AR,Saline,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Ogle,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Perry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Catano,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hickman,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Davidson,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MO,Platte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
VT,Grand Isle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MI,Oakland,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
GA,Pickens,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
CO,Arapahoe,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
GA,DeKalb,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Monroe,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Greene,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
ND,Burleigh,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
VA,Lunenburg,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Montgomery,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Ripley,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Catano,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Noble,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Monroe,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
PA,Carbon,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Newport News City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Chesapeake City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,1,Completed,07/30/2018 13:14,HMO/HMOPOS
GA,Madison,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Chattooga,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Taylor,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
IL,Gallatin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Greene,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Robeson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Susquehanna,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Fulton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Barranquitas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Dorado,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Las Piedras,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Seminole,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,20,0,Completed,07/25/2018 8:35,HMO/HMOPOS
KY,Warren,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Allegheny,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Clearfield,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Fulton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
MA,Bristol,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Adair,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Haskell,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
IL,Will,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ross,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
TN,Montgomery,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Coffee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Chicot,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Fort Bend,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,El Paso,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,35,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Lee,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Lawrence,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
KY,Trimble,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
ME,Oxford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
AR,Columbia,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Goochland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
KY,Grant,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yabucoa,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Allen,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
TN,Cannon,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Yakima,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WA,Adams,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
PA,Union,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Luzerne,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
VA,Tazewell,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Tippecanoe,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,East Feliciana,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
NY,Putnam,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TN,Lauderdale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Posey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Tippecanoe,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Lancaster,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Sumter,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Montgomery,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
NE,Colfax,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Perry,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Iowa,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NY,Queens,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,6,3,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Grayson,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Hodgeman,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,New York,"ParkerCare New York, LLC",AgeWell New York Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H4922,10,0,Completed,07/27/2018 16:18,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MA,Plymouth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
ND,Steele,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
WI,Dunn,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Bon Homme,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,Newton,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Grainger,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NE,Antelope,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TN,Knox,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Florence,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Madison,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Crittenden,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IN,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Allegheny,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
AZ,Pinal,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,5,0,Completed,07/26/2018 11:48,Local PPO
PR,Carolina,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Fajardo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Gonzales,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Cape Girardeau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,De Soto,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
MI,Allegan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
FL,Miami-Dade,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,64,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Poquoson City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
DE,Kent,Humana Inc.,Humana Gold Plus SNP-DE H6622-051 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Moca,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,5,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Collin,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
LA,Ouachita,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Spokane,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
KS,Franklin,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Pitt,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Buncombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Ascension,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lorain,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Columbia,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,Fayette,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
SC,Colleton,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Clark,Humana Inc.,Humana Gold Plus H5619-101 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,101,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Nevada,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Bristol City,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,York,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
LA,East Baton Rouge,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
TX,McLennan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Summers,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Wood,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Pottawatomie,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Crook,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,Washington,PacificSource Health Plans,PacificSource Medicare MyCare Rx 39 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,39,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,San Juan,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Summit,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Salinas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OK,McIntosh,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
FL,Washington,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
IA,Franklin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Sac,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Lauderdale,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalamazoo,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Day,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
AL,Wilcox,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
WI,Kenosha,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
GA,Turner,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Casey,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
OH,Wayne,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
TX,Bandera,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Hartford,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Gwinnett,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Sumter,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Warren,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Ontario,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,St. James,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Montgomery,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Allen,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Casey,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WA,King,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,126,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Rowan,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,19,1,Completed,07/13/2018 13:32,HMO/HMOPOS
TN,Davidson,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
WI,Burnett,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
TN,Scott,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Ingham,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AL,Fayette,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
MI,Crawford,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OH,Union,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
TX,Nueces,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
VA,Botetourt,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
CA,Solano,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Cook,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Bay,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
IL,Shelby,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Campbell,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Upshur,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Northampton,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,1,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,4,Completed,06/22/2018 9:28,HMO/HMOPOS
NC,Warren,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
PA,Juniata,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,Montour,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Paulding,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Delaware,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MD,Baltimore City,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,2,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Cocke,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cannon,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AZ,Pima,Anthem Inc.,Amerivantage CareMore Smart Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,San Patricio,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Newberry,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,1,Completed,07/24/2018 13:42,Local PPO
GA,Brantley,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Morgan,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Dade,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Glynn,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Sharkey,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
MI,Wayne,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
TN,Weakley,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
SD,Minnehaha,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Lee,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KS,Butler,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Oregon,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Shackelford,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
WA,Thurston,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
PR,Orocovis,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Stanton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OH,Lucas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TN,Trousdale,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
CO,Custer,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
WV,Fayette,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Utuado,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
FL,Miami-Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrMax (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H4140,1,0,Completed,07/25/2018 17:00,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
PR,Trujillo Alto,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Mississippi,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Lunenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CA,Santa Cruz,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Ross,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OK,Tulsa,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Grundy,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Boone,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
AL,Lawrence,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
KY,Green,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Wyoming,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
ME,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
OK,Stephens,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
ME,Hancock,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
VA,Portsmouth City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Manatee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Assumption,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Livingston,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Beauregard,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Juneau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
WI,Marinette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
ND,Sargent,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Screven,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Willacy,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Pine,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
TN,Franklin,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Washington,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
OH,Guernsey,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Gilchrist,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,8,0,Completed,07/20/2018 11:11,Local PPO
IL,Effingham,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CA,Contra Costa,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,9,0,Completed,07/27/2018 15:23,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NC,McDowell,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,7,0,Completed,07/24/2018 9:02,HMO/HMOPOS
KS,Ellsworth,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TN,Crockett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Yates,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
NC,Randolph,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Christian,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Steuben,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,22,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Oneida,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
TX,Guadalupe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,5,0,Completed,07/26/2018 11:48,Local PPO
IL,Woodford,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Prime + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,37,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Cullman,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Macon,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Colbert,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Cole,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Jefferson,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Forest,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
AR,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MS,Harrison,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MS,Rankin,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Marion,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Autauga,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
SD,Davison,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Miner,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Sibley,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
LA,Orleans,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
ME,Sagadahoc,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
WI,Waushara,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Rock Island,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
VA,Arlington,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Colonial Heights City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High DC (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2172,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AL,Limestone,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
NC,Madison,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
OH,Adams,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Crawford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
PA,Wyoming,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,12,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Brewster,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Marion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Montague,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Somervell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,McHenry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Deuel,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MO,Washington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,De Kalb,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Steuben,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Cumberland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
IA,Scott,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Beaver,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,4,0,Completed,06/20/2018 12:01,Local PPO
PA,Cambria,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NM,San Miguel,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,1,0,Completed,07/30/2018 11:21,HMO/HMOPOS
PA,Lackawanna,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
NY,St. Lawrence,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
GA,Jefferson,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
FL,Hernando,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,78,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
PR,Anasco,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Campbell,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,214,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Robertson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Patillas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
MO,Christian,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
NC,Yancey,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Rowan,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Monroe,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Lebanon,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
AL,Jefferson,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Hancock,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,Trinity,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Kanawha,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,24,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,West Feliciana,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Ottawa,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Renville,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
MN,Renville,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
IA,Cedar,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,St. Charles,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Robertson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
LA,West Feliciana,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
MS,Stone,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Benton,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Boone,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Delaware,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Marshall,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,San Diego,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
FL,Manatee,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Clinton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Wallowa,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Adams,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Franklin,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Collier,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,35,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MO,Clay,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,St. Clair,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Middlesex,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Hudson,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Marion,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Otter Tail,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Quitman,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
NY,Oneida,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Bullock,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Wilcox,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
WI,Waupaca,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CT,Tolland,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Scott,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Anoka,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Cumberland,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
PA,Cambria,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
ME,Cumberland,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Limestone,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Pittsburg,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NY,Allegany,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
ME,Waldo,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Brown,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
VA,Portsmouth City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oconto,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,8,1,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Steuben,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NC,Davidson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Henry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Barranquitas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Van Buren,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Lawrence,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
MO,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Cameron,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Sullivan,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Chippewa,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Cottonwood,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Arlington,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MT,Liberty,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
SC,Sumter,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,Larimer,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Osceola,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Roanoke City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
ME,Oxford,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Carroll,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Virginia Beach City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Caddo,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
TN,Madison,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
TX,Tarrant,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,2,0,Completed,07/25/2018 7:53,Local PPO
WV,Mineral,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OK,Haskell,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
WV,Mineral,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Transylvania,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Catahoula,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Anoka,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
SC,Dillon,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
SC,Marion,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
TX,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Tucker,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Washington,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Boone,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
AL,Dale,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Mayes,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Menifee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Washington,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
NH,Rockingham,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Danville City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,153,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sauk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Ford,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Henry,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
KS,Atchison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Ramsey,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Pike,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Alexandria City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Perry,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Wilson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
MO,Cole,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
AL,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Polk,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Anoka,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MN,Chippewa,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Elbert,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
OR,Clackamas,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Denver,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
IL,Henry,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
CT,Hartford,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MI,Saginaw,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
OR,Jackson,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,3,0,Completed,07/19/2018 0:49,HMO/HMOPOS
TX,Leon,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Gray,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MN,Rock,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Fairfax City,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,Allendale,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
GA,Crawford,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
FL,Broward,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,79,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Pulaski,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,McIntosh,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
TX,Dallas,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
FL,Bay,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,St. Lucie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Union,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Calcasieu,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
MI,Van Buren,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
IA,Benton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
MN,Itasca,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
WI,Oconto,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
CT,Tolland,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Jefferson,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Hunterdon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hamblen,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Lumpkin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
PA,Jefferson,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
KS,Sedgwick,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Chesapeake City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Emmet,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
MI,Mason,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
MI,Osceola,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
FL,Lee,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,4,0,Completed,07/20/2018 11:11,Local PPO
IL,Edgar,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Payette,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
UT,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Dorado,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IL,Kankakee,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Washington,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Allegheny,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,17,0,Completed,07/24/2018 13:42,Local PPO
UT,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,17,0,Completed,07/26/2018 11:48,Local PPO
NY,Hamilton,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
CO,Washington,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
NC,Yancey,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Fauquier,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Maricao,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Lewis and Clark,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
NY,Kings,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Palm Beach,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,216,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lewis,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
FL,Levy,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,15,0,Completed,07/26/2018 11:48,Local PPO
NC,New Hanover,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Tyrrell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
ND,Renville,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Centre,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
NY,Cattaraugus,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,Humana Inc.,HumanaChoice H5970-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,21,0,Completed,07/24/2018 13:42,Local PPO
FL,Miami-Dade,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Troup,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Racine,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Coshocton,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
NY,New York,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Waseca,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MO,St. Francois,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Martin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Attala,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Floyd,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Becker,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
MO,St. Louis City,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Portage,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
FL,Palm Beach,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Jefferson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Galveston,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Medina,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Prince George,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Roanoke,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Northampton,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aibonito,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WA,Douglas,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Brown,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
OH,Erie,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Bedford,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
PA,Perry,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
AL,Randolph,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Person,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,22,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Washington,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
NC,Union,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
AL,Clarke,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Sumter,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
NE,Madison,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Hancock,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
VA,Botetourt,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Marion,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Delaware,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
SD,Roberts,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Lake,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
CA,San Diego,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,152,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Albany,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NC,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Swain,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Buena Vista City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waushara,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Newton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NJ,Gloucester,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
AL,Covington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
NY,Kings,"ParkerCare New York, LLC",AgeWell New York Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H4922,10,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H4922,10,0,Completed,07/27/2018 16:18,HMO/HMOPOS
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MO,Christian,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MI,Wexford,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
VA,Wise,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
GA,Coweta,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Motley,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Forsyth,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Salinas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Hanover,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Loudoun,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MT,Madison,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Wayne,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TX,Crosby,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
GA,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
IA,Boone,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
NY,Orleans,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
MA,Norfolk,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,221,0,Completed,07/17/2018 11:44,Local PPO
TX,Dallas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Fulton,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
VA,James City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
CO,Alamosa,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
FL,Holmes,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
FL,Madison,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
MN,Beltrami,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MO,Saline,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NJ,Cumberland,"Clover Health Holdings, Inc.",Clover Health Choice Premier (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,32,0,Completed,07/26/2018 14:48,Local PPO
PA,Mercer,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,Allegheny,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
IN,Whitley,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Woodford,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Scott,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Clark,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Morehouse,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Dougherty,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,2,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,Summit,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NM,Torrance,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Adair,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MS,Forrest,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Madison,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
TX,Aransas,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hillsborough,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,21,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Adams,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
OR,Marion,ATRIO Health Plans,ATRIO Gold Rx (Willamette) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7006,1,0,Completed,07/28/2018 12:06,Local PPO
PA,McKean,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Fulton,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
NY,Allegany,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
VA,James City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Colonial Heights City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Lowndes,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,Duval,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
MN,Hennepin,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Franklin,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
ND,Ransom,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
VT,Bennington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Colbert,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Jefferson,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,White,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Crawford,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Manatee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Jefferson,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
VA,Henrico,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Poquoson City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
FL,Seminole,Humana Inc.,HumanaChoice Florida H7284-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Crisp,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Wyandotte,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Plymouth,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Pocahontas,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Lincoln,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Anoka,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
TX,Tarrant,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Clay,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Tulare,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
WI,Washburn,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
IL,Kane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vigo,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NC,Harnett,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lowndes,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Oklahoma,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,Johnston,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,Logan,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Boone,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Winnebago,University of Wisconsin Hospitals and Clincs Autho,SwedishAmerican Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,20,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NY,New York,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
NY,Franklin,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WI,Juneau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
OR,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
IN,Elkhart,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
WI,Ashland,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Davison,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Custer,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
GA,Chatham,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
IN,Wells,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
VT,Rutland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Bledsoe,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Hardin,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Taylor,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Woodford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Fayette,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Stone,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Travis,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
SD,Ziebach,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WI,Pierce,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
ND,Rolette,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,McCook,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
PA,Bucks,"Independence Health Group, Inc.",Personal Choice 65 Medical Only (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,7,0,Completed,07/16/2018 13:15,Local PPO
GA,Meriwether,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,44,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,Jefferson,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
FL,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Kane,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Miami,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Broward,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,5,0,Completed,07/20/2018 11:11,Local PPO
HI,Kalawao,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,7,0,Completed,07/16/2018 15:11,Local PPO
CA,Riverside,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,1,0,Completed,07/27/2018 13:58,HMO/HMOPOS
SD,Brown,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hamblen,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Kenton,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
VA,Covington City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vanderburgh,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maricao,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Lunenburg,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Powhatan,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
TX,Franklin,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Pike,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,Jasper,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Moore,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Moca,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,San Francisco,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,175,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NJ,Morris,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Salem,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Hocking,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NM,Valencia,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3822,6,0,Completed,06/20/2018 12:01,HMO/HMOPOS
OK,Seminole,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
WI,Dodge,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Citrus,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,15,0,Completed,07/26/2018 11:48,Local PPO
KY,Rockcastle,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
PA,Blair,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
PA,Fulton,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
IN,Tipton,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marion,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
WI,Jefferson,Humana Inc.,HumanaChoice H5216-168 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,168,0,Completed,07/24/2018 13:42,Local PPO
GA,Wilkinson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Grundy,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
FL,Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrPlus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,2,0,Completed,07/25/2018 17:00,HMO/HMOPOS
AR,Logan,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Yell,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,St. Lucie,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Chesapeake City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Rincon,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Clackamas,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
IL,De Witt,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
WV,Greenbrier,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OK,Pawnee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IA,Buena Vista,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
KS,Doniphan,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,36,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Lucie,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,17,0,Completed,07/26/2018 11:48,Local PPO
NC,Cumberland,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WA,Island,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
OK,Canadian,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Craig,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Douglas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Harvey,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Gratiot,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NY,New York,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,1,0,Completed,07/20/2018 15:07,Local PPO
TN,Fentress,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Rhea,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Yuma,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Nez Perce,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,2,0,Completed,07/13/2018 13:55,Local PPO
FL,Glades,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,249,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Alachua,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Noble,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Kewaunee,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
IN,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Allen,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Duval,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
LA,Ascension,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Brown,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
PR,Morovis,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Indiana,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Adams,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
UT,Salt Lake,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,7,0,Completed,07/13/2018 13:55,Local PPO
TN,Grainger,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Willacy,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Oakland,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MO,Vernon,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
TX,Bosque,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Taliaferro,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
PA,Lackawanna,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
IL,Boone,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IA,Calhoun,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
VA,Roanoke,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Okaloosa,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Ada,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
FL,Broward,Anthem Inc.,HealthSun HealthAdvantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,St. John the Baptist,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Oldham,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vieques,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MN,Carver,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Scott,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
MN,Cook,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,7,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Craighead,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,St. Charles,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Ionia,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
NY,Bronx,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CT,Litchfield,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bucks,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,15,Completed,07/27/2018 9:47,Local PPO
AR,Pulaski,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,2,Completed,07/16/2018 15:07,HMO/HMOPOS
ND,Renville,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Caswell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Craighead,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Daviess,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Warrick,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Grainger,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Lincoln,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
GA,Jones,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MN,Hennepin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
NY,Wayne,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
WV,Preston,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Worcester,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,40,0,Completed,07/16/2018 9:33,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Mason,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Oceana,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
MO,Reynolds,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NC,Forsyth,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
HI,Hawaii,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Kimble,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Richland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Sevier,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Wright,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,San Diego,SCAN Health Plan,Scripps Signature offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,4,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WI,La Crosse,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Twin Falls,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
ID,Bannock,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
MO,Taney,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MO,Laclede,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Erie,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Jefferson,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
SC,Pickens,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,93,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Grand,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Passaic,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Mercer,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
SC,McCormick,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Kalkaska,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Johnson,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
TN,Monroe,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IA,Harrison,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
SD,Minnehaha,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
KS,Cherokee,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
PA,Adams,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Sullivan,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
SC,Horry,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Union,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Cowlitz,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
SC,Aiken,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Dakota,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
KS,Nemaha,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
GA,Toombs,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WI,Columbia,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
TX,Matagorda,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Tillman,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
ID,Ada,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NY,Cayuga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NY,Genesee,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
OK,Pottawatomie,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Washington,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WI,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Floyd,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
SD,Harding,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Barnes,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Kingsbury,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Crawford,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Jones,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TX,Cameron,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,West Feliciana,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Orocovis,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Logan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
KY,Grayson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Hillsdale,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Hillsdale,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rutherford,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
VA,Alexandria City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
MN,Becker,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Alexander,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Clarke,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Forsyth,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Kings,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,1,0,Completed,07/25/2018 11:36,HMO/HMOPOS
NY,Chenango,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Oneida,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,McKean,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,McMinn,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Leelanau,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
WA,Lewis,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
TN,Hawkins,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,White,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Jersey,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
AR,Garland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Hudson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Oconee,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Webster,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
KS,Wyandotte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
IN,Ohio,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
SD,Grant,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sioux,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Gregory,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0270,1,0,Completed,07/20/2018 11:11,Local PPO
VT,Chittenden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Ogemaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Kalamazoo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
ME,Waldo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
FL,Broward,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Licking,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Spotsylvania,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Macomb,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,5,Completed,07/24/2018 14:36,HMO/HMOPOS
ID,Cassia,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
OR,Wasco,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Gadsden,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
OK,Wagoner,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
KS,Allen,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MO,Cedar,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
AR,Pulaski,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
NC,Rutherford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Transylvania,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Mifflin,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
SC,Greenville,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Ritchie,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
IL,Lake,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H9590,1,0,Completed,07/27/2018 12:44,HMO/HMOPOS
OK,Pawnee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Tulsa,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Douglas,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
ME,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
CO,La Plata,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
PA,Berks,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Mohave,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Harney,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
IL,Menard,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IA,Guthrie,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Macon,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NY,Kings,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,2,0,Completed,06/07/2018 11:28,HMO/HMOPOS
AR,Jefferson,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Howard,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
MI,Wayne,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
OH,Guernsey,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,11,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Jefferson,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Lincoln,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Monroe,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
NE,Webster,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MO,Jackson,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Laclede,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Charles,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Hanover,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IL,Kane,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Fulton,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NC,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Marshall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Westchester,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
NY,Chemung,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
PA,Chester,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Schuylkill,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Allamakee,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Morris,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Maricao,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Broward,"Athena Healthcare Holdings, LLC",SOLIS SPF 007 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,7,0,Completed,07/20/2018 18:11,HMO/HMOPOS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Dubois,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
IN,Putnam,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NC,Halifax,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
VA,Bedford,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
VA,Halifax,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Cotton,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Sarpy,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Grant,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Ramsey,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
TX,Rockwall,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Adams,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,2,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Outagamie,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
CA,Orange,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,1,0,Completed,07/03/2018 15:53,HMO/HMOPOS
IN,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Randolph,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Lewis,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
WI,Manitowoc,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,Cumberland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Fairfax City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Durham,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Jasper,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Polk,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Dallas,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Muscatine,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Hernando,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Wood,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
IN,Cass,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
SD,McCook,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Sanborn,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
VT,Grand Isle,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Dunn,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Polk,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Waushara,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MD,Somerset,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Cumberland,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Florida,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,St. Clair,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
MI,Eaton,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
MO,Greene,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
TX,Wood,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Perry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Blair,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Columbia,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Blair,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Montgomery,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,42,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Kings,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,2,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
LA,Red River,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,7,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Pushmataha,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
NY,New York,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,2,0,Completed,07/20/2018 15:07,Local PPO
GA,Richmond,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Darke,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Brown,SSM Healthcare Corporation,Prevea360 Medicare Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,7,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TN,Macon,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Dallas,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
NC,Cabarrus,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NY,Wyoming,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Adjuntas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,La Salle,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
GA,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MA,Suffolk,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,159,0,Completed,07/17/2018 11:44,Local PPO
TX,Montgomery,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
MI,Oakland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
GA,Treutlen,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
MI,Oakland,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Mahoning,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
GA,Meriwether,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,Union,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MS,Attala,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
TX,Potter,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Pendleton,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Scott,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
GA,Harris,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Marion,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Chambers,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NC,Orange,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Montgomery,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,Kiowa,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
MN,Blue Earth,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
FL,Dade,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
MO,Stone,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Rhea,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Sacramento,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,84,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Clermont,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
FL,Highlands,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,230,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Baker,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Page,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Pine,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Fairfield,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Knox,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Owen,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,San Diego,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,172,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Ontario,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Webster,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
KS,Coffey,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KY,Perry,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
IL,Kane,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0281,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
AL,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Warren,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Madison,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Bedford,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Delta,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
NC,Iredell,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
LA,Livingston,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
NY,Onondaga,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Newton,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MO,Lafayette,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Webster,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Deuel,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Tunica,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
NM,Colfax,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
SD,Clay,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ME,Oxford,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
IA,Allamakee,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MS,Copiah,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
PA,Butler,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
TN,Humphreys,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Smith,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Gloucester,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NV,Clark,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,94,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
NY,Genesee,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AL,Shelby,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
NJ,Somerset,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
VA,Spotsylvania,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
IL,Monroe,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
OH,Union,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
GA,Dougherty,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MN,Lincoln,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Logan,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MI,Marquette,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Meade,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
IN,Union,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
OR,Crook,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IN,Starke,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
MN,Lake of the Woods,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Jefferson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Navarro,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Shelby,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NE,Dodge,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Daviess,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
MN,Steele,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
PA,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Wayne,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Saguache,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,6,0,Completed,07/30/2018 13:44,1876 Cost
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Bienville,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Plaquemines,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Fairfield,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Carlisle,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Grundy,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Washington,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Itasca,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Bledsoe,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Franklin,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
MI,Clinton,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Lawrence,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,39,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Adams,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Nelson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Vermilion,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Langlade,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Columbia,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,8,0,Completed,07/20/2018 11:11,Local PPO
IL,Ford,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Franklin,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,16,Completed,07/27/2018 9:47,Local PPO
PA,Clearfield,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
PR,Salinas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IA,Osceola,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Hillsborough,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,11,0,Completed,07/26/2018 11:48,Local PPO
NY,Chautauqua,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NY,Tioga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Stearns,Medica Holding Company,Medica Advantage Solution H8889-002 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,2,0,Completed,07/18/2018 10:13,Local PPO
MN,Le Sueur,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,McKinley,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
IN,Wells,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,2,0,Completed,07/24/2018 19:18,Local PPO
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
TN,Rutherford,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Roane,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Washington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Utuado,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Arroyo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Shelby,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
AZ,Pinal,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,129,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Greene,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Henry,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,Edgefield,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Colonial Heights City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
WA,Walla Walla,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
MI,Jackson,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Manistee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Wayne,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,6,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MS,Washington,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
VA,Wise,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
OK,Craig,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
NM,Bernalillo,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
NJ,Burlington,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MT,Rosebud,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Alta,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Canovanas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,214,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Quebradillas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Cumberland,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
KS,Anderson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
IA,Buchanan,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
FL,Seminole,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,10,0,Completed,07/26/2018 11:48,Local PPO
NJ,Bergen,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
MI,Monroe,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Snyder,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Washington,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
OH,Auglaize,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,Lewis,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
NY,Cattaraugus,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
WI,Green Lake,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Iron,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,82,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Linn,Providence Health & Services,Providence Medicare Enrich + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,45,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
SD,Campbell,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Bowman,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Moody,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Yellow Medicine,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. Bernard,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Carver,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
OH,Preble,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Licking,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Warren,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Glades,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,7,0,Completed,07/20/2018 11:11,Local PPO
NM,Lincoln,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Wayne,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,12,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Shawnee,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Rockland,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
ND,McIntosh,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
GA,DeKalb,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Bleckley,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NH,Strafford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Smith,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Winnebago,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
MA,Bristol,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,East Feliciana,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Luquillo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Hardin,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
WA,Thurston,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,126,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lehigh,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clermont,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
MI,Manistee,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,12,0,Completed,07/20/2018 13:16,HMO/HMOPOS
MA,Plymouth,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,8,Completed,06/22/2018 9:28,HMO/HMOPOS
MN,Wabasha,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
MN,Waseca,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
TX,Bee,Humana Inc.,Humana Gold Plus H0028-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,West Baton Rouge,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Ulster,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,100,0,Completed,07/20/2018 11:11,Local PPO
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
OH,Adams,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,16,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Union,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Teller,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Suffolk,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Manatee,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Volusia,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Washington,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
OR,Washington,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,15,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Fayette,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
CA,San Bernardino,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
OK,Harper,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MI,Montcalm,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
AR,Lee,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Fayette,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
NC,Lenoir,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Converse,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Huntingdon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
MI,Hillsdale,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Delta,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
NC,Anson,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
MI,Cass,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
OK,Sequoyah,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
OH,Summit,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Belmont,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Mason,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,Harrison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Avery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Steuben,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Richmond,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,White,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Lagrange,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guayanilla,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Claiborne,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,Laclede,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Douglas,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
MN,Wadena,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
OK,Muskogee,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Letcher,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
IN,Carroll,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
NY,Oswego,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
UT,Summit,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,7,0,Completed,07/26/2018 20:21,HMO/HMOPOS
ID,Bannock,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Otero,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
NC,Transylvania,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Wythe,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Nye,Humana Inc.,Humana Gold Plus SNP-CLD H6622-030 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
HI,Maui,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5969,2,0,Completed,07/27/2018 20:10,HMO/HMOPOS
MI,Berrien,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Randolph,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
OH,Mahoning,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Watauga,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Morris,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
PA,Lebanon,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
VA,Russell,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Glacier,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Upshur,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MA,Suffolk,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,8,Completed,06/22/2018 9:28,HMO/HMOPOS
OH,Muskingum,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Harrison,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
TN,Hardeman,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ouachita,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,King,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Clinton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Marion,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
IA,Clayton,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,1,0,Completed,06/15/2018 10:34,1876 Cost
IA,Marshall,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Dorado,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Cayey,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WY,Teton,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Decatur,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MA,Norfolk,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,159,0,Completed,07/17/2018 11:44,Local PPO
LA,Avoyelles,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
CO,Denver,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
GA,Stephens,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NJ,Burlington,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
PA,Venango,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
NV,Washoe,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5945,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
GA,Worth,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
WV,Hardy,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
MI,Alcona,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
TN,Humphreys,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
MO,Bollinger,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MO,Moniteau,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MS,Yazoo,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
AR,Nevada,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
IA,Johnson,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
GA,McIntosh,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MD,Carroll,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,29,0,Completed,07/24/2018 13:42,Local PPO
FL,Collier,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
TX,Howard,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Jefferson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Hillsdale,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
OH,Stark,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
NM,Torrance,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
NY,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Kanabec,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Sibley,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Lancaster,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
AR,Lonoke,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,2,Completed,07/16/2018 15:07,HMO/HMOPOS
MN,Carver,Medica Holding Company,Medica AccessAbility Solution Enhanced (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H9952,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
VA,Staunton City,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Florida,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,White,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
VA,Botetourt,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Brown,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
KY,Boone,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
MI,Van Buren,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
IA,Harrison,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
VA,Powhatan,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
AR,Arkansas,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Brooke,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
PA,Erie,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
DE,Kent,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MA,Plymouth,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Bullitt,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lehigh,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Nicholas,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Trumbull,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Newton,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
IL,DuPage,Humana Inc.,Humana Gold Plus H1468-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Newaygo,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
MI,St. Joseph,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Benton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Gibson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Tioga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Robertson,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,Johnston,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Woodford,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
AL,Houston,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Sumter,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AR,Prairie,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
KY,Butler,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
IL,Edgar,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
IN,Scott,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
TX,Chambers,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
IL,Stephenson,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
OH,Licking,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WA,Mason,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,126,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Madison,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,Washington,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
ND,Barnes,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
MD,Baltimore City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TX,Randall,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
PA,Tioga,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Patrick,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
OH,Darke,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Polk,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Richland,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Benton,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Franklin,The Carle Foundation,Reid Health Alliance Medicare POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,22,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CA,Orange,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,7,1,Completed,07/27/2018 15:23,HMO/HMOPOS
PA,Mifflin,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,13,Completed,07/27/2018 9:47,Local PPO
OR,Multnomah,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
PA,Wyoming,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,12,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Stokes,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,McMullen,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Clay,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Sullivan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Stone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Lincoln,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Trujillo Alto,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,DeKalb,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Morgan,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vega Alta,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Ceiba,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,2,0,Completed,06/20/2018 12:01,Local PPO
WV,Wood,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Kittson,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Waseca,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Crawford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
OH,Wood,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,BlueJourney Alliance Assisted Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,20,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Woodford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,Wayne,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Orange,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
NY,Rockland,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
CA,Santa Clara,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Charles,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,5,0,Completed,07/25/2018 15:07,HMO/HMOPOS
IA,Grundy,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Madison,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Gloucester,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Richmond,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SD,Buffalo,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Mercer,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Cook,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Towner,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. Landry,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Wagoner,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
OH,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
FL,Broward,InnovaCare Inc.,MMM - EXTRA (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,3,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
VA,King and Queen,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Sullivan,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Loudon,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Anderson,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Roscommon,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Gratiot,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Osceola,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Orleans,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,16,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Montgomery,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Mason,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
KS,Butler,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
OH,Trumbull,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Woodford,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Shelby,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
AR,White,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,2,Completed,07/16/2018 15:07,HMO/HMOPOS
GA,Crisp,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
ND,Burleigh,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Gregory,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,McCook,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
IA,Worth,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
NE,Pierce,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
ND,Oliver,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WV,Marshall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
PA,Erie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Wise,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,Lauderdale,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Carter,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cattaraugus,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Linn,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
AL,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NY,Wyoming,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Cabarrus,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
LA,Union,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,230,0,Completed,07/17/2018 11:44,Local PPO
WI,Milwaukee,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
WI,Waukesha,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
GA,McDuffie,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NC,McDowell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PA,Beaver,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PA,Chester,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
UT,Weber,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,246,0,Completed,07/17/2018 11:44,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Spalding,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Red Lake,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Ida,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Montgomery,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MS,Hinds,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
TX,Walker,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Logan,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
OH,Stark,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
NE,Saunders,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
VA,Hanover,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
GA,Taylor,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Orange,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,10,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Duval,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,Mercer,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NM,Otero,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
KY,Boyd,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Dunn,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
MI,Antrim,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
PA,Northumberland,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
KS,Sedgwick,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
GA,Newton,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WV,Nicholas,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
FL,Palm Beach,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
TN,Claiborne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Charles,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Hancock,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Essex,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Warren,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
TX,Burnet,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,Kewaunee,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
IA,Tama,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,72,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Brown,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iowa,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Milwaukee,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Polk,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,Saline,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
PA,Delaware,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
NY,Queens,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,2,0,Completed,07/02/2018 16:20,HMO/HMOPOS
AR,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Las Marias,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Isabela,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
KS,Washington,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Jackson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Montgomery,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
PA,Monroe,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,Spokane,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,138,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,Spokane,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,139,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Delaware,Aetna Inc.,Advantra Southeast Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Cass,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
KS,Labette,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Allegan,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MT,McCone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Nash,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Tioga,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Big Horn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Edgar,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Will,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Bolivar,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
OH,Clinton,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Morgan,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Muskingum,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
PR,Santa Isabel,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Mayaguez,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Schley,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,Hendricks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Blount,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Tipton,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Vernon,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WA,Thurston,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,3,0,Completed,07/24/2018 10:50,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Columbiana,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NY,Schenectady,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Wayne,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Henry,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
SD,Turner,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,McMinn,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marion,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Liberty,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
IN,Johnson,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
OH,Lucas,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Jefferson,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IL,Jackson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Liberty,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Union,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Randolph,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Luquillo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Lares,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Maury,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
TN,Greene,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
NV,Lyon,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,8,0,Completed,07/24/2018 17:55,Local PPO
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Henry,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Green,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
MI,Antrim,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
MI,Grand Traverse,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
ME,Knox,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
GA,Chattahoochee,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Gwinnett,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Jackson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Osceola,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,73,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Onondaga,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Adams,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Posey,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cumberland,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
GA,Walton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Harnett,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Pickaway,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Hamilton,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
TN,Henry,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lincoln,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Madison,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Polk,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
TX,Atascosa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Seminole,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
PR,Catano,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Calloway,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
PA,Montour,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
NJ,Ocean,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
WI,Kenosha,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
SC,Anderson,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
NC,Wilson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,243,0,Completed,07/17/2018 11:44,Local PPO
PR,Dorado,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arecibo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
IN,Huntington,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,20,0,Completed,07/26/2018 11:48,Local PPO
OR,Clackamas,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,29,0,Completed,07/26/2018 11:48,Local PPO
MN,Aitkin,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
GA,Butts,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Dodge,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Venango,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Laurel,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Wolfe,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Green Lake,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Hamilton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
TX,Madison,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WA,King,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,127,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Houghton,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Stephens,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
IA,Webster,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IL,Clinton,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,Midland,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Montmorency,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,St. Clair,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MO,Henry,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,Kankakee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
VA,Mecklenburg,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
IA,Adams,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
TX,Coke,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Clinton,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
MI,Roscommon,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MI,Crawford,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
OH,Carroll,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Mercer,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Piatt,The Carle Foundation,Simplete 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,23,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,Sandoval,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
OR,Yamhill,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,La Porte,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,4,0,Completed,07/24/2018 19:18,Local PPO
TX,Chambers,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,Ochiltree,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Spink,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Le Sueur,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,McLeod,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
WV,Summers,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
VT,Rutland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Morgan,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Madison,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Fentress,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Clinton,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Beaver,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Liberty,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Washburn,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Bedford,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Stevens,Premera,Premera Blue Cross Medicare Advantage Total Health (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,5,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WI,Dodge,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WI,Marathon,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
OK,Wagoner,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
IN,Jackson,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
VA,Roanoke,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Stark,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,15,Completed,07/27/2018 9:47,Local PPO
TN,Jefferson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lawrence,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Cidra,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Middlesex,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,221,0,Completed,07/17/2018 11:44,Local PPO
TX,Rains,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
IN,Marion,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
VA,Roanoke City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
PA,McKean,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
WA,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
LA,St. Bernard,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
WI,Grant,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
CA,Santa Clara,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MA,Suffolk,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Lackawanna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Greene,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Pittsburg,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Logan,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
NM,Bernalillo,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5746,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MS,Harrison,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Leavenworth,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Yates,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
FL,Flagler,Humana Inc.,Humana Gold Plus H1036-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Brevard,Guidewell Mutual Holding Corporation,FHCP Medicare Premier Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,11,0,Completed,07/25/2018 8:35,HMO/HMOPOS
GA,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Fulton,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Nelson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cherokee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Mobile,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Riverside,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,67,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Howard,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,St. Louis City,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Ouachita,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Warren,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Loudon,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
OH,Erie,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Alexander,Humana Inc.,Humana Gold Plus H6622-057 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Broadwater,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Bryan,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
GA,Forsyth,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
OH,Fulton,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,San German,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Clinton,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
WV,Wayne,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
MO,Jefferson,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
NC,Edgecombe,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Colonial Heights City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ME,Lincoln,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Sumter,Humana Inc.,HumanaChoice Florida H7284-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Sanilac,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Grant,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Franklin,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,6,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Woods,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Wheeler,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
SC,Hampton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MS,Madison,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Grundy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lawrence,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,50,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Fayette,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Clinton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
TN,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marathon,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,74,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lane,Providence Health & Services,Providence Medicare Timber + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,54,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NJ,Hudson,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Taylor,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,11,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NY,Schuyler,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Rowan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
NY,Columbia,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
GA,Coffee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
NY,Montgomery,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Huron,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MS,Bolivar,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Wayne,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Erie,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Fayette,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Susquehanna,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,12,Completed,07/27/2018 9:47,Local PPO
NY,Queens,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,482,0,241,H3018,1,0,Completed,07/26/2018 14:21,Medicare-Medicaid Plan HMO/HMOPOS
WA,Snohomish,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Carbon,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,15,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Polk,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IN,Floyd,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Vermillion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Henry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Conway,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Shannon,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Lake,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Sevier,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Moore,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
MN,Pine,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Brown,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Clarion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Madison,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
NC,Gates,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
MI,Hillsdale,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
PA,Westmoreland,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
VA,Carroll,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Costilla,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Monmouth,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Racine,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Las Piedras,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Huron,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,218,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Escambia,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Madison,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Gurabo,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NE,Knox,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
OH,Medina,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Mitchell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Sheridan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Pender,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Miami,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Cass,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Queens,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,King George,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Barry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Villalba,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sullivan,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
OH,Lucas,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Milwaukee,Independent Care Health Plan Inc.,Aurora CompleteCare (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,9,0,Completed,07/18/2018 14:56,HMO/HMOPOS
CO,Weld,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
MO,St. Francois,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
OH,Hamilton,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Luce,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
PR,Canovanas,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Chesterfield,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,75,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Charlotte,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NV,Clark,Humana Inc.,Humana Gold Plus H6622-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Taney,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Penuelas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Pinal,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Suffolk,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Virginia Beach City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Charles,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,1,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Bradford,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Pike,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
MD,Harford,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
OH,Vinton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Cambria,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Bernalillo,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,12,0,Completed,07/20/2018 13:16,HMO/HMOPOS
AR,Carroll,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
OK,Alfalfa,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MN,Mahnomen,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
TN,Obion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Waushara,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OR,Yamhill,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,8,0,Completed,07/17/2018 11:44,Local PPO
PA,Northampton,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
PA,Blair,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
OR,Curry,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
TX,Kendall,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Lane,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NJ,Middlesex,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,30,0,Completed,07/24/2018 12:52,HMO/HMOPOS
MN,Red Lake,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
PA,Bradford,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
PA,Philadelphia,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
WV,Calhoun,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Monona,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Alachua,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
NC,Anson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Maricao,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
UT,Washington,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,196,0,Completed,07/17/2018 11:44,Local PPO
TX,Blanco,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
TX,Jim Wells,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MN,Wright,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Murray,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Wirt,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Louis City,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
PA,Bradford,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
GA,Baker,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MO,Howell,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
SC,Jasper,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
NC,Mitchell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
NC,Transylvania,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
WV,Monongalia,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
SD,Brown,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
PA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Lincoln,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iron,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,La Salle,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
LA,Jefferson,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hormigueros,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Naranjito,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Bremer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Portage,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Kanawha,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Broome,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Northampton,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Fayette,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Brown,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
OK,Muskogee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
IN,Vigo,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
SD,McPherson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MD,Washington,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
PA,Beaver,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Robertson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Shelby,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,Yazoo,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Ohio,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
IN,Elkhart,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
PR,Lajas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Catano,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MS,Marshall,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,218,0,Completed,07/17/2018 11:44,Local PPO
GA,Meriwether,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Pickens,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Lake,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Harrison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
MS,Lowndes,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
WV,Marion,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
IA,Humboldt,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Lyon,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
OH,Madison,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
MI,Tuscola,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
NM,Luna,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,1,Completed,07/24/2018 13:42,Local PPO
KS,Douglas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Louis City,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
WA,Walla Walla,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
KS,Atchison,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Collin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Ottawa,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,Charlotte,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Power,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Medina,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
KY,Gallatin,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Fulton,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New Haven,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,10,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ND,Kidder,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Tipton,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Union,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
OH,Cuyahoga,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,22,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WV,McDowell,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
KS,Sumner,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
GA,Peach,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,2,Completed,07/12/2018 18:43,HMO/HMOPOS
IL,Knox,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,2,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
NY,Oneida,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TN,McMinn,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Grainger,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,Cochise,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Tompkins,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
IN,Grant,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DuPage,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Florence,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
OH,Erie,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
TX,Caldwell,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
PA,Westmoreland,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Jessamine,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Perry,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
NY,Lewis,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Schuyler,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
IA,Mills,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WI,Jefferson,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IA,Osceola,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Lewis,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
IA,Iowa,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
NY,Onondaga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Luquillo,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
UT,Cache,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,131,0,Completed,07/17/2018 11:44,Local PPO
GA,Randolph,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguas Buenas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Gurabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NV,Douglas,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5945,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MI,Eaton,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Sanborn,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
VA,Franklin City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
ME,York,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
OR,Columbia,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
IN,Bartholomew,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
TX,San Jacinto,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NM,Lincoln,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
TX,Hamilton,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,74,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Platte,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Barranquitas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Miami-Dade,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AZ,Maricopa,Anthem Inc.,Amerivantage CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AL,Elmore,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NC,Alamance,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Tift,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Campbell,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
GA,Oconee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Stark,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Harrison,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Guilford,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Cedar,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Somerset,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Houston,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Preston,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
WV,Wetzel,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Choctaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York PlanWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,8,0,Completed,07/27/2018 16:18,HMO/HMOPOS
TX,Montgomery,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NY,Sullivan,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Jefferson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
GA,Marion,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,McDuffie,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
IA,Adair,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MI,Gogebic,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MO,Miller,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Nelson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
IA,Scott,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
ND,Burleigh,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
GA,Terrell,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,138,0,Completed,07/24/2018 13:42,Local PPO
WI,St. Croix,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
MI,Montcalm,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
FL,St. Lucie,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MO,St. Louis,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
VA,Southampton,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
TX,Zavala,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
CA,Sonoma,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Tuscarawas,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,Quay,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
MI,Lenawee,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Arenac,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
VA,Bristol City,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
WV,Harrison,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
TN,Lauderdale,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,McMinn,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rhea,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Onondaga,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
PR,Hatillo,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Martin,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PA,Cameron,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
GA,Baker,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Monroe,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Columbiana,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
OK,McClain,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
KY,Monroe,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MS,Washington,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
IA,Wayne,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Washington,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
IN,Monroe,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Posey,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Shelby,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
PA,Tioga,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AL,Sumter,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
OK,Payne,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Anderson,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
UT,Davis,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
SD,Brule,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Perkins,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Washburn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
CT,Litchfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
TX,Galveston,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Giles,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MI,Marquette,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Freestone,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
TX,Washington,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
WV,Marion,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Washington,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
OH,Huron,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Morrow,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CT,Fairfield,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Moultrie,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Wayne,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Carver,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NM,DeBaca,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
FL,Hillsborough,"Devoted Health, Inc.",Devoted Health Prime Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,9,0,Completed,07/25/2018 11:54,HMO/HMOPOS
NC,Cherokee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Vigo,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Hancock,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
IA,Davis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Brown,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Boone,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
PA,Lawrence,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
VA,Alexandria City,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,Bamberg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Jasper,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,Rogers,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
LA,LaSalle,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
WV,Marion,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
KS,Wabaunsee,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
MO,Clinton,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MO,Henry,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
AL,Lee,Humana Inc.,Humana Gold Plus H5619-112 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,112,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Spartanburg,Anthem Inc.,AFC Care Rx (HMO),Y,N,Y,Y,N,,,0,482,0,241,H8170,1,0,Completed,07/27/2018 13:46,HMO/HMOPOS
TX,Willacy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,26,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Columbiana,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Hale,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
ID,Canyon,PacificSource Health Plans,PacificSource Medicare MyCare Rx 32 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,32,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Metcalfe,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
SC,Colleton,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MN,Lincoln,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Olmsted,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
LA,Acadia,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MD,Allegany,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
CA,Ventura,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
TN,Hawkins,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WI,Marinette,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Dearborn,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
NE,Thurston,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
WI,Barron,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
LA,West Baton Rouge,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
GA,Walton,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Hamilton,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Douglas,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
PR,Arroyo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Washington,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
TN,Sequatchie,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Cass,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Ingham,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Morgan,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Denver,Denver Health and Hospital Authority,Denver Health Medicare Select (HMO),Y,N,Y,N,N,,,,,0,0,H5608,2,0,Completed,07/20/2018 12:33,HMO/HMOPOS
MS,Hancock,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
MN,Sibley,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
IN,Tipton,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,McDowell,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MT,Judith Basin,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
KS,Bourbon,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
TX,Camp,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
SD,Deuel,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
OH,Putnam,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Elmore,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Yadkin,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MA,Essex,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
IN,Jasper,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Comerio,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguada,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Fajardo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Bronx,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,27,0,Completed,07/25/2018 11:36,HMO/HMOPOS
VA,Prince William,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Marias,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Jackson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Sevier,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Orange,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,66,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Snyder,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Upshur,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Ellis,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Madison,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NC,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
SD,Walworth,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,McHenry,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TX,Jefferson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Avoyelles,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,West Baton Rouge,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aibonito,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Milwaukee,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MI,Iosco,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Saginaw,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Webster,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IL,Tazewell,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MI,St. Joseph,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Marshall,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
OK,Cleveland,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
IL,Edwards,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Pamlico,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Marshall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Mercer,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Aguas Buenas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Bartholomew,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Quebradillas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Hormigueros,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MO,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Summit,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Milwaukee,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Red Lake,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MT,Deer Lodge,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
NY,Columbia,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
WI,Dane,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Osceola,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rincon,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Mills,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Oscoda,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
IL,Ford,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Lawrence,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Livingston,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
PA,Sullivan,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,13,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Uvalde,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Woodson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Brunswick,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Spink,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Sanders,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Ponce,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Isabela,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Lares,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Portsmouth City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Daviess,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Chesterfield,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Cook,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,3,0,Completed,06/20/2018 12:01,Local PPO
IL,Kane,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
GA,Bartow,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Wilson,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Morrow,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
SC,Marion,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
CO,Weld,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
OH,Trumbull,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Racine,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Canadian,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Quebradillas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Smith,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,3,Completed,07/24/2018 19:18,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
TN,Gibson,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WV,Preston,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
MO,Andrew,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,36,0,Completed,07/17/2018 11:44,Local PPO
WV,Preston,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NC,Hertford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Robeson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Henry,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
TX,Guadalupe,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,82,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Stark,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Isabela,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Sabana Grande,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Orange,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KS,Pottawatomie,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
WV,Greenbrier,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
IA,Dallas,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
NC,Hyde,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Russell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,York,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
KY,Hardin,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Skagit,Humana Inc.,Humana Gold Plus H5619-115 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,115,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Buchanan,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Queens,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Putnam,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,23,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Franklin,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OH,Fulton,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MN,Houston,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
MD,Washington,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
CA,Alameda,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,4,0,Completed,07/18/2018 17:46,HMO/HMOPOS
VA,Westmoreland,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Madison,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
MO,Osage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Howard,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Warren,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,Benton,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Wyoming,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Grant,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Oneida,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Spencer,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Baldwin,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Etowah,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Washington,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Decatur,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Marion,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Nassau,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Brooke,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Geary,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Brown,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
GA,White,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,Peoria,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
WI,Kenosha,Independent Care Health Plan Inc.,Aurora CompleteCare (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,9,0,Completed,07/18/2018 14:56,HMO/HMOPOS
PA,Beaver,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Fountain,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
GA,Gwinnett,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Harris,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,78,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Emporia City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Montezuma,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
MA,Barnstable,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,201,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Tammany,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,3,0,Completed,07/20/2018 16:01,Local PPO
TN,Obion,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Mercer,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
IA,Winneshiek,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
OH,Defiance,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,Medina,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Dauphin,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Cameron,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
OH,Medina,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,21,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Marengo,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Baltimore,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Southampton,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
GA,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Bedford,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Steuben,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Cortland,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
TN,Loudon,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Clay,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Schenectady,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
CA,San Bernardino,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Dallas,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Knox,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,9,0,Completed,07/02/2018 16:20,HMO/HMOPOS
CA,Los Angeles,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,601,601,301,301,H5810,1,0,Completed,07/26/2018 20:29,HMO/HMOPOS
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,8,0,Completed,07/26/2018 15:08,HMO/HMOPOS
TN,White,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Randolph,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Unicoi,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Weakley,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Marion,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
NJ,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
WI,Portage,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,42,0,Completed,07/26/2018 11:48,Local PPO
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
FL,Osceola,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,72,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Gilpin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Monmouth,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Morris,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Staunton City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Beauregard,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
PR,Patillas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Boone,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
PA,Cumberland,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
AL,Cullman,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Manassas Park City,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Calhoun,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
CO,Adams,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
GA,Columbia,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
NJ,Somerset,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
NY,Queens,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,King and Queen,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Dade,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MS,Chickasaw,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Upshur,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IN,Whitley,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
WV,Pendleton,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,22,0,Completed,07/24/2018 13:42,Local PPO
NC,Caswell,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Nobles,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MI,Montcalm,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SC,Chester,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
AR,Yell,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
WI,Outagamie,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
GA,Catoosa,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Worth,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Magoffin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
NJ,Morris,Humana Inc.,HumanaChoice H5216-172 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,172,0,Completed,07/24/2018 13:42,Local PPO
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
WI,Barron,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hughes,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Jerauld,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Miner,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,Ashland,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
GA,Putnam,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Grundy,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Fort Bend,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,Hardin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ME,Kennebec,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Thurston,Humana Inc.,Humana Gold Plus H5619-062 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,62,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Webster,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
GA,Irwin,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Panola,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Muskingum,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Pocahontas,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Pike,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Logan,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
MS,Marion,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Walton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Putnam,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Stark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
LA,Washington,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
IN,Jasper,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
IA,Crawford,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
PA,Delaware,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,122,0,Completed,07/24/2018 13:42,Local PPO
TN,Henderson,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
MO,Scotland,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Woodbury,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IN,Wells,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
NV,Nye,Humana Inc.,HumanaChoice H5216-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,37,0,Completed,07/24/2018 13:42,Local PPO
TX,Cherokee,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Henderson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Maverick,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Bullitt,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,San Patricio,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Zavala,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Barry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Henderson,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
OH,Sandusky,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Williams,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Alta,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San German,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cayey,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Isabela,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Poweshiek,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
WI,Winnebago,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Lincoln,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Wright,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SD,Deuel,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,Roane,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Cochise,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,1,0,Completed,07/26/2018 13:57,HMO/HMOPOS
GA,Franklin,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Tuscarawas,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
WA,Kitsap,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
MS,Carroll,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
OK,Seminole,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
NC,Anson,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
NC,Stokes,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
OH,Muskingum,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
MN,Redwood,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Lincoln,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
FL,Nassau,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
IA,Hancock,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,Ray,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
MO,St. Louis City,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
ND,Bowman,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
IN,Grant,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
PA,Clarion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,HealthSun MediMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Bossier,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Harrison,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
TX,Somervell,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Middlesex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,Essex,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,122,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Sussex,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Koochiching,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
ND,Richland,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
TN,Hawkins,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Ontario,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,13,0,Completed,06/26/2018 15:07,HMO/HMOPOS
AR,Scott,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
WV,Boone,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
MO,St. Clair,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Vernon,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
SD,Pennington,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Pike,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Clark,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Edwards,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Bonner,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Prince William,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
IA,Appanoose,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
IA,Black Hawk,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
NY,Monroe,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Humacao,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Danville City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,83,0,Completed,07/17/2018 11:44,Local PPO
TX,Galveston,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
NC,Johnston,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
GA,Douglas,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
SC,Cherokee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
SC,Chesterfield,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,249,0,Completed,07/17/2018 11:44,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Putnam,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
NV,Washoe,Humana Inc.,HumanaChoice H5216-194 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,194,0,Completed,07/24/2018 13:42,Local PPO
GA,Haralson,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,Leake,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
FL,Hamilton,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
VA,Warren,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
KY,Fulton,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
TX,Dawson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Gibson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Joseph,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
IN,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
IN,Porter,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
IN,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
WI,St. Croix,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Sheridan,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
WV,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
MA,Plymouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Coos,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Walton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,18,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Seminole,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Ascension,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Jo Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
OH,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,6,0,Completed,07/26/2018 11:48,Local PPO
WV,Ritchie,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Warren,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Stark,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
FL,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Mayaguez,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Will,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,5,0,Completed,07/26/2018 11:48,Local PPO
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NM,Sierra,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
NY,Montgomery,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,York,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
HI,Honolulu,Hawaii Medical Service Association,HMSA Akamai Advantage Complete Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,10,0,Completed,07/16/2018 15:11,Local PPO
TX,Bell,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clark,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Saline,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bucks,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
IN,Warrick,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Bledsoe,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,Dickson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
WV,Raleigh,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Cumberland,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
FL,Polk,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,70,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Amelia,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Bent,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Ocean,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Union,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Waushara,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Westchester,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
MO,St. Louis City,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Orocovis,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Jayuya,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
SC,Abbeville,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Arenac,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Hardee,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Isabela,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Mercer,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
NE,Seward,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
NC,Iredell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
LA,Caldwell,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Hampton City,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Denver,Denver Health and Hospital Authority,Denver Health Medicare Choice (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5608,1,0,Completed,07/20/2018 12:33,HMO/HMOPOS
MI,Wexford,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IL,Bureau,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
GA,Fulton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Summit,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,2,0,Completed,07/20/2018 11:11,Local PPO
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Tazewell,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
MN,Houston,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Marshall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Hamilton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Rowan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
KS,Wyandotte,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7621,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Twiggs,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Cedar,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Nottoway,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Madison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Monroe,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Hamilton,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Henry,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
NY,Yates,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Indiana,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,New York,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2018 12:05,Medicare-Medicaid Plan HMO/HMOPOS
MO,Audrain,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
KY,Hopkins,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
PA,Delaware,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,5,0,Completed,07/24/2018 13:42,Local PPO
WI,Columbia,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Houghton,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
NY,Cayuga,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
MS,Perry,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,48,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Winnebago,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Allegan,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
PR,Sabana Grande,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
SD,Moody,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
NC,Warren,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,St. John the Baptist,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,West Feliciana,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Huron,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Lehigh,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,Beaver,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
OH,Warren,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,15,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Fairfax,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
NY,Kings,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
TX,Hansford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Arkansas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MO,Stone,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Hampton City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Juana Diaz,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguas Buenas,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
CA,San Diego,SCAN Health Plan,Scripps Plus offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,40,0,Completed,07/16/2018 13:40,HMO/HMOPOS
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,Mille Lacs,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Will,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
WA,Douglas,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PA,Monroe,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
OH,Gallia,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Kent,Humana Inc.,Humana Gold Plus H8908-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Edgefield,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,Indiana,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
AR,Perry,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Orange,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Saguache,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NV,Nye,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Piedras,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Sebastian,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Bronx,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/04/2018 14:42,HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
TN,Polk,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NC,Gates,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NM,Bernalillo,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3822,6,0,Completed,06/20/2018 12:01,HMO/HMOPOS
AR,Crawford,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
KY,Boone,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
LA,St. Landry,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,East Baton Rouge,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Schoharie,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
OR,Jefferson,Humana Inc.,Humana Gold Plus H1036-219 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,219,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Madison,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
AL,Autauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,White,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hardin,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
KY,Owen,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
VA,Fluvanna,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,New London,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,El Paso,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
TX,Hardin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Baraga,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Chautauqua,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
FL,Pasco,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MO,St. Clair,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
IN,Jennings,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
WV,Clay,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
PA,Adams,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
CA,Placer,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Hamilton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Jefferson,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Warren,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
DE,New Castle,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Quebradillas,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cayey,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MO,Hickory,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Craig,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Floyd,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Alexander,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Walworth,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Rockingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Yates,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
AL,Dale,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NJ,Bergen,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
OH,Butler,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
MS,Hinds,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Houston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Van Buren,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Arkansas,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Chester,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Washington,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Bryan,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
CO,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
FL,Martin,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
PR,Carolina,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Loiza,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Caledonia,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
WV,Jefferson,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
LA,Evangeline,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Randolph,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Osage,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Seward,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MS,Marion,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Houston,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
TX,Comal,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Montgomery,Humana Inc.,Humana Gold Plus H0028-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Unicoi,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Madison,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NE,Dodge,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Caroline,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Powhatan,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Houston,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
WI,Oneida,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Kittson,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NM,Grant,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
NM,Valencia,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
PA,Adams,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
NY,Suffolk,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
PR,Rincon,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San Sebastian,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Lajas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Lincoln,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,1,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Butler,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lackawanna,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Brown,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Montcalm,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Genesee,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
SC,Jasper,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
MN,Steele,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
AR,Franklin,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
TX,Coleman,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Muscogee,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
WV,Randolph,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MD,Montgomery,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,McPherson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Golden Valley,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Columbia,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
CA,Los Angeles,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,121,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Blount,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Thurston,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Tift,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Classic Care I Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,25,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Armstrong,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Barnstable,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,4,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Chambers,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Haskell,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Snohomish,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Cheatham,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Montgomery,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
WI,Dane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
PR,Coamo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Emporia City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NY,Livingston,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
PA,Philadelphia,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
IN,Wayne,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
GA,Houston,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,115,0,Completed,07/17/2018 11:44,Local PPO
MA,Hampden,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,160,0,Completed,07/17/2018 11:44,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juana Diaz,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maricao,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Liberty,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Goochland,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Stephens,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MS,Newton,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
MS,Noxubee,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
FL,Gilchrist,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
MI,Alger,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
GA,DeKalb,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
GA,Pickens,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
DE,New Castle,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,28,0,Completed,07/24/2018 13:42,Local PPO
OK,Adair,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Meade,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
NJ,Camden,Humana Inc.,HumanaChoice H5216-185 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,185,0,Completed,07/24/2018 13:42,Local PPO
KY,Pike,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Smith,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
CT,Tolland,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Obion,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
CO,Mineral,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,5,0,Completed,07/30/2018 13:44,1876 Cost
WI,Washington,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
NY,Herkimer,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,54,0,Completed,06/26/2018 15:07,Local PPO
FL,Osceola,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Washington,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
OH,Medina,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Winnebago,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
MN,Swift,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Columbia,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Vinton,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sequatchie,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hamilton,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Buchanan,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
NC,Duplin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,243,0,Completed,07/17/2018 11:44,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Bleckley,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Erie,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
FL,Lake,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,74,0,Completed,07/24/2018 13:42,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Floyd,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
SD,Miner,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WV,Brooke,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Newton,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Pike,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MO,Webster,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Ellis,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
OK,Creek,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
KY,Carroll,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Kinney,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
NM,San Juan,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Montcalm,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Clayton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
NC,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
SD,Edmunds,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
NH,Belknap,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Henderson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Escambia,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Canyon,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Vernon,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Delaware,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IA,Delaware,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Henderson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Westmoreland,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,Morgan,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
CO,Adams,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
TX,Collin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Newton,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
TN,White,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
OH,Clark,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
WV,Kanawha,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
VA,Portsmouth City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
VA,Williamsburg City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
PA,Carbon,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
WA,Kitsap,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
NM,Luna,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
NM,Sierra,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
TN,Rutherford,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
SD,Jones,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Hart,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Banks,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NH,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Overton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Shelby,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Williamson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Madison,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vega Baja,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Trumbull,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5943,1,0,Completed,07/16/2018 13:40,HMO/HMOPOS
TX,Williamson,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
KY,Montgomery,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Petersburg City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Trumbull,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
SD,Deuel,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
KY,Simpson,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
MI,Sanilac,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,2,0,Completed,07/26/2018 14:21,HMO/HMOPOS
WI,Dane,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Eddy,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
NC,Yancey,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,7,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IN,Marshall,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Stokes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TN,Cannon,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
IA,Poweshiek,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Queens,Personal Touch Holding Corp.,Integra Synergy Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,2,0,Completed,09/11/2018 14:34,HMO/HMOPOS
CO,Arapahoe,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
OH,Huron,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MI,Lake,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
TX,Denton,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,5,0,Completed,06/20/2018 12:01,Local PPO
KS,Johnson,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Spencer,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MO,Cedar,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
PA,Clinton,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
OH,Brown,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
OH,Franklin,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Brown,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
LA,Natchitoches,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,Roscommon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
RI,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Socorro,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Ritchie,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Clark,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
MA,Bristol,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,St. Francis,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Sharp,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Stewart,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,El Paso,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Treutlen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Rio Grande,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WI,Racine,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
SC,McCormick,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,252,0,Completed,07/17/2018 11:44,Local PPO
NY,Orleans,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
CO,Pueblo,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
IA,Pottawattamie,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Delta,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IA,Benton,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
IN,Allen,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
CO,Teller,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
CT,Middlesex,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Wayne,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
OH,Columbiana,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
WV,Hampshire,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WV,Logan,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Ray,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Greensville,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Middlesex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
WI,Racine,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Culebra,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
SC,Charleston,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,El Paso,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OR,Yamhill,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Manistee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Lee,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,199,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Walton,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Waseca,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
PA,Luzerne,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
AL,Shelby,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Searcy,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Calhoun,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
DE,New Castle,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Surry,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NJ,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Wyoming,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Elk,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Lonoke,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,6,Completed,07/16/2018 15:07,PFFS
OK,Pushmataha,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OR,Lane,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
MN,Murray,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
IA,Buena Vista,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bexar,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Martin,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Bernardino,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,100,2,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Oxford,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
ME,Piscataquis,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
NY,Steuben,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NC,Rockingham,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Perry,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Waushara,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
IN,Jennings,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Outagamie,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
IN,Monroe,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
OR,Wheeler,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
PA,Perry,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Berks,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Bronx,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
WI,Washburn,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
OH,Lucas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Butler,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Brevard,"Health First, Inc.",Health First Classic Plan (HMO-POS),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,1,0,Completed,07/18/2018 14:47,HMO/HMOPOS
TX,Liberty,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Clarke,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Clare,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
NC,Davidson,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
VA,York,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
OK,Logan,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MN,Ramsey,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
MI,Gladwin,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OH,Portage,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8029,1,0,Completed,07/02/2018 16:20,Medicare-Medicaid Plan HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,13,Completed,07/27/2018 9:47,Local PPO
MN,Faribault,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Clearfield,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Dubois,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Dunn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Henderson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Barceloneta,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Culebra,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Guanica,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cocke,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
ME,Aroostook,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MO,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Lackawanna,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
WI,Door,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Columbia,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Wayne,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,6,Completed,07/19/2018 14:35,Local PPO
MI,Barry,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
NY,Rensselaer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NC,Richmond,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Vega Baja,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Hidalgo,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
PA,Juniata,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
GA,Lamar,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Northampton,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Bleckley,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
GA,Jackson,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
GA,Lamar,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
SC,Laurens,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KS,Johnson,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,El Paso,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Norfolk,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Mercer,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Tulsa,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Polk,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,Aguadilla,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Douglas,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Morrison,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
WV,Morgan,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
WV,Ohio,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Clayton,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
VA,Galax City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Cuyahoga,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Lycoming,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Huntingdon,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
AL,Etowah,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Chesapeake City,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Charlottesville City,Humana Inc.,Humana Gold Plus H5619-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Floyd,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Izard,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,St. Joseph,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Franklin,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
FL,Seminole,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lebanon,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
FL,Hillsborough,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,29,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Waupaca,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
IA,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Hampton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Jasper,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Chatham,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Montgomery,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Marshall,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Lewis,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
WV,Nicholas,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
MO,Ripley,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Lane,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
KS,Norton,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Waushara,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
ND,Benson,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
SD,Edmunds,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
PR,Carolina,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
NY,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Orange,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,34,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WI,Kewaunee,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
SC,Greenville,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MO,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Petersburg City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Huerfano,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
VA,Hanover,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
ME,Penobscot,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Los Angeles,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Kern,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Greenbrier,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
TN,Houston,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Moore,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
IA,Cedar,"Medical Associates Clinic, P.C.",Clinton Community Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,12,0,Completed,06/15/2018 10:34,1876 Cost
NY,Rensselaer,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Rincon,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Madison,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
TX,Hardin,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
PA,Greene,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
WA,Skagit,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
GA,Jones,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PA,Lycoming,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Houston,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,Webster,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Spencer,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
LA,Avoyelles,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,135,0,Completed,07/24/2018 13:42,Local PPO
FL,Gadsden,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
IA,Carroll,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Washington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Franklin,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MO,Caldwell,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Grant,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
VA,Surry,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
KY,Spencer,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
OH,Sandusky,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
OH,Scioto,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
PA,Columbia,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
IN,Decatur,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
ND,Griggs,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
FL,Manatee,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,8,0,Completed,07/25/2018 8:35,HMO/HMOPOS
WV,Nicholas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Hamilton,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,Clark,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NJ,Hunterdon,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Marion,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Pennington,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Henry,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SD,Haakon,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,McLean,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
IL,Kankakee,The Carle Foundation,Simplete Riverside 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,32,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Bureau,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
AZ,Maricopa,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,1,0,Completed,06/22/2018 13:23,HMO/HMOPOS
AL,Shelby,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Boone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Piatt,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,Kent,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Camuy,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Mathews,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Blair,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
OH,Seneca,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
AL,Coffee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Giles,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Monroe,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Erie,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Hillsborough,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
NY,Orleans,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Cidra,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MO,Madison,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MO,New Madrid,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Harrison,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
VA,Hanover,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
PA,Monroe,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
KY,Trimble,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
UT,Washington,Humana Inc.,HumanaChoice H5216-189 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,189,0,Completed,07/24/2018 13:42,Local PPO
MN,Wabasha,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Buchanan,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SD,Roberts,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
WV,Doddridge,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
WV,Preston,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Lyon,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IN,Johnson,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OK,Sequoyah,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Columbia,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
WV,Pendleton,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
FL,Lee,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
GA,Warren,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
LA,Beauregard,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,135,0,Completed,07/24/2018 13:42,Local PPO
WV,Harrison,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MO,Stone,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyd,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
SC,Edgefield,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
PA,Sullivan,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
OH,Carroll,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
MN,Sibley,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NH,Grafton,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
IN,La Porte,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
PA,Bucks,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,37,0,Completed,07/26/2018 11:48,Local PPO
IN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
IN,Allen,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
SD,Potter,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
MN,Carlton,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MN,Stevens,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
TN,Cannon,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Craighead,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,39,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Salem City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
NY,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Caldwell,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Adjuntas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WV,McDowell,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Nelson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cumberland,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Fort Bend,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Milwaukee,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
ND,Kidder,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,Claiborne,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Eaton,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
WV,Putnam,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
VA,Williamsburg City,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
IL,Kane,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
CA,Sutter,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Antrim,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
OH,Mercer,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Peoria,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Williamson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Perry,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,17,Completed,07/27/2018 9:47,Local PPO
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,482,0,241,H3018,1,0,Completed,07/26/2018 14:21,Medicare-Medicaid Plan HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
TX,Nolan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WV,Webster,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
WI,Sauk,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MD,Washington,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Polk,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Marion,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Pierce,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Haywood,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Cayuga,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Douglas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
IA,Franklin,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
PR,Las Piedras,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Fulton,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
NV,Carson City,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,201,0,Completed,07/17/2018 11:44,Local PPO
VA,Roanoke,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Luquillo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,White,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
VA,Chesterfield,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,Martinsville City,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
MN,Wilkin,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MO,Jasper,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Brown,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Fremont,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Keokuk,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashtabula,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MO,Barry,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OH,Jefferson,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
HI,Kauai,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,41,0,Completed,07/24/2018 13:42,Local PPO
WI,Portage,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
WA,King,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,3,0,Completed,07/24/2018 10:50,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Lincoln,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San Sebastian,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Wood,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Dodge,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Putnam,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Lampasas,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NJ,Essex,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Prairie,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
WV,Mercer,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
AR,Baxter,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
VA,Giles,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MI,Monroe,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
OH,Licking,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Baker,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,8,0,Completed,07/20/2018 11:11,Local PPO
TX,Chambers,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Kewaunee,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Nez Perce,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Rock Island,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
PA,Bucks,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Rice,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Ogemaw,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Fayette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Fayette,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Wayne,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Lucas,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Franklin,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NM,Rio Arriba,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
TX,Real,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MD,Anne Arundel,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Pontotoc,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Quebradillas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Spencer,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,White,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Macon,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,Miller,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IA,Polk,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Dakota,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Stewart,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Columbiana,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
OH,Van Wert,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
NY,Erie,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
PA,Washington,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
CO,Morgan,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
PR,Orocovis,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Las Marias,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Oakland,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,5,Completed,07/24/2018 14:36,HMO/HMOPOS
IL,DuPage,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6080,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
FL,Gulf,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Warren,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IA,Osceola,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
FL,DeSoto,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,19,0,Completed,07/26/2018 11:48,Local PPO
NJ,Camden,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,42,0,Completed,07/26/2018 14:48,Local PPO
TX,Grayson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
IA,Cedar,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Dauphin,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
WI,Trempealeau,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
SC,Barnwell,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Clinton,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
GA,Richmond,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Rockdale,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Rutherford,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Pendleton,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Hormigueros,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Utuado,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Ionia,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
OK,Lincoln,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
KS,Lyon,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
MO,Scott,Aetna Inc.,Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,51,0,Completed,07/17/2018 11:44,Local PPO
MO,Gasconade,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
IA,Appanoose,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Marshall,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
NC,Union,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Guilford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Jackson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Bucks,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H5141,39,0,Completed,07/26/2018 14:48,Local PPO
LA,Ascension,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Marshall,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,20,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Manassas City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
TX,Wharton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Hampshire,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Clay,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,23,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Cameron,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Kitsap,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Beltrami,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
TX,Gregg,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Woodbury,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Cochise,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Winnebago,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
IN,Orange,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
MD,Baltimore,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
WI,Oconto,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
NC,Rutherford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Manitowoc,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Bullock,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IL,Marion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Grand Forks,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,McHenry,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PR,Barceloneta,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Kings,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2018 12:05,Medicare-Medicaid Plan HMO/HMOPOS
WI,Milwaukee,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/18/2018 14:56,HMO/HMOPOS
WI,Richland,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
WI,Sheboygan,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Mower,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,McHenry,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
GA,Spalding,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Harrison,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
SC,McCormick,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,Virginia Beach City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Las Animas,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
OH,Clark,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Dutchess,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
PR,Corozal,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Pasco,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,174,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Las Marias,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
FL,Highlands,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,19,0,Completed,07/26/2018 11:48,Local PPO
LA,Jackson,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Terrebonne,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,2,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Sevier,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Pike,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Georgetown,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Braxton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WV,Mercer,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
WA,Lewis,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
MI,Midland,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
UT,Box Elder,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CO,Adams,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Pueblo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Polk,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,71,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Louisa,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Gunnison,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
MS,Forrest,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Milwaukee,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Creek,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
PR,Gurabo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Vega Baja,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
OK,Jefferson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
IL,Piatt,The Carle Foundation,Simplete 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,25,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Marshall,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
PA,Centre,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
TX,Bosque,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Guayanilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,San German,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Alta,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Santa Isabel,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Morgan,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
MN,Otter Tail,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
IL,Champaign,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
OH,Morgan,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
OH,Ottawa,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
PA,Fayette,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
PA,McKean,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
UT,Salt Lake,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,6,0,Completed,07/26/2018 20:21,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
MI,Delta,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
TN,Wayne,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Pike,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sunflower,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Zavala,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Real,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oswego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Hunt,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Somerset,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
OH,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
PR,Mayaguez,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MA,Worcester,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,225,0,Completed,07/17/2018 11:44,Local PPO
NC,Cleveland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Johnson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Fulton,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PA,Pike,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayama,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Screven,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
MA,Franklin,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
NY,Warren,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Ashland,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
MD,Carroll,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,129,0,Completed,07/24/2018 13:42,Local PPO
VA,Southampton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Bossier,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
IN,Vanderburgh,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,50,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Grant,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
MD,Montgomery,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Livingston,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Belknap,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
MI,Gladwin,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Jackson,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AR,Lonoke,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,4,Completed,07/16/2018 15:07,PFFS
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Van Wert,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,Middlesex,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Moca,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maunabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Mayes,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
KY,Edmonson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,New York,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,63,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TX,Willacy,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Keweenaw,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MD,Harford,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MO,Dallas,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
IL,Edwards,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
CA,San Mateo,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Berks,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,15,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Hendricks,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
SD,Edmunds,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Powhatan,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Meigs,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
GA,Columbia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,McDuffie,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Pottawatomie,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Iron,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Clarke,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hawkins,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Hardin,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
MO,Taney,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Clayton,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IL,Winnebago,University of Wisconsin Hospitals and Clincs Autho,SwedishAmerican Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,19,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Greene,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Dallas,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
VA,Botetourt,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Harris,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Schley,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Wadena,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
NM,Catron,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
MN,Marshall,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IN,Lawrence,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
KY,Woodford,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
TX,McLennan,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
ND,Richland,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
TX,Coleman,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Kendall,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
SC,Cherokee,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
GA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
ND,Cavalier,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Aurora,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
WI,Sauk,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,Monroe,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
FL,Bay,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,18,0,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Concordia,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
AZ,Greenlee,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,13,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Lenawee,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Lapeer,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
TX,Tarrant,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IA,Carroll,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
FL,Citrus,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,1,0,Completed,07/20/2018 11:11,Local PPO
IN,Vermillion,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Fayette,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Monroe,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Currituck,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NE,Knox,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
SD,Bon Homme,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
NC,Halifax,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Lake,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
IN,Putnam,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Ramsey,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
MI,Saginaw,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
OH,Delaware,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
GA,Grady,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Genesee,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NM,Cibola,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
TX,Harrison,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Monroe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Miami-Dade,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,237,2,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Boulder,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IL,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Oconto,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
WI,Waushara,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
ID,Owyhee,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
PA,Centre,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Schoharie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Norton City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Passaic,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
AL,Autauga,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Montgomery,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,9,0,Completed,07/23/2018 10:18,HMO/HMOPOS
NY,Bronx,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
CA,Merced,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
NY,Bronx,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,6,4,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Scotland,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Ozaukee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Coosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hamilton,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Meigs,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hamblen,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Tama,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
TX,Uvalde,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MS,Panola,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,218,0,Completed,07/17/2018 11:44,Local PPO
GA,Worth,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
PR,Comerio,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Miami,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Fulton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
MS,Calhoun,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
OK,Le Flore,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Winona,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Cherokee,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MO,Ozark,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Pocahontas,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MN,Pipestone,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Trinity,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Crittenden,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Navarro,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NJ,Gloucester,Humana Inc.,HumanaChoice H5216-185 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,185,0,Completed,07/24/2018 13:42,Local PPO
MI,Cass,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
SC,Colleton,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Hillsborough,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,5,0,Completed,06/18/2018 13:49,HMO/HMOPOS
TX,Hill,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
PA,Lycoming,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Cook,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
FL,Miami-Dade,"DOCTORS HEALTHCARE PLANS, INC.",DrCare (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,3,0,Completed,07/25/2018 17:00,HMO/HMOPOS
AR,Woodruff,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,65,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Mecklenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Rockingham,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NJ,Passaic,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Armstrong,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
OH,Fairfield,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Madison,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
OH,Lucas,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Carolina,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Las Piedras,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,7,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Emmet,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,Middlesex,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,1,Completed,07/17/2018 15:41,HMO/HMOPOS
WV,Jefferson,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
NC,New Hanover,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Chatham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
HI,Honolulu,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Clarion,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
OH,Preble,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,16,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AR,Benton,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
WV,Brooke,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Muskogee,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
OK,Noble,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Knott,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MS,George,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VT,Rutland,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ciales,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Wayne,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
ME,Waldo,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
NY,Ulster,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
GA,Upson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Martinsville City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Maury,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
GA,Rockdale,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
NC,Alamance,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,17,0,Completed,07/24/2018 13:42,Local PPO
NC,Vance,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Wabasha,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Davis,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Knox,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Douglas,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
OK,McIntosh,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
WV,Hardy,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Panola,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Windham,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Davidson,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
MI,Lenawee,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
VA,Roanoke City,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Pocahontas,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Fulton,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
OR,Josephine,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,3,0,Completed,07/19/2018 0:49,HMO/HMOPOS
PA,Allegheny,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Crow Wing,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
AR,Cleveland,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
TX,Collin,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,85,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Charlotte,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Delta,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
WI,Milwaukee,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MN,Steele,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
PR,Juana Diaz,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
TX,Denton,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,2,0,Completed,07/25/2018 7:53,Local PPO
MI,Barry,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
MO,Callaway,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
LA,Union,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Posey,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Logan,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
WV,Summers,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
PA,Crawford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Kidder,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NY,Queens,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Wright,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Anasco,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Allen,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Watonwan,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Hickory,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
PA,Adams,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
PA,Crawford,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
VA,Falls Church City,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
ME,Sagadahoc,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
CO,Arapahoe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Franklin City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Emporia City,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aibonito,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Tulsa,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,St. Clair,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Saginaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clatsop,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
FL,Volusia,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Decatur,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WV,Marshall,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
MO,Montgomery,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
KS,Sedgwick,Aetna Inc.,Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,17,0,Completed,07/17/2018 11:44,Local PPO
MO,Vernon,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
OH,Hamilton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
NC,Randolph,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Rutherford,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Warren,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IA,Scott,The Carle Foundation,Health Alliance Medicare Guide HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1737,1,0,Completed,06/26/2018 17:06,HMO/HMOPOS
LA,East Carroll,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Kings,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,1,0,Completed,06/07/2018 11:28,HMO/HMOPOS
OH,Clermont,"Caidan Enterprises, Inc.",MeridianCare Essential Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,28,0,Completed,07/25/2018 16:54,HMO/HMOPOS
DE,New Castle,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Lexington City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NH,Carroll,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OH,Richland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,1,Completed,07/12/2018 18:43,HMO/HMOPOS
WV,Mason,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
GA,Fayette,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Carver,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
MN,Benton,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
IA,Jones,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
PA,Wayne,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
GA,Bryan,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Jackson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
SD,Moody,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rice,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ME,Lincoln,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
UT,Wasatch,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
AL,Tuscaloosa,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
LA,Rapides,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Vega Alta,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Stark,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
KY,Carlisle,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Mackinac,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
OH,Lorain,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TX,McLennan,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Barry,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,13,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Cattaraugus,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,Yates,"Lifetime Healthcare, Inc.",Medicare Blue Choice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,18,0,Completed,06/26/2018 15:07,HMO/HMOPOS
TX,Brazos,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Brown,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IL,Pike,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
TX,Lynn,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
MI,Lapeer,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
OR,Benton,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,2,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
NY,Tioga,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
GA,Troup,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Utuado,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OK,Osage,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Coconino,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
ME,Franklin,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Vega Alta,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Nassau,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Albany,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Erie,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MI,Genesee,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
NH,Hillsborough,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Escambia,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Jasper,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
TN,Robertson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Owyhee,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,9,0,Completed,07/13/2018 13:55,Local PPO
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
KY,Jefferson,Humana Inc.,Humana Community HMO SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,235,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Multnomah,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,153,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Greene,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Poquoson City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Ashland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
MI,Oakland,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Hardin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
FL,Dade,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Yates,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Oswego,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
TX,Limestone,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
LA,Orleans,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Appomattox,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Catawba,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Chester,Aetna Inc.,Advantra Southeast Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Wilson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Jefferson,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
OH,Warren,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,3,0,Completed,07/03/2018 11:24,HMO/HMOPOS
MI,Tuscola,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
OH,Clark,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
WV,Wetzel,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
OH,Belmont,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Seminole,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,11,0,Completed,07/20/2018 11:11,Local PPO
CT,Tolland,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Columbia,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Cleveland,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Westchester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Comerio,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Morrow,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Franklin,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
NY,Queens,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2018 12:05,Medicare-Medicaid Plan HMO/HMOPOS
MN,Mower,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Jefferson,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
GA,Talbot,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Newton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Adams,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Bradford,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6528,6,0,Completed,07/26/2018 11:48,Local PPO
WV,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
SC,Sumter,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,Goochland,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,Red River,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CA,Kern,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Susquehanna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Osage,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
IL,Mercer,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,2,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MN,Chippewa,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MO,Cass,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Putnam,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,100,0,Completed,07/20/2018 11:11,Local PPO
MI,Marquette,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Menominee,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
GA,Cobb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MO,Douglas,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
MI,Oceana,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
OH,Marion,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Perry,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
UT,Duchesne,Aetna Inc.,Aetna Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,8,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Putnam,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Luzerne,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Salinas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Bronx,Personal Touch Holding Corp.,Integra Synergy Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,2,0,Completed,09/11/2018 14:34,HMO/HMOPOS
OR,Coos,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,8,0,Completed,07/06/2018 16:48,Local PPO
KY,Monroe,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
KY,Trimble,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MI,Baraga,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
VA,King and Queen,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Lunenburg,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Garfield,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
PR,Sabana Grande,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguada,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,2,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,New Haven,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
TX,Denton,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
FL,Holmes,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,St. Joseph,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
NE,Colfax,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
ND,McHenry,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IA,Butler,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Columbia,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
VA,Lunenburg,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
TN,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Gibson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Ascension,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Cleveland,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
WI,Washburn,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
OH,Lake,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
PA,Clinton,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MD,Montgomery,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Trimble,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Allegheny,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
TX,Burleson,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NY,Cayuga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
NY,Fulton,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
VA,Tazewell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Cedar,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Cullman,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NY,Kings,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,2,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NJ,Camden,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Mille Lacs,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WV,Mineral,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
CA,Orange,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,15,0,Completed,07/20/2018 14:52,HMO/HMOPOS
MO,Clark,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Randolph,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
ME,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
OH,Ashtabula,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
PR,Ponce,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Harrisonburg City,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Alleghany,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
FL,Broward,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
AL,Chilton,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,224,0,Completed,07/17/2018 11:44,Local PPO
PR,Yabucoa,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Gloucester,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Newton,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OH,Franklin,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
GA,Gwinnett,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MS,Greene,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MS,Walthall,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
IN,Owen,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
KY,Meade,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
CA,Kings,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
OH,Ross,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,3,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Clinton,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,3,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,Miami,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,2,Completed,07/12/2018 15:19,HMO/HMOPOS
AZ,La Paz,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,Providence,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,9,0,Completed,07/17/2018 11:44,Local PPO
PA,Philadelphia,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Hillsborough,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,Ventura,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,90,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,59,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Washburn,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NJ,Salem,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Clinton,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
CA,Sacramento,California Physicians  Service,Blue Shield Trio Medicare (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,37,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,San Diego,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,28,0,Completed,07/20/2018 14:52,HMO/HMOPOS
NY,Hamilton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
WV,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
AL,Mobile,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Sumner,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,43,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
CA,Los Angeles,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5943,2,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,Hennepin,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
MI,Lake,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
OH,Wood,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Centre,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,13,Completed,07/27/2018 9:47,Local PPO
PA,Delaware,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SD,Brookings,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Sampson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Alexander,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,Marion,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
NY,Franklin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
TX,Brazos,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Columbia,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Waupaca,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,Robertson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Amherst,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Monroe,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
SD,Deuel,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
AR,Union,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Adams,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,Burlington,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,Graham,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,York,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Norfolk City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Arroyo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MA,Norfolk,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,2,Completed,07/23/2018 15:54,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,Hartford,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,176,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Liberty,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Putnam,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Louis City,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
WV,Kanawha,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
NC,Jones,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Lucas,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
ME,Knox,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Hampden,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,5,Completed,06/22/2018 9:28,HMO/HMOPOS
KY,Clinton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
MN,Cottonwood,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Dodge,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
OH,Montgomery,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
NY,Chenango,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
MN,Cass,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
AL,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Langlade,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
IN,Montgomery,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
GA,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Burnet,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
PA,Lawrence,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
OH,Jefferson,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Richmond,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Butler,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
PA,York,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
WI,Calumet,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
IA,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Forsyth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Bullock,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,2,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Douglas,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Dane,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,Philadelphia,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,2,0,Completed,07/25/2018 15:07,HMO/HMOPOS
AR,Carroll,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Garland,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Sebastian,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DC,District of Columbia,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Wabaunsee,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
OH,Seneca,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,McClain,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Caswell,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Muskogee,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Mason,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,DeKalb,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Bledsoe,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Cocke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Monterey,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
NY,Orleans,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NE,Saunders,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Appomattox,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
VA,Greensville,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MN,Carlton,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IN,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Ottawa,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
GA,Chatham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Berks,Capital BlueCross,BlueJourney Alliance Assisted Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,20,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Oldham,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Kings,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
TX,Burleson,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
ME,Aroostook,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
ME,Oxford,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
VA,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Polk,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Cherokee,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,2,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Iron,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
FL,Seminole,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Deuel,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KS,Chase,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
TN,Rhea,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Rutherford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Henderson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Gwinnett,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Randall,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OH,Monroe,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,1,Completed,07/24/2018 13:42,Local PPO
WV,Wood,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,11,0,Completed,07/24/2018 13:42,Local PPO
MN,Pennington,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Suffolk,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NH,Carroll,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
MO,Ray,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
NM,Bernalillo,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,47,0,Completed,07/26/2018 11:48,Local PPO
MN,Aitkin,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
GA,Monroe,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Pulaski,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NH,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Westmoreland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Union,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Shawano,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
KY,Harrison,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Douglas,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,20,0,Completed,07/19/2018 0:49,HMO/HMOPOS
TX,McLennan,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
MA,Hampshire,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,6,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,Hampden,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
OH,Logan,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Lucas,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
MI,Presque Isle,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Newaygo,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
MI,Kalamazoo,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Leelanau,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
WI,Sauk,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
PA,Montour,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
VA,Craig,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
OH,Jefferson,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Brown,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NC,Madison,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,10,0,Completed,07/24/2018 9:02,HMO/HMOPOS
AR,Franklin,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
MD,Harford,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Grimes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Jones,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Maricao,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Aguada,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Tipton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
MO,Platte,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SD,Charles Mix,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MD,Worcester,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
PR,Trujillo Alto,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MN,Sibley,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
AZ,Maricopa,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,15,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Gladwin,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Roscommon,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,Manatee,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
IN,Starke,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
TX,Brazos,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
OR,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,Lincoln,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
AR,Pope,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
VA,Arlington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yauco,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Douglas,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Seneca,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Stewart,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Jackson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
GA,Cobb,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Liberty,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Darke,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
WA,Columbia,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
WV,Monroe,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Okmulgee,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
CA,Alameda,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,183,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lawrence,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Perry,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Pickens,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Jefferson,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
GA,Tattnall,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MO,St. Charles,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Cass,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Pueblo,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Jackson,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Washington,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Seneca,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NY,Orleans,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
VA,Dinwiddie,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
AL,Montgomery,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Wright,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Payette,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
PA,Allegheny,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Armstrong,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
IN,Ripley,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,124,0,Completed,07/24/2018 13:42,PFFS
MO,Grundy,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
MO,Marion,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
OK,Coal,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MS,Holmes,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,King,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Galveston,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
UT,Rich,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,131,0,Completed,07/17/2018 11:44,Local PPO
IN,Porter,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,226,0,Completed,07/17/2018 11:44,Local PPO
PR,Lajas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Ponce,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
PA,Washington,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
GA,Habersham,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
FL,Indian River,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,62,0,Completed,07/24/2018 13:42,Local PPO
AR,Sebastian,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Montgomery,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Lancaster,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Clinton,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
NY,Erie,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
WI,Dane,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
OH,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,Sumner,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NE,Buffalo,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KY,Taylor,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
GA,Lamar,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
KS,Cherokee,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,100,2,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Marion,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,213,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Citrus,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,251,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Albemarle,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Fond du Lac,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
PA,Fayette,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
WI,Lincoln,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,73,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Hamblen,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Racine,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Pinellas,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,San Joaquin,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
NY,Schenectady,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Rockland,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kane,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Hamilton,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Newton,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NH,Grafton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
WA,Pierce,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,30,0,Completed,07/26/2018 11:48,Local PPO
NY,Tioga,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Boone,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,St. Bernard,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
NY,Wayne,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
VA,Craig,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
GA,White,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Mercer,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
IL,Champaign,The Carle Foundation,Simplete 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,23,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McDonough,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
PR,Vega Baja,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Jefferson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
IA,Floyd,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,McLeod,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
MN,Lincoln,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WA,Yakima,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,5,0,Completed,06/26/2018 17:06,HMO/HMOPOS
TX,Montgomery,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Hampton City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
NJ,Middlesex,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Philadelphia,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Clark,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,Yabucoa,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Lorenzo,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Yauco,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Barranquitas,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Oscoda,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Queens,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
NY,Richmond,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Weld,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Lake,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NE,Platte,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
NC,Cumberland,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Orange,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OH,Summit,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Fulton,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
CA,Los Angeles,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,29,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Forest,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Newton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
GA,Meriwether,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Paulding,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Greene,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Wayne,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Grundy,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Warren,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Keith,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MA,Bristol,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,159,0,Completed,07/17/2018 11:44,Local PPO
FL,Collier,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
PA,Huntingdon,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Hays,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Portage,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Coshocton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
VA,Powhatan,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
MN,Pennington,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MN,Wadena,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
MO,Wright,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
IN,Montgomery,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
PA,Potter,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
OH,Coshocton,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
AR,Faulkner,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
ME,Androscoggin,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
IN,Steuben,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
GA,Irwin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Mackinac,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
ND,Billings,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
PA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Jackson,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Dade,CIGNA,Leon Medical Centers Health Plans - Leon Cares (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Lorain,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
NY,Rensselaer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Acadia,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Hatillo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguadilla,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
SD,Perkins,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
PR,Penuelas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Mahoning,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WI,Price,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
MN,Washington,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PR,Naguabo,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Bedford,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Minnehaha,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
TN,Bradley,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Bledsoe,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Jackson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Houghton,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
CO,Mesa,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Johnson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Lawrence,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Polk,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
WV,Pendleton,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
IL,Richland,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
TX,Dallam,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Lynn,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Juniata,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Gaston,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Rusk,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
CA,San Bernardino,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,153,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Orange,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,26,0,Completed,07/25/2018 8:35,HMO/HMOPOS
TX,Montgomery,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
MI,Shiawassee,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Luzerne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Morgan,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Muskingum,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Richland,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Wyoming,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
OH,Holmes,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
GA,Atkinson,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Herkimer,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Angelina,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
FL,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
IA,Benton,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
NC,Surry,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Morovis,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Hart,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
CO,Boulder,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
PA,Bedford,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PA,Sullivan,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
FL,St. Johns,Guidewell Mutual Holding Corporation,FHCP Medicare Premier Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,11,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Hernando,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,21,0,Completed,07/25/2018 8:35,HMO/HMOPOS
IL,DuPage,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Cortland,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
AL,Pike,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KS,Wyandotte,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,27,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lebanon,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,93,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Clarke,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Dunklin,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Houston,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Adams,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Johnson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Greenville,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Warren,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
KS,Geary,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
UT,Salt Lake,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,101,0,Completed,07/17/2018 11:44,Local PPO
PA,Erie,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
GA,Houston,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
OH,Mahoning,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Banks,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Rockdale,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Geauga,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
VA,Appomattox,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
VA,Henrico,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Pawnee,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MS,Oktibbeha,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Ritchie,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NM,Rio Arriba,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
IA,Page,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
AL,Henry,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,96,0,Completed,07/24/2018 13:42,Local PPO
NC,Avery,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Lincoln,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
VA,Richmond,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
WV,Greenbrier,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
KY,Bullitt,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
SC,Greenville,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Armstrong,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Lowndes,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OR,Sherman,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
NE,Gage,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MS,Rankin,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Dakota,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
OR,Washington,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
VT,Essex,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
WI,Buffalo,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Allamakee,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NJ,Atlantic,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Crittenden,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Philadelphia,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Kings,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,12,2,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Kings,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,06/26/2018 8:34,Medicare-Medicaid Plan HMO/HMOPOS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Calhoun,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AR,Ashley,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Coos,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
NY,Chenango,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Aguada,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Winkler,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MT,Fallon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MO,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
UT,Wasatch,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,131,0,Completed,07/17/2018 11:44,Local PPO
LA,Bienville,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
TX,Somervell,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
NC,Rowan,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Forsyth,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Muscogee,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OH,Madison,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
PA,Westmoreland,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
IA,Lee,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Iowa,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
OR,Crook,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
KY,Greenup,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
PA,Monroe,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
KS,Shawnee,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Cedar,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
KY,Metcalfe,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OH,Ashtabula,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
NH,Merrimack,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
IL,McLean,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Marquette,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
PA,Beaver,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Washington,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Onondaga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NY,Genesee,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Door,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Craig,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Union,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
WI,Taylor,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
GA,Pickens,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Butler,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
NY,Rensselaer,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Geneva,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
SD,Hutchinson,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grand Forks,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
LA,St. Mary,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
IN,Posey,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
LA,Sabine,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Woodford,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Knox,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Tulare,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Macomb,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
IL,Perry,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Garfield,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,2,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PR,Aguadilla,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Orange,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,213,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Sumter,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Randolph,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Warren,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
KY,Lee,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
MI,Oakland,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,1,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,Hendricks,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,St. Clair,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
OK,Cherokee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Okmulgee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NM,Santa Fe,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5746,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Seneca,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
MN,Carver,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
PA,Susquehanna,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,12,Completed,07/27/2018 9:47,HMO/HMOPOS
VA,Henrico,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cidra,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Loiza,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Davidson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,Robertson,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
OH,Miami,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Susquehanna,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Windham,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SD,Day,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
SC,Florence,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
WA,Lewis,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,1,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WI,Washington,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Ashtabula,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
GA,Evans,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Wadena,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
OH,Scioto,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
MS,Clay,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
SD,Sanborn,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
KS,Shawnee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MS,Madison,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
TX,Caldwell,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
GA,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Medina,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
WV,Nicholas,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Las Marias,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PA,Erie,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Itasca,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Red Lake,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
AR,Lee,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,78,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Emporia City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MA,Franklin,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
NH,Coos,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
FL,Collier,Humana Inc.,HumanaChoice Florida H7284-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,2,0,Completed,07/24/2018 13:42,Local PPO
KS,Miami,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,Sioux,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Chilton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Pottawattamie,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Duval,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Dade,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WI,Waukesha,"Network Health, Inc.",Network Health Medicare Explore (HMO),Y,N,Y,Y,N,,,150,482,150,241,H5644,2,0,Completed,06/27/2018 15:22,HMO/HMOPOS
GA,Elbert,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Atchison,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
AL,St. Clair,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Gibson,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
OH,Cuyahoga,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cayey,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Moca,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TN,Moore,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
WA,Snohomish,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NC,Sampson,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,Catahoula,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Queens,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,1,0,Completed,06/07/2018 11:28,HMO/HMOPOS
TX,Collin,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Perry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Guilford,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,130,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Hamilton,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,17,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
AL,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Kane,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Franklin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
FL,Polk,"BayCare Healht System, Inc.",BayCarePlus Complete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,1,0,Completed,07/26/2018 15:03,HMO/HMOPOS
NY,Tioga,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Cambria,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
FL,Palm Beach,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
ME,Piscataquis,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
NY,Chemung,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
VA,James City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Chesterfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Seneca,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
PR,Orocovis,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Polk,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Orange,"Athena Healthcare Holdings, LLC",SOLIS SPF 005 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,5,0,Completed,07/20/2018 18:11,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
AL,Clarke,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
GA,Gwinnett,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Roane,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Fredericksburg City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
TX,Jim Wells,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Las Marias,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Guanica,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MT,Garfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Ward,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NC,Hoke,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
TX,Medina,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
GA,Wayne,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Walton,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Polk,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MO,Stone,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Lehigh,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MI,Missaukee,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Washtenaw,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Turner,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IN,Franklin,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IA,Madison,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
OK,Pittsburg,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MT,Carbon,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MA,Hampshire,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,9,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Palm Beach,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Manatee,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,40,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Monongalia,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
AL,Elmore,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
NY,Suffolk,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
GA,Spalding,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Adams,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
OK,Haskell,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KS,Allen,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
SD,Meade,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Las Marias,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Vega Alta,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Butts,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Cherokee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NM,Los Alamos,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,2,0,Completed,07/30/2018 11:21,HMO/HMOPOS
IL,Livingston,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,Bonner,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,11,0,Completed,07/06/2018 16:48,Local PPO
MI,Montcalm,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
TN,Moore,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Comal,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Hudspeth,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,35,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Travis,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Ontario,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Rensselaer,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,Centre,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
LA,Morehouse,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
IN,Lake,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Chatham,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Jackson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OH,Pickaway,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
WV,Boone,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
MO,Schuyler,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Hamlin,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
GA,Walton,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
KY,Martin,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
KS,Wyandotte,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
GA,Long,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
PA,Berks,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
WI,Washington,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
FL,Seminole,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,247,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Pendleton,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
VA,Galax City,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
TX,Kenedy,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Sheridan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Graham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Polk,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Columbia,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Bastrop,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
TX,Hays,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
PA,Huntingdon,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,McKean,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,Sandoval,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3822,6,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Indiana,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
WA,Thurston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Union,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
NC,Washington,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
MT,Silver Bow,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
MI,Keweenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
AR,Lee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Washington,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NY,Chemung,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
IL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,39,0,Completed,07/26/2018 11:48,Local PPO
GA,Bibb,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
MN,Ramsey,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
TX,Anderson,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
CA,Los Angeles,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,125,0,Completed,07/17/2018 11:44,Local PPO
PA,Armstrong,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Hamilton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
MS,Oktibbeha,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
KY,Green,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MT,Cascade,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,89,0,Completed,07/24/2018 13:42,Local PPO
FL,Lafayette,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
WV,Braxton,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Licking,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
GA,Long,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
VA,Westmoreland,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
ID,Bonner,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
OH,Washington,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
MN,Rice,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
WV,Preston,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
TX,Harrison,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Dale,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OR,Wasco,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,Hood River,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
GA,McDuffie,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
GA,Muscogee,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
NY,Rensselaer,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
VA,Richmond City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Orange,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Wood,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Newton,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Westmoreland,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
SC,Lancaster,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
OR,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,16,0,Completed,07/26/2018 11:48,Local PPO
MD,Baltimore,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
MN,Goodhue,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,Minnehaha,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dickey,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Eau Claire,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
TX,Willacy,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,2,Completed,07/24/2018 12:03,HMO/HMOPOS
LA,Franklin,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Catahoula,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CA,Madera,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,46,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Hancock,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Greene,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lucas,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
WA,Kitsap,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Delaware,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
WI,Racine,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
TX,Aransas,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Alger,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
VA,Culpeper,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Bayamon,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Camuy,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,San Mateo,Health Plan of San Mateo,CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H7885,1,0,Completed,07/26/2018 17:48,Medicare-Medicaid Plan HMO/HMOPOS
PA,Northumberland,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Oconee,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Niagara,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
KY,Nelson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Guadalupe,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
CT,New London,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Hardin,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Huron,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Rock Island,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lebanon,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,18,Completed,07/27/2018 9:47,Local PPO
PA,Cambria,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
WA,Cowlitz,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Delaware,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
MT,Gallatin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Albany,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Martin,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Marion,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Wayne,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
WI,Dane,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
SC,Marlboro,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,Baxter,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
CO,Montrose,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
PA,Delaware,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
VA,Newport News City,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Missoula,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,8,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Bayamon,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Ciales,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Barranquitas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Denton,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
ID,Gem,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
FL,Washington,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sevier,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
IL,Edgar,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
IA,Jefferson,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
OH,Henry,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,Schuylkill,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
CA,Tulare,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Richmond,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Ashtabula,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Crawford,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
AR,Saline,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,6,Completed,07/16/2018 15:07,PFFS
OK,Caddo,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OH,Stark,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
MN,Martin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
CO,Teller,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Bay,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,214,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Catawba,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Bayfield,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
AL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Clackamas,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,5,0,Completed,07/17/2018 11:44,Local PPO
AL,Etowah,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
PR,Fajardo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Palm Beach,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Monroe,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Mitchell,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
WI,Washington,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
GA,Lamar,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
ND,McLean,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
AL,Autauga,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Lawrence,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Jackson,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Perry,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WV,Ritchie,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
KS,Labette,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
FL,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
TX,Hamilton,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
TN,Davidson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Worcester,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Guanica,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Camuy,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Bullitt,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Whitley,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Marquette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Marion,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Rhea,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Cumberland,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Greene,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,Clackamas,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5859,1,0,Completed,07/23/2018 20:16,HMO/HMOPOS
OK,Oklahoma,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MO,Iron,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Jay,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Putnam,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Mahoning,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Hancock,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Hardeman,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
PA,Berks,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Fayette,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Pike,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
WV,Putnam,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Worth,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Murray,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
GA,Clayton,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Olmsted,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
FL,Hernando,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Delaware,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Mahnomen,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Dodge,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Madison,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,54,0,Completed,06/26/2018 15:07,Local PPO
PR,Utuado,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,Teller,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Iowa,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,2,0,Completed,06/15/2018 10:37,1876 Cost
MI,Clare,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Kent,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,2,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,New York,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Jefferson,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Pointe Coupee,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Rockbridge,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Audrain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Huntingdon,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
CA,San Francisco,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,54,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Richland,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Douglas,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Berks,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
AR,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Middlesex,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Bell,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
OR,Clackamas,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,16,0,Completed,07/26/2018 11:48,Local PPO
IN,Decatur,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
NE,Wayne,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
GA,Jones,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NH,Coos,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Chippewa,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Effingham,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Sangamon,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Champaign,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,Lucas,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Baja,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Clay,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KS,Butler,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Elbert,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
TX,Loving,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Falls,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
NC,Warren,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Somerset,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,Rockingham,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Marion,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Venango,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,50,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Forest,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MI,Livingston,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Summit,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
NM,Taos,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Harris,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MT,Mineral,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
PA,Lackawanna,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
AL,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Crockett,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Fulton,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Haywood,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Pima,Anthem Inc.,Amerivantage CareMore Care Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Windsor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
GA,Franklin,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
MA,Hampshire,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,160,0,Completed,07/17/2018 11:44,Local PPO
GA,Colquitt,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Wayne,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Wayne,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
VA,Surry,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
MN,Chippewa,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
IA,Buena Vista,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
ND,Morton,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MO,Monroe,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Audubon,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,Boone,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
OH,Lake,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
GA,Polk,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Leon,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
OH,Athens,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
GA,Houston,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Douglas,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,3,0,Completed,07/19/2018 0:49,HMO/HMOPOS
OH,Montgomery,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Spartanburg,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Edgefield,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
CA,Stanislaus,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
CA,Stanislaus,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,68,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Columbia,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,68,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Switzerland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,White,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Lycoming,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Pasco,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Columbia,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Jefferson,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
TN,Campbell,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Fairfax City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Richmond City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Langlade,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Jackson,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KS,Comanche,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Sumter,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Cheatham,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Bradley,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Montgomery,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Clinton,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
GA,Haralson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
MO,New Madrid,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
UT,Daggett,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,240,0,Completed,07/17/2018 11:44,Local PPO
IN,Whitley,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,99,0,Completed,07/17/2018 11:44,Local PPO
MI,Ottawa,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Alta,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Isabela,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,DeKalb,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OK,Craig,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
OK,Rogers,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Washington,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
CO,Costilla,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
GA,Rabun,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Bolivar,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
OK,Okmulgee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Butler,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MO,Greene,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KS,Reno,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,6,Completed,07/24/2018 13:42,Local PPO
GA,Henry,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
OR,Benton,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
PA,Lawrence,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MA,Barnstable,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,2,Completed,07/16/2018 9:33,HMO/HMOPOS
WA,Thurston,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,127,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Campbell,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Wahkiakum,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
GA,Madison,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,St. Clair,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
OH,Tuscarawas,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
TX,Jim Wells,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
TX,Throckmorton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Leon,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,Oliver,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Clark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Guanica,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Travis,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
KY,Daviess,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Scott,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NC,Hyde,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Washington,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
NJ,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Westmoreland,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Perry,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Throckmorton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Kaufman,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Clay,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
GA,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
NY,Essex,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Bayamon,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Livingston,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Warren,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
MA,Worcester,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
NJ,Camden,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
AR,Prairie,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
CO,Otero,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
KY,Edmonson,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
PA,Tioga,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,Humana Inc.,HumanaChoice H5216-153 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,153,0,Completed,07/24/2018 13:42,Local PPO
MI,Benzie,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Sullivan,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
ND,Burleigh,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
OH,Huron,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
OK,Custer,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Edwards,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Franklin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Polk,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
CT,Fairfield,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,Upson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,Craig,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,Pierce,PacificSource Health Plans,PacificSource Medicare MyCare Rx 34 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,34,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,Pierce,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Key (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,22,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Dade,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,206,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Macon,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Woodford,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
WV,Boone,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
KS,Leavenworth,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
KS,Sumner,Aetna Inc.,Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,17,0,Completed,07/17/2018 11:44,Local PPO
NC,Stanly,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
GA,Chatham,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,26,0,Completed,07/26/2018 14:48,Local PPO
PA,Franklin,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
IN,Marion,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Barbour,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
NY,St. Lawrence,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
NY,Schuyler,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
NE,Washington,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Burnet,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Grimes,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Florence,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
VA,Grayson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Yadkin,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Albany,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
FL,Miami-Dade,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Las Marias,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Lorenzo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayama,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MI,Isabella,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
OH,Vinton,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Huntingdon,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Jefferson,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
ND,Kidder,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
VA,Russell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Tipton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Barceloneta,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Aroostook,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
VA,Franklin,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,Scott,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
GA,Chatham,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
TX,Jeff Davis,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,King,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Manati,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cidra,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MS,Leake,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Nevada,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Pickett,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Union,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Allegany,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Genesee,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Yauco,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
CO,Broomfield,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Orange,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,86,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Miami-Dade,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,68,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Pitkin,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
OH,Preble,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Gloucester,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Philadelphia,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Butler,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MT,Yellowstone,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,8,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,Worcester,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,1,Completed,07/23/2018 15:54,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,186,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,West Baton Rouge,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
NY,Bronx,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,8,5,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Wayne,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
AL,Limestone,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Brown,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
LA,Calcasieu,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NH,Sullivan,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
TX,Bowie,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Green Lake,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
OH,Cuyahoga,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IN,Posey,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NH,Carroll,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,12,0,Completed,07/17/2018 11:44,Local PPO
AL,Geneva,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
PA,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
IA,Monona,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
ND,McIntosh,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,St. Louis,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
FL,St. Lucie,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,62,0,Completed,07/24/2018 13:42,Local PPO
GA,Spalding,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
SD,Yankton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Renville,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Woodbury,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Duval,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,58,0,Completed,07/24/2018 13:42,Local PPO
GA,Hall,Humana Inc.,HumanaChoice H5216-143 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,143,0,Completed,07/24/2018 13:42,Local PPO
GA,Floyd,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,Pierce,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Pendleton,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Hood,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
ME,Waldo,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
GA,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
ND,Benson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Brookings,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MA,Suffolk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Florence,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MS,Issaquena,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Garland,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Clark,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NY,Greene,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
DE,Sussex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
VA,Fairfax City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
PR,Bayamon,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Quebradillas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Graham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
ME,Penobscot,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
GA,Coweta,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Barceloneta,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Henry,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/13/2018 10:20,HMO/HMOPOS
NJ,Union,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,4,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Ross,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
MS,Winston,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
GA,Chattooga,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
SD,Custer,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
KY,Henry,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
TX,San Jacinto,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
GA,Madison,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Logan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
GA,Troup,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
CO,Park,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
ID,Payette,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
IA,Monroe,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Lenawee,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Yankton,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
WV,Wood,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
GA,Dawson,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
IN,Sullivan,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
PA,Wayne,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
TX,Shackelford,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
MN,Red Lake,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NY,Tompkins,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
NC,Graham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Jo Daviess,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Winnebago,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
PR,Florida,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
GA,Bartow,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Washington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Saluda,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Vermilion,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lincoln,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Swisher,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Jefferson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sevier,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NY,Allegany,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
FL,Polk,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,268,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Seminole,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,146,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Caswell,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Lynchburg City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Warren,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,2,Completed,07/12/2018 15:19,HMO/HMOPOS
KS,Jefferson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,Union,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Dickenson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Vernon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Wheeler,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,38,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,Greene,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
NY,Tompkins,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
AL,Lee,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,Boone,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,McDowell,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Columbia,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MI,Leelanau,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Seneca,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,6,0,Completed,06/26/2018 15:07,HMO/HMOPOS
PA,Lebanon,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MO,St. Louis City,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
PA,Crawford,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AZ,Pima,Anthem Inc.,Amerivantage CareMore Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,New York,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,McMullen,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CO,Adams,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
GA,Elbert,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PA,Allegheny,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
OH,Miami,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
MA,Suffolk,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
IN,Wayne,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
GA,Warren,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
ID,Payette,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
GA,Pike,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
GA,Upson,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
NM,Bernalillo,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
SD,Deuel,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Marshall,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MN,Martin,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Benton,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
PR,Florida,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NJ,Mercer,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,123,0,Completed,07/17/2018 11:44,Local PPO
TN,Rutherford,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
GA,Lincoln,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PA,Elk,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Juncos,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Patillas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Florida,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Fayette,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
GA,Taylor,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
SC,Laurens,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
GA,Carroll,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
VA,Stafford,Humana Inc.,HumanaChoice H5216-151 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,151,0,Completed,07/24/2018 13:42,Local PPO
MS,Yalobusha,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
ME,Sagadahoc,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
IN,Carroll,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Pike,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Jasper,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Benton,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Kenton,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
SC,Aiken,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
NY,Orange,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,2,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Osceola,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,10,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Clarendon,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
ND,Foster,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Logan,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Hardeman,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,St. Clair,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,Iosco,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
FL,Okaloosa,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,18,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Miami-Dade,CIGNA,Leon Medical Centers Health Plans - Leon Cares (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Penuelas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Dorado,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Menard,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Vermilion,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Boone,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CA,San Luis Obispo,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,7,2,Completed,07/27/2018 15:23,HMO/HMOPOS
WI,Calumet,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
GA,Peach,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,Mineral,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Hockley,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
FL,Highlands,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Fremont,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Yauco,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IA,Benton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
WI,Lafayette,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Summit,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
VA,Buchanan,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Prince William,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Madison,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Albemarle,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
HI,Kauai,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,8,0,Completed,07/16/2018 15:11,Local PPO
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
ND,Oliver,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
TN,Washington,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Scott,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Carbon,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
WV,Cabell,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
WV,Mason,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
IL,La Salle,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
OH,Clinton,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NV,Clark,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,9,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Adams,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,18,Completed,07/27/2018 9:47,HMO/HMOPOS
KS,Seward,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,Park,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Bexar,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Williamson,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Niagara,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Wright,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Kings,Personal Touch Holding Corp.,Integra Harmony Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,1,0,Completed,09/11/2018 14:34,HMO/HMOPOS
NY,Delaware,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
PA,Juniata,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
AR,Fulton,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Washington,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
OK,Pottawatomie,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,McIntosh,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OH,Cuyahoga,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
CA,Orange,Orange County Health Authority,OneCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5433,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
FL,Polk,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Santa Isabel,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
NY,Bronx,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Stoddard,Aetna Inc.,Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,51,0,Completed,07/17/2018 11:44,Local PPO
NC,Cabarrus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Caswell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Yadkin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Clinton,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
TX,San Saba,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WY,Sheridan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,Blaine,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Dakota,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Morrill,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
IN,Morgan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
OH,Hancock,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
GA,Madison,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
IN,Allen,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,190,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OR,Yamhill,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Mille Lacs,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
WV,Nicholas,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
WV,Kanawha,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MO,Ray,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Marshall,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
SD,Minnehaha,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
IN,Dearborn,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
OH,Portage,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
OH,Morgan,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
OR,Linn,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Monroe,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Taylor,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
MA,Middlesex,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Pawnee,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
CA,San Luis Obispo,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
FL,Okeechobee,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,249,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Polk,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,231,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Baker,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Dearborn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Lafayette,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
IN,Pike,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Mercer,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,50,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Somerset,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Cortland,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,Onondaga,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Oneida,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Haywood,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Autauga,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Tulare,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,87,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Broomfield,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
AL,Winston,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
SD,Clark,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KS,Dickinson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,6,Completed,07/24/2018 13:42,Local PPO
KY,Montgomery,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
GA,Brantley,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
WV,Morgan,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
NC,Davidson,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Carroll,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OH,Union,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
KS,Sedgwick,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Mahoning,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
FL,Collier,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Robertson,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,Green,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Morgan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Sequatchie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Morrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Bernardino,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,60,3,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,San Diego,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,70,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Howard,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Maries,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Adams,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,Palm Beach,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,20,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ME,Lincoln,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
MO,Iron,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Seward,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Albany,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Madison,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Chenango,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
SD,Jerauld,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
GA,Pike,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
VT,Windham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
PR,Barceloneta,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guaynabo,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Jayuya,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PA,Potter,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TN,Grundy,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. Martin,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Alpena,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MI,Mason,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
IA,Audubon,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Pendleton,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MO,Stone,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Wright,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Izard,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Suffolk City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Orange,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,Logan,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,Torrance,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3251,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
MI,Monroe,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
NY,Westchester,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
OR,Baker,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
PR,Aguada,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Maunabo,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Barranquitas,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PR,Loiza,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WV,Gilmer,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
WV,Upshur,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
MO,Caldwell,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
LA,Caddo,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Defiance,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,York,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
AZ,Cochise,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,44,2,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Spartanburg,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Ottawa,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
TX,Hardin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,King,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
KY,Webster,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
GA,DeKalb,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MN,Becker,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Crow Wing,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
FL,St. Lucie,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,226,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Le Sueur,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Pennington,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
OH,Preble,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
IN,Greene,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NY,Rensselaer,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Monroe,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
IA,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,DeKalb,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,2,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,St. Louis,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Montgomery,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Stokes,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Hormigueros,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguas Buenas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
AZ,Navajo,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KY,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Nemaha,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Stark,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
TX,Orange,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
PA,Clearfield,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
AL,Blount,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Richmond,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
GA,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Midland,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Fayette,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,Potter,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Noble,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NE,Jefferson,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NE,Gage,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Butts,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
SD,Union,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Macon,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,3,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Clay,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,270,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Aitkin,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
AL,Bibb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lancaster,Capital BlueCross,BlueJourney Alliance Lung Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,18,0,Completed,07/19/2018 16:39,HMO/HMOPOS
KY,Daviess,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Bourbon,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
IL,Will,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,07/25/2018 17:17,Medicare-Medicaid Plan HMO/HMOPOS
NY,Washington,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Lincoln,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Menominee,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Davie,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Henderson,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Crawford,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
OH,Clermont,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,87,0,Completed,07/17/2018 11:44,Local PPO
GA,Treutlen,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PA,Wayne,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Alta,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Highland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Defiance,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
GA,Dooly,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
OH,Adams,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
GA,Fulton,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
PA,Adams,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MS,Issaquena,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WV,Clay,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
MI,Ontonagon,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
AL,Elmore,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
WV,Cabell,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
OH,Meigs,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Clair,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TN,Jefferson,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
IL,St. Clair,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
MN,Carver,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,Lucas,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Hillsborough,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Citrus,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Becker,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Pine,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MO,Lewis,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Greeley,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Lowndes,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AL,Washington,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AR,Carroll,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Tate,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Giles,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Denton,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,St. Charles,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
AL,Houston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
PR,Naguabo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vega Baja,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Dixon,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,St. Mary,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
GA,Clayton,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Towns,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PA,Beaver,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
PA,Blair,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
NY,New York,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,40,0,Completed,07/17/2018 11:44,Local PPO
TX,Rockwall,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Morgan,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,4,0,Completed,07/24/2018 12:52,HMO/HMOPOS
MS,Sharkey,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
KY,Boyle,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MS,Clay,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Jackson,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
IA,Van Buren,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
CO,Adams,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
WV,Clay,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MI,Saginaw,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IA,Sioux,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,Oregon,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
AZ,La Paz,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,35,0,Completed,07/24/2018 13:42,Local PPO
VA,Caroline,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
GA,Jackson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Washington,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Aguadilla,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Moca,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
MT,Powell,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Transylvania,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Union,Humana Inc.,Humana Gold Plus H6622-058 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,58,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Mercer,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Glynn,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
PR,San German,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Gratiot,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
KS,Jefferson,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
NC,Burke,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
IN,Boone,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Iowa,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
OK,Adair,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Logan,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
AR,Polk,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
SC,Lexington,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
OR,Grant,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Bourbon,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
KS,Cherokee,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,Jackson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
ID,Kootenai,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,1,0,Completed,07/13/2018 13:55,Local PPO
WI,Ozaukee,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,10,0,Completed,06/27/2018 15:22,Local PPO
OR,Josephine,ATRIO Health Plans,ATRIO Silver Rx (Rogue) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,16,0,Completed,07/28/2018 12:06,Local PPO
CA,Fresno,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Huntingdon,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Snyder,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Lake,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Warren,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Nassau,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Cayuga,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
WI,Menominee,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NY,Washington,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Columbia,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
OH,Lucas,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Tillamook,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5859,1,0,Completed,07/23/2018 20:16,HMO/HMOPOS
MI,Clare,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
WV,Roane,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
IN,Marshall,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
IL,Winnebago,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
VA,Greensville,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
MS,Lincoln,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AR,Grant,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Sabana Grande,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
GA,Henry,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,Trumbull,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
NC,Hertford,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
PA,Erie,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,50,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Chemung,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PA,Crawford,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
MN,Sherburne,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
ID,Gem,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
MO,Christian,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Lawrence,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
PA,Huntingdon,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
ME,Knox,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
ND,Grand Forks,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MI,St. Clair,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
IN,Carroll,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
SD,Bon Homme,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Gallia,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
OR,Columbia,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
LA,Jefferson Davis,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
KY,Owsley,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
VA,Danville City,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
WA,King,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,4,0,Completed,07/24/2018 10:50,HMO/HMOPOS
MI,Gogebic,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
NY,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Newberry,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,Clay,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Elk,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,York,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
NY,Chemung,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
AZ,Pinal,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,Dodge,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
TX,Parker,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
NH,Sullivan,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OH,Hamilton,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
MS,Lamar,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Benton,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
MN,Blue Earth,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
MN,Pope,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
NE,Washington,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,East Feliciana,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,Mecklenburg,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Broward,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AL,Calhoun,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Taney,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,Cuming,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,1,0,Completed,07/23/2018 10:18,HMO/HMOPOS
MA,Hampden,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,12,0,Completed,07/23/2018 10:18,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Lebanon,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
IN,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
SD,Roberts,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Nobles,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Gratiot,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
DE,Kent,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
ND,Barnes,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
ND,Pembina,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
AR,Craighead,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,38,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cumberland,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Lowndes,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,Southampton,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Pike,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,St. Landry,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
OK,Kingfisher,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
WI,Winnebago,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,Leslie,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Johnson,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,Bergen,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Kankakee,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/24/2018 13:42,Medicare-Medicaid Plan HMO/HMOPOS
MN,Koochiching,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
MN,McLeod,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Sullivan,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Kern,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Kern (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,36,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Ogemaw,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
CT,New London,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,21,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Coles,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Hancock,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Logan,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Lackawanna,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,12,Completed,07/27/2018 9:47,Local PPO
UT,Tooele,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Frederick,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
MN,Roseau,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Lycoming,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PR,Dorado,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Jayuya,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fulton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Stevens,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Sauk,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
AZ,Pima,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9287,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Sedgwick,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
TX,Parker,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
NC,Davie,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Chatham,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Wood,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,Cuyahoga,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
PA,McKean,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
OH,Lawrence,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Lewis,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
ME,Androscoggin,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OH,Lake,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,Pope,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
NY,Ontario,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Mahnomen,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
OR,Curry,PacificSource Health Plans,PacificSource Medicare Explorer Rx 7 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,7,0,Completed,07/06/2018 16:48,Local PPO
KY,Cumberland,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
PA,Franklin,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
MI,Oakland,Humana Inc.,Humana Gold Plus SNP-DE H8908-005 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Lewis,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
NC,Macon,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Oceana,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
CT,New London,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
OR,Morrow,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
FL,Brevard,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,Monroe,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
OH,Columbiana,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
IA,Ringgold,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Cabarrus,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Lackawanna,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
VA,Hopewell City,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
LA,Cameron,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,1,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Oakland,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,18,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WA,Whatcom,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KY,Estill,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
LA,St. Tammany,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Niagara,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
NY,Essex,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
RI,Providence,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,07/12/2018 10:53,Medicare-Medicaid Plan HMO/HMOPOS
MS,Madison,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,151,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Morgan,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
AZ,Graham,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Broomfield,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Parke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Montgomery,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,51,0,Completed,07/16/2018 13:15,HMO/HMOPOS
OH,Preble,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
OH,Clinton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,Union,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
KY,Oldham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waupaca,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Blair,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Greene,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NY,Oneida,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
OR,Deschutes,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,39,0,Completed,07/03/2018 11:07,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Dale,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Stanislaus,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Sheboygan,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
WI,Columbia,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,06/19/2018 17:16,HMO/HMOPOS
KY,Monroe,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Nemaha,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Nassau,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,3,0,Completed,07/27/2018 16:18,HMO/HMOPOS
SD,Butte,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Buffalo,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Meeker,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
SD,Corson,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TN,Benton,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Benton,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,Searcy,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Knox,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,Cass,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
PR,Naranjito,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Villalba,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Hooker,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
MI,Kalamazoo,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
PA,Bradford,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
WI,Walworth,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
MS,Quitman,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
GA,Stewart,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MS,Walthall,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
ME,Kennebec,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
OK,Dewey,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Turner,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Watonwan,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
MI,Menominee,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
CO,Arapahoe,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
WV,Wirt,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
AR,Conway,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
IL,St. Clair,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
LA,Claiborne,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Iberia,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Yabucoa,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MN,Lake,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
SD,Beadle,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
TN,Warren,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Dade,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Buffalo,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Green,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
ME,Piscataquis,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Louisa,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Buncombe,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,McDowell,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Lawrence,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
OR,Linn,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
TN,Carroll,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
PR,Rio Grande,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NY,Queens,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Garfield,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
WV,Harrison,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
WV,Morgan,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
NJ,Burlington,"Clover Health Holdings, Inc.",Clover Health Choice Premier (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,32,0,Completed,07/26/2018 14:48,Local PPO
VA,Tazewell,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,St. Helena,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,St. John the Baptist,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Greene,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
WA,Pierce,Humana Inc.,Humana Gold Plus H5619-061 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,61,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,Fresno,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Madison,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,21,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Daviess,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
NY,Chemung,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NY,Washington,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
ME,Waldo,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
NJ,Essex,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
SC,Darlington,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SD,Clay,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Douglas,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Marshall,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Clark,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
FL,Sumter,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,Ouachita,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Lafourche,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Catano,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,3,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Pickens,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Roane,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
WI,Columbia,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
NC,Hertford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Houston,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
NM,Sandoval,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6526,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Gage,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Warren,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
FL,Hillsborough,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,28,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OH,Pickaway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,Burt,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
PA,Indiana,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
NJ,Camden,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ME,Knox,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
CA,Los Angeles,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
NY,Oneida,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Marshall,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
CO,Weld,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,136,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,Jackson,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Custer,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
NC,Scotland,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
AR,Union,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Lincoln,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IN,Jennings,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
OH,Holmes,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
OH,Summit,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
MS,Copiah,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
TX,Denton,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Gregg,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Victoria,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
NY,Dutchess,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,Bronx,"Independent Living Systems, LLC",Health Pointe Direct Complete Plan (HMO SNP),Y,N,Y,N,N,,,,,0,0,H1722,1,0,Completed,08/16/2018 12:20,HMO/HMOPOS
MI,Baraga,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
NY,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Blair,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
MN,Mahnomen,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Steele,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Rice,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,McKean,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Tompkins,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
VA,Virginia Beach City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
AZ,Maricopa,"Veritage, LLC",Blue Medicare Advantage Plus (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,1,0,Completed,06/28/2018 17:45,HMO/HMOPOS
CO,Archuleta,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
PA,Lawrence,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Franklin,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,2,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,Chilton,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
NH,Carroll,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
NY,Saratoga,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,New York,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,3,0,Completed,07/27/2018 16:18,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Morgan,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NC,Duplin,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
KY,Boyd,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
TX,Atascosa,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
AL,Russell,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
CT,Fairfield,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
OH,Columbiana,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,San German,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Manati,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Medina,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
LA,St. Landry,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
KY,Morgan,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
GA,Paulding,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
IN,La Porte,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
MO,Johnson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
TX,Galveston,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
ND,Morton,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
ND,Stutsman,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KY,Adair,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KS,Sumner,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OR,Clackamas,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
NJ,Hudson,Humana Inc.,HumanaChoice H5216-172 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,172,0,Completed,07/24/2018 13:42,Local PPO
MN,Wright,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
WI,Calumet,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
SC,Chester,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WA,Snohomish,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,2,0,Completed,07/13/2018 13:55,HMO/HMOPOS
OH,Champaign,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Adair,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Muskogee,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
AL,Henry,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
KY,Logan,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Tompkins,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
TN,Anderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Sullivan,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Carter,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Livingston,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,Madera,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PR,Comerio,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Adams,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Adjuntas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
OH,Wayne,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
NY,Erie,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,65,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Hidalgo,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Montgomery,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,Eaton,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
CO,Broomfield,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
AR,Jefferson,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,Schoolcraft,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
MI,Shiawassee,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
WV,Pocahontas,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
VA,Buckingham,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
CA,San Francisco,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,32,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Kalkaska,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MI,Cass,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
OR,Clackamas,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,1,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Wood,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,Hartford,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,McLean,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Winnebago,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ID,Minidoka,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,4,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,13,Completed,07/27/2018 9:47,Local PPO
VA,Falls Church City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
IL,Saline,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,Russell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,La Paz,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Iredell,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Denton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Coamo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Toa Baja,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Naranjito,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Unicoi,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
MN,Ramsey,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Fillmore,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
NV,Douglas,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,6,0,Completed,07/24/2018 17:55,Local PPO
OH,Greene,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
PA,Indiana,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
FL,Seminole,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,73,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Isle of Wight,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Portsmouth City,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Mineral,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
OH,Medina,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Canovanas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MI,Lenawee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,4,Completed,07/26/2018 15:53,Local PPO
MI,Lenawee,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,1,Completed,07/26/2018 15:53,Local PPO
OH,Shelby,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Passaic,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
MN,Blue Earth,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NC,Montgomery,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
MN,Cook,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,McLeod,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
WI,Douglas,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
WI,Polk,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
TN,Washington,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,La Porte,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,St. Joseph,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Fulton,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
VA,Newport News City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,2,Completed,07/30/2018 13:14,HMO/HMOPOS
MN,Goodhue,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
VA,Carroll,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
AR,Faulkner,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
FL,Hillsborough,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,23,0,Completed,07/25/2018 8:35,HMO/HMOPOS
KY,Butler,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Kenton,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Macomb,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,18,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Medina,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
GA,Meriwether,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Meade,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
PA,Beaver,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
IL,Ogle,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TN,McNairy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Yell,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Spartanburg,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Phillips,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Williamson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Washington,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Shelby,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Fayette,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
MS,Webster,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
IN,Tipton,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
KY,Powell,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
SD,Union,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MS,Yalobusha,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WA,Kitsap,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IA,Hancock,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MA,Hampden,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
OR,Gilliam,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Marion,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H5995,1,0,Completed,07/28/2018 12:06,HMO/HMOPOS
LA,Pointe Coupee,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,Guilford,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,4,0,Completed,06/25/2018 20:32,Local PPO
FL,Broward,Humana Inc.,Humana Gold Plus H1036-065C (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Rock,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
IN,Clay,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
NH,Hillsborough,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,11,0,Completed,07/17/2018 11:44,Local PPO
FL,Indian River,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Kings,Humana Inc.,HumanaChoice H5970-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,22,0,Completed,07/24/2018 13:42,Local PPO
TN,Shelby,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,81,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,49,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Wright,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Franklin,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Union,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
ME,Sagadahoc,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
CA,Riverside,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,1,0,Completed,07/26/2018 15:08,HMO/HMOPOS
WI,Clark,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,Gwinnett,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
MO,Ste. Genevieve,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
WI,Polk,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,Mellette,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
GA,White,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
AL,Lawrence,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Mobile,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Bledsoe,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ID,Boundary,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MA,Plymouth,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
PR,Maricao,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Sabana Grande,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Cabo Rojo,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Juncos,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Knox,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MO,Greene,Aetna Inc.,Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Bay,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Utuado,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
ME,Hancock,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
NE,Dixon,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
OH,Medina,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
MO,Crawford,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
LA,West Baton Rouge,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Summit,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,22,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Randolph,Humana Inc.,Humana Gold Plus H5619-112 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,112,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Laurel,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NY,Lewis,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,2,Completed,07/20/2018 11:11,Local PPO
WI,Kenosha,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Lincoln,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
IN,Marion,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
TX,Jefferson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
PA,Bucks,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,42,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Harrison,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Richmond,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IA,Warren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Transylvania,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Wright,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Bond,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,Bedford,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
MA,Franklin,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,1,0,Completed,07/23/2018 10:18,HMO/HMOPOS
FL,Sarasota,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Orange,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
KS,Greenwood,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Kearny,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
MD,Worcester,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
IL,Cook,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Fort Bend,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Franklin,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,McNairy,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,McNairy,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Manassas City,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Sumner,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,Fremont,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
CO,Weld,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
PR,Morovis,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Carolina,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Hooker,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NC,Rockingham,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
TX,Jefferson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
VA,Williamsburg City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Salem,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,4,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Jackson,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
VA,Manassas City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
MS,Jasper,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
WV,Jefferson,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Cass,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MI,Houghton,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Clay,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KY,Warren,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
MT,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,Thomas,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
CA,San Diego,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,53,0,Completed,07/17/2018 11:44,Local PPO
GA,Lincoln,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
AZ,Pinal,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,186,0,Completed,07/17/2018 11:44,Local PPO
MI,Jackson,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
WI,Walworth,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
GA,Warren,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Moca,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Camuy,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Warren,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,13,0,Completed,07/24/2018 12:52,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MN,Becker,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Brown,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
VA,Russell,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
SD,Hamlin,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,58,0,Completed,07/24/2018 13:42,Local PPO
SD,Day,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
OH,Cuyahoga,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
MN,Kandiyohi,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Fannin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NM,Colfax,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
SC,Berkeley,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Bingham,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Clark,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Florida,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Calloway,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WV,Lincoln,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,Arapahoe,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Rice,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
TN,Jefferson,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Union,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Gila,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,13,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Isabella,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
MD,Baltimore,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
CO,Denver,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Carroll,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
GA,Irwin,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
CA,Yolo,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
IL,Cook,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Wayne,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
OR,Josephine,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Morgan,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Daviess,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
SD,Turner,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
IA,Winnebago,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IA,Jackson,"Medical Associates Clinic, P.C.",Genesis Health Network Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,13,0,Completed,06/15/2018 10:34,1876 Cost
PR,Comerio,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Reeves,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OH,Summit,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
NC,Wilkes,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
AL,Cullman,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
TX,Duval,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Rabun,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
IN,Fountain,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
AR,Crawford,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AR,Logan,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
GA,Dougherty,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MO,Crawford,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Kendall,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
MN,Freeborn,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Swift,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
FL,Seminole,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Marquette,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
CA,San Diego,SCAN Health Plan,Scripps Heart First offered by SCAN Health Plan (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,55,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Lebanon,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
MN,Big Stone,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
OH,Lorain,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
MO,Newton,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Baker,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
WI,Portage,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
MO,Buchanan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,St. Clair,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,Carroll,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,11,0,Completed,07/17/2018 11:44,Local PPO
FL,Broward,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Suffolk,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Spokane,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Comal,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Shelby,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
MN,Hennepin,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
GA,Barrow,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
FL,Miami-Dade,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
AL,Shelby,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
NC,Cleveland,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Hormigueros,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Middlesex,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,159,0,Completed,07/17/2018 11:44,Local PPO
PA,Potter,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
WI,Ozaukee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
MN,Hennepin,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
PA,Union,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
NJ,Monmouth,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
GA,Peach,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Fajardo,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marion,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Hardin,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
MA,Hampden,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,123,0,Completed,07/17/2018 11:44,HMO/HMOPOS
DE,New Castle,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,102,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Hardin,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Polk,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Morgan,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Roane,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Yakima,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
DC,District of Columbia,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Muskegon,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IA,Madison,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
WV,Lewis,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
OH,Licking,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
VA,Washington,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
MT,Flathead,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
FL,Miami-Dade,"Devoted Health, Inc.",Devoted Health Miami-Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,1,0,Completed,07/25/2018 11:54,HMO/HMOPOS
AZ,Pinal,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Clinton,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Austin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Jayuya,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,19,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MO,Hickory,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,Bates,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OR,Linn,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,,,H3811,3,0,Completed,06/29/2018 15:38,HMO/HMOPOS
FL,Collier,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Passaic,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Nobles,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
CA,Orange,"Alignment Healthcare USA, LLC",Alignment Health Plan Heart & Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,10,0,Completed,07/26/2018 15:08,HMO/HMOPOS
GA,Decatur,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
KY,Hickman,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
PA,Allegheny,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Richland,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Fulton,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
DE,Sussex,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,10,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Colonial Heights City,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,DeKalb,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Lajas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Corozal,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ponce,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,Pinellas,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,200,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Wakulla,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,209,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Real,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Madison,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
FL,Seminole,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
OH,Auglaize,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
CO,Ouray,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
VA,Accomack,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Trujillo Alto,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Coamo,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
MA,Bristol,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,14,0,Completed,07/23/2018 15:54,HMO/HMOPOS
CT,Litchfield,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,1,Completed,07/17/2018 15:41,HMO/HMOPOS
TX,Tarrant,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
WA,Walla Walla,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
NC,Avery,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NY,Bronx,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,2,0,Completed,06/07/2018 11:28,HMO/HMOPOS
AR,Miller,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Charleston,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Wise,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Wood,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
IN,Delaware,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Jefferson,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
OH,Ottawa,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Creek,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Searcy,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MN,Hennepin,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
TX,El Paso,Humana Inc.,Humana Gold Plus SNP-DE H0028-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Fulton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
OH,Clermont,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,16,0,Completed,07/12/2018 15:19,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
MN,Becker,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
IN,Marion,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Susquehanna,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
OH,Harrison,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NY,Greene,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Green Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Stokes,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Putnam,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Crawford,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Queens,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NY,Genesee,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
WI,Richland,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
WI,Juneau,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
NE,Boone,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
IL,Mason,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Wayne,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Johnson,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cass,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,Henry,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Pike,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,12,Completed,07/27/2018 9:47,Local PPO
VA,Fairfax City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
FL,Seminole,"Devoted Health, Inc.",Devoted Health Prime Central Florida (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,10,0,Completed,07/25/2018 11:54,HMO/HMOPOS
IN,Monroe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Woodruff,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Porter,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Humacao,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Marinette,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MN,Otter Tail,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
PA,Fayette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Fairfax,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Cherokee,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
IL,Cook,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,McDonough,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
OH,Ross,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
GA,McDuffie,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Bexar,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,20,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Fort Bend,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Butler,Humana Inc.,Humana Gold Plus H6622-053 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,53,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Caguas,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Catano,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Orocovis,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
SC,Cherokee,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,Mason,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
KY,Kenton,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Glades,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Guanica,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
PR,Naranjito,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
WA,Walla Walla,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
IL,Bureau,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
IA,Cass,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
FL,Okaloosa,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,8,0,Completed,07/26/2018 11:48,Local PPO
VA,Botetourt,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Lucas,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
SC,Union,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Whitley,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Kanawha,Humana Inc.,Humana Gold Plus H5619-113 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,113,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Grayson,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Caroline,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Dooly,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
SC,Dillon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,249,0,Completed,07/17/2018 11:44,Local PPO
PR,Carolina,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OK,Cherokee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
AL,Dale,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,96,0,Completed,07/24/2018 13:42,Local PPO
MI,Ogemaw,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
TX,Erath,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Hood,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Washington,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
SC,Colleton,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
KY,Jefferson,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
GA,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Ulster,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
PR,Penuelas,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
MN,Beltrami,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Cass,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Goodhue,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
WI,Grant,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
IL,Knox,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
SC,Hampton,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,Dillon,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Lucas,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
NY,Oneida,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Herkimer,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
IA,Jefferson,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Carolina,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Manatee,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Palm Beach,"Athena Healthcare Holdings, LLC",SOLIS SPF 008 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,8,0,Completed,07/20/2018 18:11,HMO/HMOPOS
GA,Webster,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Ritchie,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
NY,Otsego,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Westchester,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,11,0,Completed,07/27/2018 16:18,HMO/HMOPOS
MN,Hubbard,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
TN,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,Hillsborough,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,265,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Walton,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,271,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
CO,Arapahoe,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Brown,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Yolo,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,74,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Waller,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Sumner,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Clark,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
KY,Spencer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Kit Carson,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
FL,Okaloosa,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,Evangeline,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
TN,Carter,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
IL,Adams,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
SD,Clay,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Madison,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NC,Franklin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
OK,Nowata,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OK,Creek,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
TX,Bexar,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,25,0,Completed,07/26/2018 14:48,Local PPO
WA,Spokane,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
VA,Manassas Park City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Pittsylvania,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Bradford,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Wayne,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
OH,Montgomery,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,15,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,Henrico,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Cherokee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,San Jacinto,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,Walker,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Northampton,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
AL,Chilton,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
WA,Spokane,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Centennial (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,21,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,Albany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
WI,Price,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
IA,Van Buren,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Champaign,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
GA,Gwinnett,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Miami,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
SD,Clay,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
SD,Hyde,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
FL,Duval,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Payette,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Webster,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
NC,Cabarrus,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
OH,Trumbull,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,Franklin,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
IL,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,4,0,Completed,07/26/2018 11:48,Local PPO
MI,Branch,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
MI,Wayne,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
MI,Presque Isle,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
NM,Curry,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
WI,Calumet,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
WI,Washburn,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Sevier,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Knox,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Bell,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,Alger,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
IN,Putnam,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Guayama,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,McLeod,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
TN,Cheatham,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Moore,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,White,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Marshall,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Eau Claire,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,Bayfield,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Jackson,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cannon,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hardin,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Zavala,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Yates,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
FL,Hernando,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
NC,Beaufort,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Fajardo,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Gurabo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Anasco,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
GA,Clay,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
AL,Jefferson,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
GA,Worth,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Moca,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cidra,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
ID,Canyon,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
CO,Elbert,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
WV,Hampshire,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
GA,Gwinnett,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
KS,Sumner,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MO,Platte,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Quitman,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TX,Kendall,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TN,Anderson,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KY,Menifee,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Spencer,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Erath,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OK,Pittsburg,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
WI,Fond du Lac,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
MO,Hickory,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Iowa,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Poweshiek,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Miami-Dade,Aetna Inc.,Coventry Medicare Vista Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,14,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Poinsett,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,16,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ME,Androscoggin,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
AR,Dallas,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Clay,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,Floyd,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
MS,Neshoba,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
NM,Luna,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
WV,Brooke,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MI,Sanilac,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MO,Adair,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MO,Macon,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Louis,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
SC,Colleton,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,75,0,Completed,07/24/2018 13:42,Local PPO
KS,Harvey,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
OH,Harrison,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
WV,Braxton,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
WV,Calhoun,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Erath,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Red River,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Caguas,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,San Juan,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Forest,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,Denver,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Erie,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Crawford,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Philadelphia,Aetna Inc.,Advantra Southeast Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Galveston,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
WI,Dunn,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TX,San Patricio,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Richmond,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
MO,Dade,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
OH,Ashtabula,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Licking,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Christian,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Washington,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
PA,Schuylkill,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
UT,Cache,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,Cass,Aetna Inc.,Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Northampton,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,15,Completed,07/27/2018 9:47,HMO/HMOPOS
MT,Wibaux,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IN,Miami,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Madison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Navarro,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
UT,Salt Lake,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Kane,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PA,Berks,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
MI,Wayne,"Caidan Enterprises, Inc.",MeridianCare Elite Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,25,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,De Kalb,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Madison,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Delaware,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,Franklin,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
UT,Salt Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Volusia,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
VA,Carroll,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Manassas City,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,Deschutes,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
KY,Ballard,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
TX,Denton,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,1,0,Completed,06/11/2018 23:54,Local PPO
MI,Marquette,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
IN,Owen,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
SD,Clay,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Edmunds,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lyman,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Goodhue,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
ND,Kidder,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
NY,Hamilton,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
ID,Kootenai,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,De Soto,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguas Buenas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Brown,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
MI,Shiawassee,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
OH,Putnam,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Value Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,6,0,Completed,07/18/2018 14:47,HMO/HMOPOS
MN,Ramsey,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,Hennepin,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
PA,Bucks,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,15,Completed,07/27/2018 9:47,HMO/HMOPOS
MN,Lake,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,Pipestone,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Bartholomew,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
IL,DeKalb,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
NY,Putnam,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Pasco,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Montcalm,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
WA,Snohomish,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,3,0,Completed,07/24/2018 10:50,HMO/HMOPOS
PR,Isabela,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Moca,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Freestone,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
NE,Buffalo,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,30,0,Completed,07/16/2018 13:40,HMO/HMOPOS
PA,Juniata,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
MN,Carver,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
PR,Corozal,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Gurabo,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Pueblo,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Henry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Erie,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
FL,Flagler,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
PA,Franklin,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
WV,Tucker,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
TX,Wharton,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
IL,Carroll,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
IL,Cook,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
MT,Garfield,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Perquimans,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Ionia,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Ashland,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Beaver,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Logan,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Greene,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Logan,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
GA,Putnam,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Lamb,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Rutherford,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Oconto,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
NC,Yancey,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Chesapeake City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Williamsburg City,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Mahoning,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Gaston,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cayuga,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
WI,Dunn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
WI,St. Croix,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
LA,Union,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
FL,Hardee,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Twin Falls,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,Bannock,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Iberville,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Naguabo,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
MN,Scott,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
IL,McHenry,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Morrow,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Orange,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,4,0,Completed,07/27/2018 13:58,HMO/HMOPOS
SD,Douglas,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,Meade,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Itasca,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Walsh,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Tripp,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Corson,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
WI,Douglas,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
GA,Franklin,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
TX,Van Zandt,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Trempealeau,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
ID,Minidoka,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Trujillo Alto,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Perry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,Plymouth,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,2,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Chester,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Carbon,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Providence,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,4,0,Completed,07/13/2018 13:32,HMO/HMOPOS
PA,Juniata,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
VA,Lee,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
IL,Gallatin,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
NY,Rockland,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Holmes,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,La Salle,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Whiteside,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Jasper,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Big Stone,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
PA,York,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,18,Completed,07/27/2018 9:47,Local PPO
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
NY,Erie,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),N,N,N,N,N,,,,,,,H3227,1,0,Completed,07/29/2018 10:12,HMO/HMOPOS
NC,Transylvania,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,10,0,Completed,07/24/2018 9:02,HMO/HMOPOS
AR,Crawford,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
IN,Franklin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Madison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MS,Neshoba,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
VA,Louisa,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,Boone,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Sullivan,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Hatillo,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Sauk,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MS,Lincoln,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,White,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Kosciusko,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
IL,Lee,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Utuado,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Juncos,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Las Piedras,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Isabela,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Carroll,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
IA,Marion,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
WV,Mercer,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MO,Wright,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
OH,Shelby,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
LA,Red River,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
FL,Broward,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,21,0,Completed,07/27/2018 9:10,HMO/HMOPOS
NY,Chenango,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
PR,Las Marias,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
AR,Searcy,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Giles,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MI,Muskegon,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Martin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,DeSoto,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,St. Mary,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
LA,Jefferson,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
ME,York,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Richmond,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,16,0,Completed,07/26/2018 11:48,Local PPO
LA,Lafayette,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,Jackson,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
WV,Boone,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
NH,Cheshire,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
CA,San Mateo,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,2,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Bay,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MS,Smith,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Pushmataha,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
AL,DeKalb,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
NE,Seward,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Lorain,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
OH,Guernsey,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
MS,Perry,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Freeborn,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
TN,Overton,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Unicoi,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,Chaffee,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
PA,Lancaster,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Luzerne,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Chester,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Steuben,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Rockwall,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
MN,Wabasha,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
TN,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Orleans,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,Humana Gold Plus SNP-DE H1036-104A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,104,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Osceola,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,213,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Lee,Humana Inc.,Humana Gold Plus H1036-278 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,278,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Bath,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
FL,Polk,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Juniata,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Bronx,Humana Inc.,HumanaChoice H5970-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,22,0,Completed,07/24/2018 13:42,Local PPO
NY,Cortland,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NE,Dodge,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
FL,Martin,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Monmouth,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,Cross,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PR,Lares,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Lake,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Ritchie,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KY,Morgan,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Pratt,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Macon,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
IL,Mason,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Montgomery,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bucks,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,Rio Blanco,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
NJ,Hudson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OK,Creek,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OR,Linn,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,Leon,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,218,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Miami-Dade,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,170,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Humacao,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
TX,Tarrant,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,1,0,Completed,07/25/2018 7:53,Local PPO
IA,Henry,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Polk,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
GA,Columbia,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
MO,Taney,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
NC,Cumberland,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,Northumberland,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,Westmoreland,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
IN,Whitley,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fayette,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Washington,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
CA,Placer,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,45,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
NJ,Hudson,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Westchester,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
MA,Essex,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,1,Completed,07/16/2018 9:33,HMO/HMOPOS
PA,Wyoming,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Armstrong,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,18,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TX,Austin,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ND,Morton,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
VA,Hampton City,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,2,Completed,07/30/2018 13:14,HMO/HMOPOS
VA,Alleghany,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AR,Scott,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MO,Pike,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
PA,Sullivan,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Bureau,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NY,Nassau,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Jefferson,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Lehigh,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Bucks,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IL,Winnebago,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
MI,Wexford,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
TN,Moore,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Grenada,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Carter,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Ozaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
AL,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
FL,Manatee,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
NY,Sullivan,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KY,Greenup,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
NY,Erie,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,215,0,Completed,07/17/2018 11:44,Local PPO
AL,Lamar,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
NC,Stanly,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Lares,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Wilkinson,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Champaign,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
GA,Haralson,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
MO,Warren,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
SD,Lawrence,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
MI,Newaygo,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
PA,Schuylkill,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
KY,Powell,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
FL,Sarasota,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
TX,Dawson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
IN,Clark,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
MN,Blue Earth,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
VA,Grayson,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Greene,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
PR,Villalba,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Sebastian,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Patrick,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,Bollinger,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Logan,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PA,Monroe,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
IL,Lake,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
AL,Houston,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
PR,Aibonito,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/13/2018 10:20,HMO/HMOPOS
NJ,Cumberland,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,32,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,Cattaraugus,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
MO,Audrain,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
NC,Warren,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
GA,Marion,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Pennington,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Coleman,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NE,Sarpy,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,"Tufts Associated HMO, Inc.",CareAdvantage Premier (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,3,0,Completed,07/03/2018 8:46,HMO/HMOPOS
IN,Harrison,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Owen,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
UT,Kane,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,Ransom,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Jones,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Las Marias,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Maunabo,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Cayey,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Benton,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Cook,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Muscogee,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Fulton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OK,Rogers,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Lawrence,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Shiawassee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
SC,Colleton,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Crowley,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
CO,Eagle,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Rio Grande,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
CO,Yuma,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
ME,Penobscot,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Bucks,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Patillas,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IA,Monroe,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NE,Washington,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
GA,Burke,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
MO,Stone,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Lee,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Jefferson,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
NV,Washoe,Renown Health,Senior Care Plus: Value Rx Enhanced Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,4,0,Completed,07/24/2018 17:58,HMO/HMOPOS
IA,Benton,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Walton,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,245,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Surry,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WI,Marquette,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
CO,Denver,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Fulton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Blackford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Coryell,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
NY,Herkimer,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
NY,St. Lawrence,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Sawyer,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
MN,Dakota,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
TN,Blount,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Tioga,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
AL,Colbert,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,Charlotte,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,St. Lucie,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Fulton,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Choctaw,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
AL,Talladega,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
SD,Pennington,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
NE,Cuming,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
GA,Dawson,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
VT,Addison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,Plymouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Bibb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Marathon,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
FL,Dade,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,Bonner,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Salinas,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Corozal,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OK,Craig,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
KY,Grant,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,Mariposa,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,38,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,Yuba,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OH,Defiance,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Stark,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Fond du Lac,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,Walton,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
PR,Arecibo,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Moca,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IA,Woodbury,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NE,Boone,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IA,Webster,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Randolph,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
SC,McCormick,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NE,Knox,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Codington,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,Traill,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
LA,Avoyelles,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Helena,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Coamo,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Canovanas,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WI,Brown,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Manassas Park City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
OR,Washington,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Blackford,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Williams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Clermont,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Polk,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
TN,Hardin,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,Lauderdale,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,McMinn,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
PA,York,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Cameron,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Kent,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,7,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MN,Carlton,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
TN,Campbell,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Tangipahoa,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Marquette,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
GA,Cherokee,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,Polk,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Meeker,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MS,Jefferson Davis,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
IA,Crawford,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
AL,Cherokee,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
IN,Rush,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
PA,Luzerne,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
MN,Crow Wing,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Pike,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
WI,Dane,Humana Inc.,HumanaChoice H5216-168 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,168,0,Completed,07/24/2018 13:42,Local PPO
MN,Nicollet,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Blue Earth,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Jefferson,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
PA,Clearfield,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
SC,Bamberg,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
MI,St. Joseph,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
TX,Wise,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Ashland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MI,Washtenaw,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Portage,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Jefferson,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,4,Completed,07/16/2018 15:07,PFFS
OK,Tulsa,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
AL,Fayette,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
CO,Clear Creek,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Clinton,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Madison,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IA,Washington,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,Douglas,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Williamson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
VA,Covington City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IN,Pulaski,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Erie,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Oswego,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Seminole,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,22,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,Pasco,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Albany,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Schoharie,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
VA,Clarke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Gaston,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Licking,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Shelby,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,St. Croix,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
AR,Sebastian,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,Monroe,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,La Crosse,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Ciales,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
NY,Westchester,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,Holt,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
MD,Baltimore,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Bledsoe,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Kankakee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lee,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WI,Jefferson,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
WI,Rock,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
GA,Chattooga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Cabo Rojo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Manati,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Banner,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Presidio,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
AL,Chambers,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
MI,Kalamazoo,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,4,0,Completed,07/25/2018 16:54,HMO/HMOPOS
AL,Baldwin,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Washington,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
SC,York,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,Clinton,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
WV,Lincoln,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
NE,Furnas,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
GA,Fulton,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MS,Hinds,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Clearwater,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
MN,Scott,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
LA,Jefferson Davis,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
ID,Gem,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,8,0,Completed,07/13/2018 13:55,Local PPO
NE,Jefferson,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Bristol,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,07/12/2018 10:53,Medicare-Medicaid Plan HMO/HMOPOS
PA,Berks,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,45,0,Completed,07/25/2018 8:08,HMO/HMOPOS
OH,Madison,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Pike,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,2,Completed,07/11/2018 10:32,HMO/HMOPOS
WI,Bayfield,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NE,Lancaster,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
PR,Gurabo,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
GA,Forsyth,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Pike,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
SD,Campbell,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Traverse,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
WI,Sawyer,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
LA,De Soto,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
VT,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,York,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Webb,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Wilson,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,43,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Langlade,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Pickett,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Will,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WA,Thurston,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Waller,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Fairfax,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
OR,Linn,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
MO,Camden,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NJ,Middlesex,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
PR,Coamo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Rapides,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
NC,Davidson,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
AL,Dallas,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
GA,Macon,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
KY,Shelby,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PR,Yauco,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Harris,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MN,Isanti,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Meeker,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
ND,Traill,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
TN,Greene,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Cook,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
VA,James City,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Pickett,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
AZ,Maricopa,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,92,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Charlottesville City,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,Chesterfield,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
MI,Allegan,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,1,Completed,07/26/2018 15:53,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,13,0,Completed,06/26/2018 15:07,HMO/HMOPOS
MS,Walthall,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
WV,Jackson,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
OH,Hancock,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
MO,Clay,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IN,Wells,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Rains,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,Adams,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Collin,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Williamson,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
PA,Delaware,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Harris,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Oldham,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Marshall,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Franklin,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
SC,Beaufort,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,3,0,Completed,06/21/2018 16:47,Local PPO
OK,Noble,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OK,Payne,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
NC,Perquimans,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
GA,Bibb,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
MI,Presque Isle,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Livingston,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
TN,Warren,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Scott,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Simpson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cross,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Anderson,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,Arlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
MO,Clark,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,Comal,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
TN,White,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Riverside,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,60,4,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Arecibo,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
GA,Cherokee,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Miller,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
VA,Dickenson,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CT,Windham,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,2,Completed,07/17/2018 15:41,HMO/HMOPOS
LA,Concordia,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
NC,Alamance,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,Pinellas,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,119,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Ste. Genevieve,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,Wyandotte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Geauga,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
OR,Baker,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
NY,Madison,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
NY,Nassau,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
ME,Cumberland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
TX,Waller,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Dallas,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Oneida,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
IL,Kankakee,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Cumberland,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
UT,Rich,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,5,0,Completed,07/19/2018 19:35,HMO/HMOPOS
CO,Routt,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
ME,Aroostook,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Comerio,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Hormigueros,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Trujillo Alto,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WV,Jackson,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Union,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Caldwell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,Martin,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
PA,Jefferson,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
MI,Ottawa,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,4,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Berkeley,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,84,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Shelby,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Poinsett,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Butler,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
ME,Lincoln,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
NY,Albany,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
MN,Anoka,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
WI,Kenosha,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,97,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Fayette,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Franklin,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Oneida,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
WI,Waushara,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
OR,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,29,0,Completed,07/26/2018 11:48,Local PPO
SD,Gregory,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Potter,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pine,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
UT,Summit,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,197,0,Completed,07/17/2018 11:44,Local PPO
PA,Clearfield,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Adams,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
CO,Douglas,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
SD,Day,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
WV,Gilmer,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IN,Parke,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
KY,Henderson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
OK,Muskogee,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TN,Scott,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
KY,Livingston,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,"Tufts Associated HMO, Inc.",CareAdvantage Prime (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,2,0,Completed,07/03/2018 8:46,HMO/HMOPOS
GA,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Wilkinson,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
SC,Berkeley,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
VA,Highland,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Prince George,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Caroline,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
PR,Hormigueros,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Penuelas,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
MI,Gladwin,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,Duval,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Washington,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
IA,Dallas,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IA,Wright,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
NV,Washoe,Renown Health,Senior Care Plus: Value Rx Select (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,18,0,Completed,07/24/2018 17:58,HMO/HMOPOS
VA,Powhatan,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Oxford,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Dickenson,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Cherokee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Preble,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Riverside,"Universal Care, Inc",Brand New Day Classic Care I Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,25,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,San Diego,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Arenac,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
AR,Izard,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
MA,Berkshire,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,7,Completed,06/22/2018 9:28,HMO/HMOPOS
AL,St. Clair,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
GA,Henry,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
GA,Liberty,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MN,Murray,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
AZ,Maricopa,Humana Inc.,Humana Gold Plus H0028-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Calumet,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
WI,Jefferson,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
RI,Newport,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,10,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Villalba,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Fulton,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Saratoga,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
MN,Pennington,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
WV,Kanawha,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NM,Sandoval,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
KY,Lincoln,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
UT,Utah,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,131,0,Completed,07/24/2018 13:42,Local PPO
MO,Bollinger,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
OK,Pushmataha,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
AR,Lonoke,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
TX,Orange,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Izard,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
LA,St. Mary,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
PA,Beaver,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MS,Lawrence,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
OK,Sequoyah,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MN,Chisago,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
FL,Baker,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
IN,Greene,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
OK,Canadian,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Shelby,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
NC,Buncombe,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
TX,Harrison,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
VA,Staunton City,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
NY,Suffolk,"QHP Financial Group, Inc.",Advantage Health LI - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,3,0,Completed,07/27/2018 15:56,HMO/HMOPOS
AZ,Pinal,Centene Corporation,Allwell Medicare Essentials II (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,50,0,Completed,07/24/2018 19:18,HMO/HMOPOS
LA,Richland,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
CA,Orange,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Tuscarawas,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,McKean,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
LA,St. Charles,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AL,Coffee,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
AL,Elmore,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,Garvin,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
KY,Oldham,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
IN,St. Joseph,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Bucks,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,53,0,Completed,07/16/2018 13:15,HMO/HMOPOS
WI,Washington,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
FL,Flagler,Guidewell Mutual Holding Corporation,FHCP Medicare Rx Savings (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,14,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,Palm Beach,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Dauphin,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
IA,Grundy,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Wayne,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Clark,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Multnomah,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
TN,All,BlueCross BlueShield of Alabama,BlueRx Enhanced Plus (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S1030,1,0,Completed,07/16/2018 9:33,Medicare Prescription Drug Plan
AL,All,BlueCross BlueShield of Alabama,BlueRx Essential (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S1030,6,0,Completed,07/16/2018 9:33,Medicare Prescription Drug Plan
TN,All,Tennessee Rural Health Improvement Association,Farm Bureau Select Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,6,0,Completed,07/25/2018 17:38,Medicare Prescription Drug Plan
MA,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,N,Y,N,N,,,,,0,0,S2893,3,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
DC,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,79,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MD,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,79,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NC,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,81,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
KY,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,86,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,89,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NV,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,93,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,94,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NY,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,100,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IN,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,112,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
SD,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,121,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NM,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,122,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NV,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,125,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WI,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,132,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,135,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
RI,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,137,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
GA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,145,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
ND,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,158,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
ID,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,162,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare Rx Standard (PDP),Y,N,N,Y,N,,,0,74,0,37,S5540,2,0,Completed,07/26/2018 14:31,Medicare Prescription Drug Plan
ME,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,1,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
WI,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,56,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
DC,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,10,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
DE,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,10,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NC,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,16,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
FL,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,23,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,26,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OH,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,28,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
KY,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,30,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IL,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,34,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IL,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,35,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MO,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,37,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MS,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,40,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
KS,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,49,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ND,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,51,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NM,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,52,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NM,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,53,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
UT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,63,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NC,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,150,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
GA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,152,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
TN,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,154,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MO,Laclede,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
GA,Paulding,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Lincoln,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Lake,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,McClain,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MT,Granite,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
AR,Crittenden,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
AR,Lincoln,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
FL,Duval,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NJ,Essex,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Kings,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
ID,Owyhee,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
LA,Concordia,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
PR,Carolina,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WV,Greenbrier,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
IA,Winneshiek,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
OH,Jefferson,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
MO,Vernon,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
NC,Rockingham,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
VA,Bland,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Tangipahoa,Humana Inc.,Humana Gold Plus H1951-024 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,Orleans,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Wood,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
AL,Jefferson,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,Dorchester,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,84,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Lawrence,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Anoka,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
VA,King and Queen,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,St. Mary,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
KS,Russell,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Bedford,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,Wayne,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
AL,Clarke,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
OK,McClain,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,Muskogee,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Otsego,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
MN,Polk,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
KS,Sedgwick,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,Jefferson,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Pulaski,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Randolph,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,5,0,Completed,06/25/2018 20:32,Local PPO
CA,Los Angeles,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,1,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,Asotin,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,2,0,Completed,07/13/2018 13:55,Local PPO
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Broome,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Clarke,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
OK,Ottawa,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
IN,Putnam,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
SD,Brookings,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MN,Wadena,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WV,Mineral,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
KS,Douglas,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
CO,Weld,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
IL,Winnebago,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
GA,Baldwin,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
SC,Greenville,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,Summit,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,Washington,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
PA,Fulton,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,Hidalgo,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Arlington,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Benton,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Mayaguez,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Morgan,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NY,Nassau,"QHP Financial Group, Inc.",Advantage Silver - NY (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,19,0,Completed,07/27/2018 15:56,HMO/HMOPOS
MI,Genesee,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
WV,Wetzel,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
MI,Antrim,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
IN,Pulaski,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
SD,Union,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
TX,Zavala,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Wayne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,Duchesne,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,Gila,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Trujillo Alto,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Guayama,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
KY,Nelson,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
CA,Santa Clara,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Susquehanna,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AR,Sebastian,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
AR,White,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,6,Completed,07/16/2018 15:07,PFFS
ME,Cumberland,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6786,2,0,Completed,07/23/2018 14:30,Local PPO
MA,Norfolk,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,9,Completed,06/22/2018 9:28,HMO/HMOPOS
OK,Logan,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Lebanon,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
WI,Green,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
MS,Tunica,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Claiborne,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Humphreys,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Lawrence,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Johnson,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Schenectady,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Dickson,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OR,Benton,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
OR,All,ATRIO Health Plans,ATRIO Silver (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,2,0,Completed,07/28/2018 12:06,Local PPO
OR,All,ATRIO Health Plans,ATRIO Bronze Rx (Rogue) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,18,1,Completed,07/28/2018 12:06,Local PPO
NH,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,2,0,Completed,07/23/2018 15:56,HMO/HMOPOS
SC,All,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7165,1,0,Completed,06/21/2018 16:47,HMO/HMOPOS
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Secure (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7165,2,0,Completed,06/21/2018 16:47,HMO/HMOPOS
FL,All,Humana Inc.,HumanaChoice Florida H7284-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,1,0,Completed,07/24/2018 13:42,Local PPO
HI,All,Hawaii Medical Service Association,Essential Advantage (HMO),Y,N,N,Y,N,,,482,482,241,241,H7317,1,0,Completed,07/16/2018 15:11,HMO/HMOPOS
GA,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MI,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7844,1,0,Completed,07/26/2018 20:45,Medicare-Medicaid Plan HMO/HMOPOS
CO,All,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,13,0,Completed,06/04/2018 14:49,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,33,0,Completed,06/04/2018 14:49,Local PPO
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
NJ,All,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
TX,All,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8010,5,0,Completed,07/26/2018 14:48,HMO/HMOPOS
CA,All,Orange County Health Authority,OneCare Connect (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,0,0,H8016,1,0,Completed,07/27/2018 12:58,Medicare-Medicaid Plan HMO/HMOPOS
FL,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8130,1,0,Completed,07/26/2018 20:51,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,3,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
PA,All,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
AR,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KS,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
SC,All,Anthem Inc.,AFC Care Rx (HMO),Y,N,Y,Y,N,,,0,482,0,241,H8170,1,0,Completed,07/27/2018 13:46,HMO/HMOPOS
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,4,0,Completed,07/26/2018 11:48,Local PPO
PR,All,"Constellation Health, LLC.",Orion Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,2,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,8,5,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,8,6,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H8457,1,0,Completed,07/27/2018 12:39,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health HMO (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,1,0,Completed,06/12/2018 10:27,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health HMO Basic (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,2,0,Completed,06/12/2018 10:27,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Premium No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,3,0,Completed,07/23/2018 10:18,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
CA,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,601,601,301,301,H8677,1,0,Completed,07/26/2018 20:59,Medicare-Medicaid Plan HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,23,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Advantage Solution H8889-003 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,3,0,Completed,07/18/2018 10:13,Local PPO
MI,All,Humana Inc.,Humana Gold Plus H8908-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,8,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,9,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,4,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,8,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,4,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,7,Completed,06/22/2018 9:28,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,All,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Dual (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,3,0,Completed,07/31/2018 14:27,HMO/HMOPOS
OK,All,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
CO,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,169,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AZ,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,170,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,174,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ME,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,3,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NH,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,3,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
TX,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,108,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,123,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
OR,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,148,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,158,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
PA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,215,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MS,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,226,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AK,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,227,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
VA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,252,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MO,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,263,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
TX,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,267,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
RI,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,281,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
VT,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,281,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
DC,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,284,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
DE,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,284,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MD,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,284,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
PA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,285,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NC,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,287,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IL,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,296,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
LA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,300,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,304,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NM,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,305,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NV,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,308,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
OR,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,309,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NH,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,104,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,118,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NV,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,131,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
PR,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,137,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
GA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,180,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AL,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,182,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MS,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,190,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MN,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,195,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
SD,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,195,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CO,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,197,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,202,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,206,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
RI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,206,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OK,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,214,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,215,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
PA,Lebanon,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
PA,Northumberland,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
TX,Blanco,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,Oconto,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,Grand Isle,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
IA,Fayette,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,Richland,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
PR,Aguada,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
KY,Pike,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NY,Schoharie,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MS,Marshall,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Newton,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Greenwood,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Hockley,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
AL,Blount,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
IA,Muscatine,"Medical Associates Clinic, P.C.",Genesis Health Network Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,13,0,Completed,06/15/2018 10:34,1876 Cost
PR,Florida,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PA,York,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Guadalupe,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
VA,New Kent,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
GA,Ware,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NY,Steuben,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Barranquitas,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Maunabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cayey,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Montgomery,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
GA,Madison,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
GA,Webster,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
WA,Island,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
VA,King George,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
SC,Greenville,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MS,Jackson,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,66,0,Completed,07/24/2018 13:42,Local PPO
SD,Lincoln,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IA,Van Buren,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Towns,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
TN,Claiborne,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
IL,Monroe,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
TX,Guadalupe,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,4,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,Van Buren,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Iosco,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
OR,Columbia,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Josephine,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Morrow,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,Deschutes,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
NY,Westchester,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Delaware,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Comerio,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juana Diaz,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Sabana Grande,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Pecos,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MT,Roosevelt,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
VT,Windsor,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,Kenton,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,85,0,Completed,07/17/2018 11:44,Local PPO
GA,McDuffie,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
IN,Daviess,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,152,0,Completed,07/17/2018 11:44,Local PPO
PA,Indiana,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
GA,Lee,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
NC,Caswell,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PA,Armstrong,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Lares,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Trujillo Alto,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Catano,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
LA,Cameron,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
ME,Penobscot,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
WV,Wayne,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
IN,Washington,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KY,Simpson,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
AL,Dallas,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
GA,Glascock,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Douglas,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Waller,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
GA,Effingham,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,23,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Dodge,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Crawford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SD,Butte,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
SD,Todd,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
ND,Morton,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
LA,Vermilion,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
NH,Belknap,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
TN,Fayette,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Jefferson,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
NC,Durham,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,22,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Fayette,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Iroquois,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,Schuyler,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NV,Clark,"Intermountain Health Care, Inc.",SelectHealth Advantage - Lung Care (HMO SNP),Y,N,Y,Y,N,,,240,480,20,240,H1994,11,0,Completed,07/19/2018 19:35,HMO/HMOPOS
UT,Wasatch,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
ID,Washington,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
PR,Aibonito,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Vieques,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Prevea360 Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,6,0,Completed,06/25/2018 12:02,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Special (HMO SNP),Y,N,Y,Y,N,,,25,542,10,271,H9207,4,0,Completed,07/25/2018 15:07,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,10,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OR,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,4,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,4,Completed,07/19/2018 14:35,Local PPO
VT,All,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
NY,All,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
AR,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,All,CIGNA,Cigna-HealthSpring TotalCare Direct (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,3,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,All,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,All,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NC,All,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,5,0,Completed,06/25/2018 20:32,Local PPO
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
VA,All,Humana Inc.,HumanaChoice R1390-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1390,1,0,Completed,07/24/2018 13:42,Regional PPO
GA,All,Humana Inc.,HumanaChoice R3392-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3392,1,0,Completed,07/24/2018 13:42,Regional PPO
IN,All,Anthem Inc.,Anthem MediBlue Access Basic (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4487,1,0,Completed,07/23/2018 14:30,Regional PPO
KS,All,Humana Inc.,HumanaChoice R4845-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4845,1,0,Completed,07/24/2018 13:42,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 1 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5342,1,0,Completed,07/26/2018 11:48,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Essential (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5342,2,0,Completed,07/26/2018 11:48,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 3 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5342,5,0,Completed,07/26/2018 11:48,Regional PPO
OH,All,Aetna Inc.,Aetna Medicare OH Connect Gold 2 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R6694,5,0,Completed,07/17/2018 11:44,Regional PPO
NJ,All,Aetna Inc.,Aetna Medicare NJ Silver Plan (Regional PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,R6694,6,0,Completed,07/17/2018 11:44,Regional PPO
VT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,1,0,Completed,07/26/2018 11:48,Regional PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,3,0,Completed,07/26/2018 11:48,Regional PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Gold (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,10,0,Completed,07/26/2018 11:48,Regional PPO
TN,All,BlueCross BlueShield of Alabama,BlueRx Essential (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S1030,6,0,Completed,07/16/2018 9:33,Medicare Prescription Drug Plan
AL,All,BlueCross BlueShield of Alabama,BlueRx Enhanced (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S1030,10,0,Completed,07/16/2018 9:33,Medicare Prescription Drug Plan
OR,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,20,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
ID,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,21,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
UT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,21,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
TN,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,71,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MO,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,72,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AR,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,73,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
VT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,76,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IL,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,87,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
HI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,95,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NH,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,98,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WY,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,121,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AZ,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,134,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
OH,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,149,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
KS,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,157,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MT,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,158,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NM,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,159,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,219,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MD,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,221,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
PA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,222,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NC,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,224,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
KY,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,231,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,232,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AR,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,235,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,246,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
PR,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,251,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NM,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,4,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
MA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,126,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
VT,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,126,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
PA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,129,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
GA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,133,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
KS,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,147,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ID,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,154,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NY,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,200,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
VT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,36,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
DE,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,39,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
VA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,41,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,50,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IL,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,51,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
LA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,55,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NV,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,63,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MD,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,279,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
VA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,281,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
SC,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,283,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TX,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,293,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,302,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MN,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,302,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MT,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,302,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WY,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,302,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ID,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,307,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
VT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,2,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
DC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,4,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
PA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,5,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
VA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,6,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,11,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
TN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,11,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,19,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ND,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,24,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,24,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,27,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,29,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
FL,Osceola,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,San Juan,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
PR,Yauco,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
WV,Preston,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
IA,Buchanan,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
FL,Martin,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,17,0,Completed,07/26/2018 11:48,Local PPO
LA,Cameron,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,1,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,Oxford,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,Yakima,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
WI,Dane,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
GA,Warren,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,Fresno,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
AL,Madison,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
GA,Rockdale,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,5,0,Completed,07/23/2018 14:30,Local PPO
MS,Pearl River,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,Chisago,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
MN,Ramsey,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
FL,Hernando,Humana Inc.,Humana Gold Plus H1036-067 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,Forest,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Outagamie,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
PA,Wayne,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NY,Seneca,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
WI,Marinette,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Marinette,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
NC,Nash,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,McMinn,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Rockbridge,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Waukesha,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Crenshaw,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,Lawrence,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,Ida,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NH,Rockingham,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
OH,Meigs,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,10,0,Completed,06/15/2018 12:33,Local PPO
AL,Lowndes,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Taylor,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,Carroll,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Davidson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Craighead,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleburne,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Sumner,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Grainger,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Broome,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TN,Williamson,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,White,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,Rockwall,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Chemung,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Camuy,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IA,O Brien,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,Stone,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
OK,Creek,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
KY,Leslie,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
NH,Strafford,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,2,0,Completed,07/23/2018 14:30,Local PPO
CA,San Diego,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,1,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Sheboygan,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Flagler,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Sarasota,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Dade,Anthem Inc.,HealthSun SunPlus Advantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
LA,Union,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Morovis,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
OH,Mahoning,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
CT,Hartford,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,San Diego,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage San Diego (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,37,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MI,Manistee,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
OH,Sandusky,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Cameron,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
MO,Jefferson,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,Clark,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Madison,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Haywood,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
PA,Lebanon,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Centre,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
RI,Washington,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,19,1,Completed,07/13/2018 13:32,HMO/HMOPOS
GA,Greene,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Gwinnett,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,Livingston,"Lifetime Healthcare, Inc.",Medicare Blue Choice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,18,0,Completed,06/26/2018 15:07,HMO/HMOPOS
IN,Lawrence,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
MO,Gasconade,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MT,Daniels,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NY,Cayuga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Vieques,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,Orange,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,138,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Chester,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,42,0,Completed,07/25/2018 8:08,HMO/HMOPOS
VA,Fairfax,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,Spartanburg,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,1,0,Completed,06/21/2018 16:47,Local PPO
OH,Columbiana,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
SC,Bamberg,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Marshall,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,De Kalb,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
IN,Perry,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MO,St. Charles,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NV,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,161,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,163,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NY,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5552,4,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Prescription Blue Premium (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5584,2,0,Completed,07/19/2018 14:43,Medicare Prescription Drug Plan
VA,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,5,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,34,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
CO,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,60,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
NH,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,2,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NY,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,6,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WV,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,12,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
VA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,14,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
SC,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,19,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
TN,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,25,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,27,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IN,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,31,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,32,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AR,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,38,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OK,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,46,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,50,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
SD,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,50,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WY,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,50,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,51,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
SD,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,51,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OR,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,61,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
DC,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,147,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
VA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,149,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OH,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,156,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OK,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,165,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
KS,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,166,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,8,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
FL,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,53,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NM,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,128,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CO,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,133,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
VA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,216,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,221,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,247,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AR,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,264,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MS,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,265,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
SD,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,270,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NM,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,271,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NY,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,282,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WV,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,285,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
TX,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,301,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
OK,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,302,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NE,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,304,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
VI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,38,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AR,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,77,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,102,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MD,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,103,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
PA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,104,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,139,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
VT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,149,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
GA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,156,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MO,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,164,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ND,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,171,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
SD,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,171,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Value Rx (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5904,6,0,Completed,07/25/2018 8:35,Medicare Prescription Drug Plan
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,349,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
PA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,351,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
LA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,366,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
KS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,369,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,370,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,384,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,397,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,409,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NY,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5983,4,0,Completed,07/20/2018 12:33,Medicare Prescription Drug Plan
NE,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,7,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
NC,All,"Aware Integrated, Inc.",Basic Blue Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,9,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
NJ,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,3,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MS,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,19,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
CO,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,26,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
ME,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,34,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
SC,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,41,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AL,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,44,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
SD,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,57,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AZ,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,60,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AK,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,66,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
RI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,2,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
DE,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,5,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
TX,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,22,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
NE,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,25,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
WA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,30,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
MO,All,Humana Inc.,Humana Gold Plus H0028-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,All,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,1,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,All,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
KS,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
AL,Autauga,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
AZ,Pinal,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,185,0,Completed,07/17/2018 11:44,Local PPO
PR,Orocovis,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
OH,Greene,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
VA,Franklin City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
TN,Marshall,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
MS,Claiborne,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
OK,Cleveland,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Allamakee,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,St. Louis,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IA,Sioux,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
WV,Ritchie,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IN,Greene,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
PA,Clinton,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
CO,Elbert,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
OK,Haskell,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Carson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Waller,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
AR,Clark,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
KY,Barren,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,20,0,Completed,07/24/2018 13:42,Local PPO
WV,Raleigh,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
IA,Polk,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Polk,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Las Animas,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
OH,Cuyahoga,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
MO,Jackson,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
KY,Powell,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KY,Powell,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
CT,New Haven,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,Androscoggin,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
OR,Jackson,ATRIO Health Plans,ATRIO Silver Rx (Rogue) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,16,0,Completed,07/28/2018 12:06,Local PPO
AL,Montgomery,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Union,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,Contra Costa,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,163,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,DeKalb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Columbia,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
IL,DuPage,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NE,Seward,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,1,0,Completed,07/26/2018 11:48,Local PPO
WI,Vilas,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
NC,Wake,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Jones,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Ulster,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,10,0,Completed,06/27/2018 14:20,Local PPO
AL,Tallapoosa,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,San Bernardino,California Physicians  Service,Blue Shield Promise TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,601,0,301,H5928,5,0,Completed,07/25/2018 12:48,HMO/HMOPOS
OK,Coal,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
FL,Volusia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
PR,Cayey,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Hardin,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
NY,Saratoga,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
PA,Cumberland,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
IL,Stephenson,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayama,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Talbot,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Chautauqua,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
PA,Butler,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
WV,Berkeley,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
OK,Kay,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
KY,Cumberland,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
TX,Marion,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NM,Cibola,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
OH,Paulding,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
GA,Hall,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Warren,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Polk,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
AL,Jackson,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Marquette,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,Colbert,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
MD,Howard,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
NC,Davidson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
OH,Wayne,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
PR,Culebra,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Greene,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
GA,Hancock,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
NY,Montgomery,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
GA,Madison,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Tishomingo,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
NM,Dona Ana,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
MO,Henry,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IN,Hendricks,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
AR,Benton,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Ector,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Goodhue,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
TX,Potter,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
GA,Douglas,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,McIntosh,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Peoria,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MI,Missaukee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
TN,Giles,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Rankin,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Cleveland,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Newton,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Dyer,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Henderson,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
SD,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,304,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WY,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,304,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AK,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,313,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
DC,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,107,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NC,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,110,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MO,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,120,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AR,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,121,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
LA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,123,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TX,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,124,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OK,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,125,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
KS,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,126,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
SD,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,127,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AZ,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,130,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OR,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,132,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
ID,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,133,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
FL,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,181,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TN,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,182,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OH,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,184,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IN,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,185,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,186,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TX,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,192,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
ND,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,195,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NM,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,196,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
HI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,203,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,206,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
VT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,206,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NJ,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,207,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OR,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,215,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
VA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,217,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NJ,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,220,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
DE,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,221,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
KS,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,240,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MN,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,241,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AZ,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,244,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
UT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,247,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
SD,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,63,0,32,S5743,1,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
RI,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,126,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WI,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,139,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MO,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,141,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AR,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,142,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MS,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,143,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TX,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NH,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,7,0,Completed,07/26/2018 11:48,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
AZ,All,"Veritage, LLC",Blue Medicare Advantage Plus (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,1,0,Completed,06/28/2018 17:45,HMO/HMOPOS
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,3,0,Completed,06/13/2018 10:20,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Essentials II (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,50,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,17,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,38,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only South (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,42,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,151,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,166,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Focus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,168,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,180,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,187,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,71,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,72,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,InterValley Health Plan,Inter Valley Health Plan Desert Preferred Choice (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,12,0,Completed,07/03/2018 15:53,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,1,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,1,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,112,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain B Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,41,0,Completed,06/13/2018 13:44,1876 Cost
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NV,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,13,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,30,0,Completed,07/26/2018 11:48,Local PPO
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,38,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,39,0,Completed,07/26/2018 11:48,Local PPO
NC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Bridges Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,28,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,2,Completed,07/12/2018 18:43,HMO/HMOPOS
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 007 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,7,0,Completed,07/20/2018 18:11,HMO/HMOPOS
PA,Lancaster,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
ND,Slope,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
LA,Iberville,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
LA,Washington,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,3,0,Completed,07/20/2018 16:01,HMO/HMOPOS
TN,Houston,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,DeKalb,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Madison,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,Winston,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Dyer,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Covington,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cheatham,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sullivan,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Naranjito,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Aguadilla,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Beauregard,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,233,0,Completed,07/17/2018 11:44,Local PPO
LA,Lafourche,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
PA,McKean,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Vieques,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Dorado,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Penuelas,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Fort Bend,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/13/2018 10:20,HMO/HMOPOS
OR,Washington,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,Hancock,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
GA,Quitman,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
NC,Randolph,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,17,0,Completed,07/24/2018 13:42,Local PPO
IA,Osceola,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
CO,Clear Creek,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Clair,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IN,Fayette,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
GA,Spalding,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
OK,Johnston,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
TX,Guadalupe,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Hunt,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Floyd,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
TX,Hidalgo,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IL,Madison,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
WV,Kanawha,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IL,Christian,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
TX,Jim Wells,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
MN,Isanti,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
PA,Perry,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
MI,Osceola,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
TN,Anderson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Madison,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Dallas,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Denton,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Burnet,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Collin,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Ellis,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Guadalupe,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,Broomfield,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
AZ,Pima,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,5,0,Completed,07/26/2018 11:48,Local PPO
IA,Jones,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
IA,Chickasaw,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
NY,Broome,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Washington,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Dutchess,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Bladen,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,San Juan,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Toa Baja,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Clay,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VA,Essex,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
NY,Bronx,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
NY,Schenectady,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
NC,Cabarrus,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Morovis,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Union,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
VA,Buchanan,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
IA,Jackson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,Geneva,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
MO,Sullivan,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Plymouth,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IA,Sac,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
MO,Osage,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
IN,Henry,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
GA,Bartow,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
MN,Itasca,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Tyler,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
IL,Kendall,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
NM,Santa Fe,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
NH,Rockingham,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
KY,Butler,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Greene,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,Bienville,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
MI,Otsego,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
TX,Wharton,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Franklin,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Benton,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
TX,Tarrant,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Dubuque,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,4,0,Completed,06/15/2018 10:34,1876 Cost
PR,Lares,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
WY,Weston,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,144,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ND,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,148,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WY,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,148,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NH,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,35,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,36,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
RI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,36,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
SC,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,43,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AZ,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,62,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ID,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,65,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
RI,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,276,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
PA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,280,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NH,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,296,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ND,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,302,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NE,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,302,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
SD,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,302,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,1,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
RI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,2,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,3,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,28,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
GU,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,35,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
PR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,37,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
VT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,2,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
UT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,89,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NH,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,101,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NV,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,112,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OR,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,113,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
HI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,115,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,136,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MS,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,142,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ND,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,145,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OH,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,160,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,162,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OR,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,176,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ID,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,177,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
VT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,348,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,350,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
GA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,355,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,364,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,370,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
SD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,370,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,390,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
SC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,391,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
KY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,396,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,406,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MI,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,1,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
NC,All,"Aware Integrated, Inc.",Basic Blue Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,2,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
ME,Aroostook,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
FL,Hendry,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
IA,Dickinson,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,58,0,Completed,07/24/2018 13:42,Local PPO
IN,Jefferson,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
IN,Vanderburgh,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
IN,Kosciusko,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
WI,Rock,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
NE,Lancaster,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NY,Bronx,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
FL,Dade,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Menominee,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,2,0,Completed,07/26/2018 11:48,Local PPO
SD,Day,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,Rock,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
ND,Ramsey,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
SD,Lake,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
LA,Lafourche,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
WV,Berkeley,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
IN,Henry,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
WI,Marinette,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,Tuscola,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
LA,Ascension,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Santa Isabel,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
TX,Polk,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,Fairfield,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Perry,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Adams,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,New London,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Fountain,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
PA,Bradford,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,11,Completed,07/27/2018 9:47,Local PPO
VA,Arlington,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
WA,Snohomish,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Juniata,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,13,Completed,07/27/2018 9:47,HMO/HMOPOS
AL,Shelby,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
IN,Boone,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Trujillo Alto,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Fairfield,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
TN,Smith,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
WV,Greenbrier,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PR,Toa Alta,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
TX,Denton,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Palm Beach,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,97,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Surry,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
VA,Sussex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Park,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,Hinsdale,"UnitedHealth Group, Inc.",Rocky Mountain Thrifty Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,27,0,Completed,06/13/2018 13:44,1876 Cost
CO,Boulder,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
FL,Charlotte,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
IA,Johnson,"Medical Associates Clinic, P.C.",Mercy Iowa City Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,16,0,Completed,06/15/2018 10:34,1876 Cost
NC,Nash,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
PR,Carolina,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Webb,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,167,0,Completed,07/17/2018 11:44,Local PPO
PA,Carbon,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Bexar,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
LA,Morehouse,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,230,0,Completed,07/17/2018 11:44,Local PPO
GA,DeKalb,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
VA,Montgomery,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
TX,Ellis,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Hatillo,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Utuado,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Humacao,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Clark,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
MN,Morrison,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
VA,Rappahannock,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
MN,Todd,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AL,St. Clair,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
FL,Martin,Humana Inc.,HumanaChoice H5216-060 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,60,0,Completed,07/24/2018 13:42,Local PPO
MO,Lawrence,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
MN,Redwood,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
MN,Washington,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Washington,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
KY,Nelson,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
PA,Cumberland,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
OH,Marion,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,1,Completed,07/24/2018 13:42,Local PPO
OH,Sandusky,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
MT,Musselshell,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Lackawanna,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Gwinnett,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
MA,Suffolk,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
NY,Richmond,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
FL,Manatee,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,Levy,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Lares,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
VA,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Potter,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
OH,Butler,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,15,0,Completed,07/25/2018 16:54,HMO/HMOPOS
SC,Richland,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,Fulton,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Dinwiddie,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
LA,St. Tammany,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,2,Completed,07/20/2018 13:57,HMO/HMOPOS
MA,Worcester,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
NJ,Burlington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Wyoming,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,Hughes,Humana Inc.,HumanaChoice H9070-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,1,0,Completed,07/24/2018 13:42,Local PPO
NE,Gosper,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,Acadia,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
UT,Tooele,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,197,0,Completed,07/17/2018 11:44,Local PPO
PA,Forest,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
PA,Berks,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/13/2018 10:20,HMO/HMOPOS
OH,Wyandot,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
ID,Kootenai,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
AR,Boone,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Hart,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
MS,Simpson,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
OK,Ottawa,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IA,Jasper,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MO,Carter,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,Dickinson,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
GA,Lumpkin,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
KY,Letcher,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
AR,Carroll,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
TX,Anderson,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
SC,Richland,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Berks,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
CO,Larimer,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
IA,Wright,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
PR,San German,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Naguabo,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Colquitt,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
MI,Grand Traverse,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
PR,Guayanilla,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vega Baja,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Ashtabula,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Columbiana,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,Sandusky,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
VA,Alexandria City,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Jackson,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Long,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
FL,Okeechobee,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,62,0,Completed,07/24/2018 13:42,Local PPO
IA,Marion,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,Blackford,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
SD,Sanborn,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Pope,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
AR,Craighead,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
TX,Marion,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
AZ,Yuma,Humana Inc.,Humana Value Plus H5216-197 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,197,0,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,All,Humana Inc.,Humana Value Plus H0028-018 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H0028-024 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,All,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,42,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,6,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
ND,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,7,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
MI,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,8,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
WV,All,"Aware Integrated, Inc.",Basic Blue Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,10,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
MN,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,13,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
MD,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,4,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
SC,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,8,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
FL,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,10,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
IN,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,14,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
OK,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,22,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
IA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,24,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
DC,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,37,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
FL,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,43,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
IL,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,49,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MO,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,50,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MS,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,52,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NH,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,1,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
MA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,2,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
TN,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,12,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
AR,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,19,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
CO,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,27,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
NV,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,29,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
IL,All,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CO,All,Humana Inc.,Humana Gold Plus H0028-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,25,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,All,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,14,0,Completed,07/16/2018 9:33,Local PPO
GA,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,1,0,Completed,07/20/2018 11:11,Local PPO
MA,All,"Commonwealth Care Alliance, Inc.",Commonwealth Care Alliance (Medicare-Medicaid Plan),Y,N,Y,N,Y,100,25,,,,,H0137,1,0,Completed,07/17/2018 17:01,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,601,0,301,H0148,1,0,Completed,07/25/2018 12:48,Medicare-Medicaid Plan HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,2,Completed,07/11/2018 10:32,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
ME,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,6,0,Completed,07/26/2018 11:48,Local PPO
IL,All,Centene Corporation,IlliniCare Health - MMAI (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0281,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Essential (HMO),N,N,N,N,N,,,,,,,H0332,1,0,Completed,06/13/2018 10:20,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Inland Empire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Kern (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,36,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Santa Clara (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,39,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,San Joaquin,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,43,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MN,Anoka,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
MN,Carver,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
MI,Grand Traverse,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
NY,Richmond,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,Ottawa,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Pike,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OR,Polk,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Blair,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Somerset,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Huntington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,Knox,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Douglas,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Maunabo,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Johnson,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,15,0,Completed,06/04/2018 14:49,Local PPO
OH,Washington,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,Carbon,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
PA,Erie,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
MI,Menominee,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
GA,Cherokee,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MS,Attala,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Gonzales,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,Seminole,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
GA,Putnam,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
VT,Washington,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Warren,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Vega Alta,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Phillips,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
LA,Beauregard,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
GA,Meriwether,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Quitman,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
GA,Jackson,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
MI,Kent,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
IL,Jo Daviess,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
TX,Parker,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
PR,Maricao,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Cabo Rojo,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Richland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
MN,Big Stone,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
MN,Kittson,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Preble,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
IA,Union,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Miner,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NC,Gaston,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MI,Alpena,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MI,Cass,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
SD,Clay,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,Lake,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
TX,Jim Wells,Humana Inc.,Humana Gold Plus H0028-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,Oswego,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
FL,Manatee,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,265,2,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,Carroll,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Gallatin,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,Daviess,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
IL,DuPage,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,07/25/2018 17:17,Medicare-Medicaid Plan HMO/HMOPOS
PA,Adams,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
NY,Cattaraugus,Humana Inc.,HumanaChoice SNP-DE H5970-020 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,20,0,Completed,07/24/2018 13:42,Local PPO
TX,Bell,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
NY,Tompkins,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
OH,Clermont,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Catawba,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,Clayton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Pike,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Santa Clara,Anthem Inc.,Anthem Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,50,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,Sussex,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NJ,Morris,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Fulton,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,4,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,Barrow,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,Clarke,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
WI,Iowa,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,14,0,Completed,07/26/2018 11:48,Local PPO
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,2,0,Completed,07/26/2018 11:48,Local PPO
SD,Harding,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
WI,Polk,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
ND,Grant,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WV,Randolph,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Morgan,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
WI,Iowa,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
TN,Benton,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Greene,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,1,Completed,07/13/2018 13:55,Local PPO
TN,Marshall,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,Henderson,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Penuelas,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Graham,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
IN,Allen,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,99,0,Completed,07/17/2018 11:44,Local PPO
NC,Durham,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,183,0,Completed,07/17/2018 11:44,Local PPO
NC,Davie,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
GA,Clayton,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Loiza,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NY,Greene,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Lucas,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
AR,Pulaski,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MS,Amite,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MT,All,Health Care Service Corporation,Blue Cross Medicare Advantage Optimum (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,4,0,Completed,06/20/2018 12:01,Local PPO
AL,All,UAB Health System,VIVA Medicare Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,16,0,Completed,07/11/2018 10:32,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare TexanPlus Star (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AZ,All,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,6,0,Completed,06/28/2018 17:45,HMO/HMOPOS
AZ,All,"Veritage, LLC",Blue Medicare Advantage Standard (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,9,0,Completed,06/28/2018 17:45,HMO/HMOPOS
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/13/2018 10:20,HMO/HMOPOS
TX,All,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx+Choice (HMO-POS),N,N,N,N,N,,,,,,,H0332,4,0,Completed,06/13/2018 10:20,HMO/HMOPOS
AZ,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MN,All,UCare Minnesota,Care Core with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,All,New York City Health and Hospitals Corporation,MetroPlus Advantage Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H0423,1,0,Completed,06/04/2018 14:42,HMO/HMOPOS
NY,All,New York City Health and Hospitals Corporation,MetroPlus Platinum (HMO),Y,N,Y,N,N,,,,,,,H0423,4,0,Completed,06/04/2018 14:42,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,63,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan South (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,29,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,148,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,152,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,176,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,179,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,37,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,52,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,59,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,61,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,65,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,87,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,79,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,84,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,97,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,101,2,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Green Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,42,0,Completed,06/13/2018 13:44,1876 Cost
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,20,0,Completed,07/25/2018 13:04,HMO/HMOPOS
ME,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,1,Completed,07/12/2018 18:43,HMO/HMOPOS
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 010 (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H0982,10,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,All,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,1,0,Completed,07/27/2018 9:10,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,40,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,46,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,70,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,144,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Focus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,169,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,182,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,186,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,49,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,62,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,70,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,81,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,90,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,116,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,7,0,Completed,07/26/2018 11:48,Local PPO
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,16,0,Completed,07/26/2018 11:48,Local PPO
DE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,35,0,Completed,07/26/2018 11:48,Local PPO
MN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
NC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Harmony Choice Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,20,0,Completed,07/12/2018 18:43,HMO/HMOPOS
NJ,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,60,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,133,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,200,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,214,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,216,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,17,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,23,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,27,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,28,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,30,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-103A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,103,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-214 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,214,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Ottawa,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
AR,Dallas,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
KY,Webster,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
TX,Aransas,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
IN,Franklin,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
WI,Waushara,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
PR,Rio Grande,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Mayaguez,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Vieques,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Yauco,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Carolina,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Las Piedras,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Ottawa,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
WA,Clark,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
WA,Snohomish,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
MN,Lac qui Parle,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
FL,Glades,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,62,0,Completed,07/24/2018 13:42,Local PPO
KY,Butler,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
WI,Kenosha,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
IN,Whitley,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KS,Cherokee,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
KY,Owen,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
TX,Tarrant,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
PA,Wayne,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Lehigh,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,15,Completed,07/27/2018 9:47,HMO/HMOPOS
IN,Vanderburgh,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,3,0,Completed,07/24/2018 19:18,Local PPO
ND,McKenzie,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
IL,Menard,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,Butte,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Culebra,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Greensville,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Northumberland,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Wells,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Carroll,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
MN,Nicollet,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
VA,Arlington,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,Stephenson,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,Sussex,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
CO,Lake,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
VA,Chesterfield,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Aguadilla,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Rockwall,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,1,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Summit,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
MI,Ottawa,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,Lenawee,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
TX,Dallas,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
FL,Hillsborough,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,200,0,Completed,07/20/2018 11:11,HMO/HMOPOS
PR,Quebradillas,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
MS,Webster,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
WV,Jefferson,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
WV,Hardy,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
OH,Tuscarawas,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
OK,McIntosh,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
WV,Logan,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
TX,Taylor,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AZ,Pima,Humana Inc.,Humana Value Plus H5216-197 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,197,0,Completed,07/24/2018 13:42,Local PPO
CT,Windham,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,Crawford,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
OK,Hughes,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
NY,Schoharie,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
AZ,Maricopa,Humana Inc.,Humana Gold Plus H0028-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Henderson,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Wayne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,Grady,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
VA,Williamsburg City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
OR,Klamath,ATRIO Health Plans,ATRIO Silver Rx (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,3,0,Completed,07/28/2018 12:06,Local PPO
WI,Rock,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
WI,Walworth,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
PA,Perry,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,Northumberland,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Snyder,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
NJ,Monmouth,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Collin,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Owen,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Richmond,Humana Inc.,HumanaChoice H5970-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,22,0,Completed,07/24/2018 13:42,Local PPO
NM,Sandoval,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2134,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
VA,Scott,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Geneva,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
AR,Washington,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Toa Baja,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
FL,Martin,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
MN,Rock,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NY,Queens,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,11,0,Completed,07/27/2018 16:18,HMO/HMOPOS
WI,Price,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
NM,Luna,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
ND,Barnes,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
ND,Emmons,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
MN,Mille Lacs,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
WI,Wood,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
AL,Dale,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MS,Jasper,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Carroll,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Hickman,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Liberty,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Archer,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Clinton,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
FL,All,"AvMed, Inc.",AvMed Medicare Circle (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,23,0,Completed,07/27/2018 9:10,HMO/HMOPOS
FL,All,"AvMed, Inc.",AvMed Medicare Circle (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,24,0,Completed,07/27/2018 9:10,HMO/HMOPOS
FL,All,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,174,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,184,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,191,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,194,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,199,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,206,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,18,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,20,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,22,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-068 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,68,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-199 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,199,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-209 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,209,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,All,Humana Inc.,Humana Gold Plus H1036-219 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,219,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-245 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,245,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-251 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,251,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-257 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,257,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-262 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,262,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-267 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,267,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-277 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,277,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"Health First, Inc.",Florida Hospital SunSaver Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,16,0,Completed,07/18/2018 14:47,HMO/HMOPOS
TX,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,3,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NY,All,Personal Touch Holding Corp.,Integra Harmony Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,1,0,Completed,09/11/2018 14:34,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Maui (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Hawaii Island (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,14,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,3,0,Completed,07/20/2018 16:01,Local PPO
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,4,0,Completed,07/20/2018 16:01,Local PPO
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,4,0,Completed,07/26/2018 11:48,Local PPO
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,5,0,Completed,07/26/2018 11:48,Local PPO
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1286,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,2,0,Completed,07/13/2018 13:55,Local PPO
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,4,0,Completed,07/13/2018 13:55,Local PPO
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,2,Completed,07/26/2018 16:43,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,All,"Vitality Health Plans, Inc.",Vitality Choice (HMO),Y,N,N,Y,N,,,601,601,301,301,H1426,2,0,Completed,06/25/2018 4:30,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-261 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,261,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-266 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,266,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-278 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,278,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Choice Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Medicare Assist Palm Beach (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Complete Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,3,0,Completed,07/25/2018 13:04,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Central Florida (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,5,0,Completed,07/25/2018 11:54,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",Secure Blue no Rx (PPO),Y,N,N,Y,Y,100,100,482,482,241,241,H1302,4,0,Completed,07/26/2018 16:40,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,1,0,Completed,07/13/2018 13:55,Local PPO
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue no Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,6,0,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,19,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,1,Completed,07/26/2018 16:43,HMO/HMOPOS
MO,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
IL,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,All,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS Basic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,All,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Simplete 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,23,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1475,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,All,"Select Founders, LLC",Select (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,3,0,Completed,06/25/2018 16:07,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
NE,All,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,12,0,Completed,07/17/2018 11:44,Local PPO
AR,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
SD,All,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,43,0,Completed,07/17/2018 11:44,Local PPO
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,34,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,All,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,9,0,Completed,06/15/2018 10:34,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,14,0,Completed,07/23/2018 15:54,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,1,0,Completed,06/20/2018 12:01,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,2,0,Completed,06/20/2018 12:01,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,3,0,Completed,06/20/2018 12:01,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,5,0,Completed,06/20/2018 12:01,Local PPO
WV,All,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,All,The Carle Foundation,Health Alliance Medicare Guide HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1737,1,0,Completed,06/26/2018 17:06,HMO/HMOPOS
ND,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,Douglas,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
IA,Madison,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
NC,Tyrrell,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
NJ,Middlesex,"Clover Health Holdings, Inc.",Clover Health Choice Premier (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,32,0,Completed,07/26/2018 14:48,Local PPO
NJ,Union,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
PA,Washington,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
SC,Fairfield,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
CA,Los Angeles,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,1,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,Erie,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Fayette,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AL,Geneva,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
MS,Covington,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CO,Jefferson,Humana Inc.,Humana Gold Plus H0028-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,26,1,Completed,07/24/2018 13:42,HMO/HMOPOS
MD,Anne Arundel,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
NY,Montgomery,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
NY,Sullivan,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
OH,Putnam,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
IN,Johnson,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
PA,Bradford,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
KY,Graves,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,Juniata,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
FL,Polk,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Warren,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
WI,Outagamie,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Mecklenburg,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Geauga,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Milwaukee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,St. Clair,UAB Health System,VIVA Medicare Me (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,14,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NY,Westchester,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,9,0,Completed,07/02/2018 16:20,HMO/HMOPOS
FL,Lake,Anthem Inc.,Freedom Platinum Rewards Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,96,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Talbot,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,Barbour,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
KS,Woodson,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Tioga,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Russell,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Scott,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Warren,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Seneca,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Nueces,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Chesapeake City,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
MD,Washington,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
IA,Kossuth,"Medical Associates Clinic, P.C.",North Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,15,0,Completed,06/15/2018 10:34,1876 Cost
NY,Columbia,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Salinas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,San Juan,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Patillas,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OR,Washington,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,1,Completed,07/13/2018 13:55,Local PPO
TX,Johnson,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,Spokane,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,30,0,Completed,07/26/2018 11:48,Local PPO
VT,Addison,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Barceloneta,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Culebra,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
KS,Saline,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
TX,Williamson,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,199,0,Completed,07/17/2018 11:44,Local PPO
CT,Hartford,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Culebra,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
KY,Johnson,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
OK,Custer,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
FL,Broward,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,68,0,Completed,07/24/2018 13:42,Local PPO
NH,Strafford,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,58,0,Completed,07/24/2018 13:42,Local PPO
OH,Clark,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
AR,Perry,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Cass,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AZ,Yavapai,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
NY,Putnam,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,99,0,Completed,07/20/2018 11:11,Local PPO
FL,Lee,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,217,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NE,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Chester,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,50,0,Completed,07/16/2018 13:15,HMO/HMOPOS
KY,Hardin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PA,York,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
NY,Washington,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
TX,Falls,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
WI,Fond du Lac,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
WI,Waushara,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
TN,Sullivan,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Iredell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Preble,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Kewaunee,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Ashland,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,Shawano,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Lauderdale,UAB Health System,VIVA Medicare Extra Value (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,12,0,Completed,07/11/2018 10:32,HMO/HMOPOS
CA,Tulare,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,56,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NJ,Burlington,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,85,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Passaic,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,Vieques,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,Volusia,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,Greene,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
AL,Mobile,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
WI,Price,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
ND,Sheridan,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
MN,Kanabec,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
IL,All,The Carle Foundation,Simplete 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,24,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IA,All,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
MO,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
WV,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,26,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Advantra Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,28,0,Completed,07/17/2018 11:44,Local PPO
IA,All,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Vista Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,14,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Vista Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,All,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,5,0,Completed,06/15/2018 10:34,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",Genesis Health Network Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,13,0,Completed,06/15/2018 10:34,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",Mercy Cedar Rapids Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,14,0,Completed,06/15/2018 10:34,1876 Cost
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,1,Completed,07/23/2018 15:54,HMO/HMOPOS
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,16,2,Completed,07/23/2018 15:54,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,8,0,Completed,06/20/2018 12:01,Local PPO
NY,All,Catholic Health Care System,ArchCare  Advantage (HMO SNP),Y,N,Y,Y,N,,,241,482,1,241,H1777,7,0,Completed,07/10/2018 10:31,HMO/HMOPOS
WA,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
HI,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
NC,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IN,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,2,0,Completed,07/30/2018 8:53,MSA
DE,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MD,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
ND,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,All,Humana Inc.,Humana Total Care Advantage H1951-039 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-041 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,1,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,1,Completed,07/24/2018 13:42,HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,2,0,Completed,07/19/2018 19:35,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,4,0,Completed,07/19/2018 19:35,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,5,0,Completed,07/19/2018 19:35,HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,7,0,Completed,07/19/2018 19:35,HMO/HMOPOS
WI,All,"Community Care, Inc.",Community Care s  Partnership Program (HMO SNP),N,N,N,N,N,,,,,,,H2034,1,0,Completed,07/30/2018 15:42,HMO/HMOPOS
NM,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2134,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
MI,All,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,2,0,Completed,07/26/2018 13:52,HMO/HMOPOS
NY,All,"Village Care of New York, Inc.",VillageCareMAX Medicare Total Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,2,0,Completed,06/07/2018 11:28,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
MD,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,11,0,Completed,07/26/2018 11:48,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,21,0,Completed,07/26/2018 11:48,Local PPO
HI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,24,0,Completed,07/26/2018 11:48,Local PPO
NC,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Secure Choice #011 (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,11,0,Completed,07/20/2018 13:57,HMO/HMOPOS
VA,All,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
CO,All,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,4,0,Completed,07/26/2018 10:44,Local PPO
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
DC,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
MA,All,"Magellan Health, Inc.",Senior Whole Health (HMO SNP),N,N,N,N,N,,,,,,,H2224,1,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MA,All,"Magellan Health, Inc.",Senior Whole Health NHC (HMO SNP),N,N,N,N,N,,,,,,,H2224,3,0,Completed,06/26/2018 8:30,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Senior Care Options (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2226,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,18,0,Completed,07/26/2018 11:48,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,20,0,Completed,07/26/2018 11:48,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,22,0,Completed,07/26/2018 11:48,Local PPO
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
DC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,45,0,Completed,07/26/2018 11:48,Local PPO
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,46,0,Completed,07/26/2018 11:48,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,1,Completed,07/24/2018 12:03,Local PPO
WI,All,Independent Care Health Plan Inc.,iCare Medicare Plan (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,1,0,Completed,07/18/2018 14:56,HMO/HMOPOS
CA,All,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,9,0,Completed,07/27/2018 15:23,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,6,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,36,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,41,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,1,Completed,07/24/2018 12:03,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,1,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,All,Bright Health Management,Bright Advantage Special Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
SC,All,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H2334,3,0,Completed,07/24/2018 12:34,Local PPO
MI,All,Henry Ford Health System,HAP Senior Plus Henry Ford Tiered Access (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,18,0,Completed,07/19/2018 14:09,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,9,0,Completed,07/26/2018 11:48,Local PPO
MN,All,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Complete (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,2,0,Completed,07/09/2018 14:38,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Prime Solution Enhanced w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,2,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
NE,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Basic (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,32,0,Completed,07/18/2018 10:13,1876 Cost
ND,All,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Standard (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,24,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
PR,Hormigueros,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Clinch,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
OH,Darke,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Vinton,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OK,Sequoyah,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
MN,Otter Tail,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MS,Humphreys,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
GA,Union,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Lake,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
TX,Gregg,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Van Buren,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,Dakota,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MI,Monroe,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
TX,Wilson,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Harris,Humana Inc.,Humana Gold Plus H0028-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,Cook,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1475,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,Madison,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
FL,Glades,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,226,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Pike,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
CO,Broomfield,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
OH,Belmont,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
IN,Boone,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
CA,Riverside,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,166,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,Dade,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,17,0,Completed,07/25/2018 8:35,HMO/HMOPOS
PA,Schuylkill,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,Columbia,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Will,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,N,Y,Y,100,0,0,482,0,241,H1415,21,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Collier,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
TX,Llano,Baylor Scott & White Holdings,SeniorCare Advantage Basic (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,2,0,Completed,06/11/2018 23:54,Local PPO
KY,Marion,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Caldwell,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Wythe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Portage,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Butler,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,Cortland,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
MO,Douglas,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Cape May,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,Orange,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,San Bernardino,California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,40,0,Completed,07/20/2018 14:52,HMO/HMOPOS
GA,Seminole,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
MO,New Madrid,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
OK,Beckham,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KY,Elliott,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
AL,Bullock,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,White,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,Maricopa,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,7,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MI,Lapeer,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MN,Lake,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
GA,Lamar,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
IN,Lagrange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,5,0,Completed,07/26/2018 11:48,Local PPO
TN,Sumner,CIGNA,Cigna-HealthSpring Alliance Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,42,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cumberland,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Fayette,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Washington,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Fayette,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Lonoke,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Pulaski,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,St. Joseph,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Hamblen,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Maunabo,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
GA,Grady,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
CO,Boulder,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
PA,Union,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
TX,Travis,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
PA,Lancaster,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
PR,Arroyo,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Comerio,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Lake,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
IN,Monroe,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
WA,King,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
NC,Stanly,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
VA,Wythe,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
SD,Kingsbury,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MO,Platte,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
SC,Dorchester,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
NH,Carroll,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,57,0,Completed,07/24/2018 13:42,Local PPO
GA,Terrell,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
KS,Jefferson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
TX,Eastland,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KS,Franklin,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
AL,Montgomery,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,224,0,Completed,07/17/2018 11:44,Local PPO
LA,Bienville,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
TX,Lubbock,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
PR,Salinas,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Liberty,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
IN,St. Joseph,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,St. Louis,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
CO,Broomfield,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
CO,Larimer,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
WV,Fayette,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
WV,Cabell,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
MI,Cheboygan,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
MO,St. Francois,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
VA,Alexandria City,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
KY,Crittenden,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
KY,Green,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
PA,Adams,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
GA,Cherokee,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
HI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,67,0,Completed,07/26/2018 11:48,Local PPO
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,7,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,18,8,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,3,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,11,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,15,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,1,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 3 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,22,0,Completed,07/19/2018 14:09,HMO/HMOPOS
KS,All,Kansas Superior Select,Kansas Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2392,1,0,Completed,07/26/2018 17:53,HMO/HMOPOS
KY,All,"SA Plan, LLC",Signature Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2400,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",SecureBlue (HMO SNP),N,N,N,N,N,,,,,0,0,H2425,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
SD,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
IA,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
ND,All,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Essentials Rx (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,23,2,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
IL,All,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H2506,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,39,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,11,0,Completed,07/19/2018 12:41,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,2,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 450A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,99,0,Completed,07/20/2018 11:11,Local PPO
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,2,Completed,07/20/2018 11:11,Local PPO
TX,All,Imperial Health Plan of California,Imperial Insurance Company of Texas Value HMO SNP (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Profile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,4,Completed,07/20/2018 11:11,PFFS
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,2,Completed,07/20/2018 11:11,PFFS
PA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,All,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NV,All,Renown Health,Senior Care Plus: Value Rx Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,12,0,Completed,07/24/2018 17:58,HMO/HMOPOS
LA,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2531,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore Smart Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KS,All,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,All,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,27,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,4,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Silver - NY (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,19,0,Completed,07/27/2018 15:56,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Silver - NY City (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,20,0,Completed,07/27/2018 15:56,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Premium - LI (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,22,0,Completed,07/27/2018 15:56,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,82,0,Completed,07/20/2018 11:11,Local PPO
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,2,Completed,07/20/2018 11:11,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 650B (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,19,0,Completed,07/20/2018 11:11,PFFS
VA,All,"Innovation Health Holdings, LLC",Innovation Health Medicare Connection Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2829,1,0,Completed,07/24/2018 18:39,HMO/HMOPOS
WI,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2879,1,0,Completed,07/26/2018 20:15,HMO/HMOPOS
NV,All,Renown Health,Senior Care Plus: Freedom Rx Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,7,0,Completed,07/24/2018 17:55,Local PPO
NV,All,Renown Health,Senior Care Plus: Freedom Basic Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,8,0,Completed,07/24/2018 17:55,Local PPO
KS,All,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Acclaim (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,11,0,Completed,07/06/2018 11:25,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,2,0,Completed,07/18/2018 17:46,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,7,0,Completed,07/18/2018 17:46,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,82,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Elite Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,84,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,601,0,301,H3237,2,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,InnovaCare Inc.,MMM - EXTRA (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,3,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,15,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,1,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,15,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,41,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,51,0,Completed,06/26/2018 15:07,Local PPO
NY,All,Anthem Inc.,Empire MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3342,19,0,Completed,07/23/2018 14:30,Local PPO
NY,All,"Independent Health Association, Inc.",Independent Health Medicare Passport Advantage (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3344,5,0,Completed,07/27/2018 7:12,Local PPO
NY,All,"Elderplan, Inc.",Elderplan Plus Long Term Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,7,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst Increased Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,19,0,Completed,07/25/2018 11:36,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst CompleteCare (HMO SNP),Y,N,Y,N,N,,,,,,,H3359,34,0,Completed,07/25/2018 11:36,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health Encompass 65 (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,16,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
GA,Clayton,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TN,Benton,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Woodruff,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,Garza,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Cocke,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Hardin,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,Benton,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
TX,Dallas,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Caguas,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Morovis,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VT,Essex,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
IN,Wells,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,190,0,Completed,07/17/2018 11:44,Local PPO
PR,Toa Baja,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NJ,Somerset,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,31,0,Completed,07/24/2018 12:52,HMO/HMOPOS
OH,Auglaize,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Franklin,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,Lorain,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
AR,Marion,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Baker,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,Laclede,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MS,Winston,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IN,Noble,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
VA,Bristol City,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
SC,Newberry,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
SD,Codington,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
MO,Phelps,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
PA,Susquehanna,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
GA,Chattooga,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MD,Frederick,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,29,0,Completed,07/24/2018 13:42,Local PPO
OH,Monroe,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
KY,Perry,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
FL,Pasco,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
SC,Orangeburg,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Taliaferro,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
MS,Hancock,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NC,Union,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro Plus (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,7,0,Completed,06/25/2018 20:32,Local PPO
VA,Martinsville City,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Platte,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Clinton,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,Montgomery,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
IN,Daviess,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
NC,Swain,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Buncombe,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,Clinton,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WI,Sauk,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IA,Washington,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Sarasota,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
WV,Upshur,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
AR,Washington,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
CT,Tolland,"Tufts Associated HMO, Inc.",CareAdvantage Premier (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,3,0,Completed,07/03/2018 8:46,HMO/HMOPOS
PA,Fayette,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
CO,Douglas,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,DuPage,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,Washington,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
PA,Mifflin,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
MI,Washtenaw,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,6,Completed,07/19/2018 14:35,Local PPO
CA,Tulare,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Lapeer,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Clare,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
OH,Mahoning,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,Raleigh,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
TN,Giles,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,42,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Pickens,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Spencer,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
TN,Benton,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,Sullivan,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,Door,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,42,0,Completed,07/26/2018 11:48,Local PPO
RI,Newport,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,35,0,Completed,07/26/2018 11:48,Local PPO
NY,Ontario,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Albany,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Wayne,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,2,Completed,07/26/2018 14:31,Local PPO
MO,Lewis,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
CT,Tolland,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
IN,Vanderburgh,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,152,0,Completed,07/17/2018 11:44,Local PPO
PR,San Sebastian,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naranjito,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
VA,Page,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
MN,Scott,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
PA,Wayne,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
NC,Cleveland,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
CO,Teller,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
WV,Jackson,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
KS,Harvey,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OH,Medina,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
GA,Carroll,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
NJ,Bergen,Humana Inc.,HumanaChoice H5216-174 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,174,0,Completed,07/24/2018 13:42,Local PPO
TX,Deaf Smith,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
WA,Pierce,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
TX,Camp,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Conway,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,Benton,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,2,0,Completed,06/29/2018 15:38,HMO/HMOPOS
GA,Turner,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
KS,Morton,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
PA,Monroe,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,Montgomery,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,33,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Indian River,"Health First, Inc.",Health First Secure Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,9,0,Completed,07/18/2018 14:47,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Gold (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,5,0,Completed,07/18/2018 17:46,HMO/HMOPOS
PR,All,"Constellation Health, LLC.",Genesis Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
DE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,1,0,Completed,07/20/2018 13:16,Local PPO
NJ,All,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
GA,All,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
FL,All,InnovaCare Inc.,MMM - PLATINUM (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,4,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,2,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,3,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,38,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,2,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,54,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Elderplan, Inc.",Elderplan For Medicaid Beneficiaries (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,2,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NY,All,"Elderplan, Inc.",Elderplan Advantage For Nursing Home Residents (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,3,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,11,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,13,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health Encompass 65 Basic (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,17,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health s Assure Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H3362,35,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueShield Freedom Value (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,63,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,4,Completed,07/06/2018 10:44,Local PPO
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
IN,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,1,Completed,07/26/2018 14:31,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,All,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,All,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,Trinity Health,MediGold Medical Only (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,13,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southeast OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,14,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,All,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,3,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,All,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum (HMO),Y,N,Y,N,N,,,,,,,H3755,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver (HMO),Y,N,Y,N,N,,,,,,,H3755,2,0,Completed,07/23/2018 18:19,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Platinum Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,4,0,Completed,07/23/2018 18:19,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Medical Only (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,12,0,Completed,07/26/2018 14:31,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,14,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,2,Completed,07/17/2018 15:41,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,All,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3572,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,47,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,All,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,2,Completed,07/12/2018 15:19,HMO/HMOPOS
WV,All,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,All,"Momentum Health Holdings, LLC",Generations Value (HMO),Y,Y,Y,Y,Y,75,75,432,432,216,216,H3706,9,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,Samaritan Health Services,Samaritan Advantage Premier Plan Plus (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,9,0,Completed,06/29/2018 15:38,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,8,0,Completed,06/12/2018 10:27,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,1,Completed,07/13/2018 13:55,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3822,6,0,Completed,06/20/2018 12:01,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials 2 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,2,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 6 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,6,0,Completed,07/06/2018 16:48,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,24,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 36 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,36,0,Completed,07/06/2018 16:48,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,50,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,1,0,Completed,07/16/2018 13:15,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,22,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,1,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,4,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,1,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,35,2,Completed,07/13/2018 14:00,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,15,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,12,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,18,Completed,07/27/2018 9:47,Local PPO
PA,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,56,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,16,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,18,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,5,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Premier (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,1,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus H4007-013 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,9,0,Completed,07/23/2018 14:30,Local PPO
GA,Richmond,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Saratoga,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,Warren,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,1,0,Completed,07/02/2018 10:44,HMO/HMOPOS
MN,Rice,Medica Holding Company,Medica Prime Solution Enhanced (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,33,0,Completed,07/18/2018 10:13,1876 Cost
ND,Dunn,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
TX,Webb,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Grundy,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Bedford,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Tazewell,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Kemper,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,44,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,Union,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Sharkey,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Wabash,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
WA,Kitsap,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,Pima,Anthem Inc.,Amerivantage CareMore Care To You (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Oneida,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
MA,Worcester,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
NY,Tioga,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Steuben,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NC,Polk,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Aguada,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Juncos,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
ME,Kennebec,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,143,0,Completed,07/17/2018 11:44,Local PPO
CA,Riverside,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,126,0,Completed,07/17/2018 11:44,Local PPO
MI,St. Clair,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
SC,Colleton,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,247,0,Completed,07/17/2018 11:44,Local PPO
GA,Camden,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Hall,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Quebradillas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Chatham,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
TX,Harris,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/13/2018 10:20,HMO/HMOPOS
MA,Essex,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
NY,Fulton,HealthNow New York Inc.,BlueShield Senior Blue 652 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,13,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,Allegany,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
IA,Calhoun,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Clay,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
WI,Racine,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
MS,Stone,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,66,0,Completed,07/24/2018 13:42,Local PPO
MO,Carroll,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
PA,Lebanon,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
CO,Douglas,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
GA,Chattahoochee,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
MN,Ramsey,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
KY,Whitley,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
WV,Pocahontas,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
IN,Posey,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
AR,Garland,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
CT,Litchfield,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MN,Yellow Medicine,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
TN,Grainger,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Marion,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MN,Martin,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
TX,Potter,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
GA,Fulton,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
KY,Whitley,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
PA,Schuylkill,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,14,Completed,07/27/2018 9:47,HMO/HMOPOS
IL,DeKalb,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,Starr,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
ND,Pembina,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MS,Jasper,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,Clark,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Aguadilla,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
VA,Tazewell,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Starke,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Vigo,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Patillas,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,Butler,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Brown,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Mercer,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
KY,Harlan,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
IN,Jasper,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
OH,Shelby,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
WI,Fond du Lac,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
TN,Weakley,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Van Buren,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AL,Autauga,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
MN,Carver,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,41,0,Completed,07/26/2018 11:48,Local PPO
IA,Butler,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
IA,Fayette,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
PR,Vieques,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Cero (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,45,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NE,Cedar,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
LA,Orleans,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
TX,Harris,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
PR,Cayey,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Santa Isabel,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Jones,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
OH,Knox,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
GA,Barrow,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
GA,Floyd,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
IA,Linn,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
MN,Renville,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
IA,Carroll,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IL,Monroe,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
IN,Clinton,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
PA,Snyder,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
OH,Columbiana,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
OR,All,Samaritan Health Services,Samaritan Advantage Conventional Plan (HMO),Y,Y,N,Y,Y,50,50,450,450,225,225,H3811,1,0,Completed,06/29/2018 15:38,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan CalPlus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,9,0,Completed,07/26/2018 15:08,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan Heart & Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,10,0,Completed,07/26/2018 15:08,HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Standard Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,8,0,Completed,07/16/2018 15:11,Local PPO
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Complete (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,9,0,Completed,07/16/2018 15:11,Local PPO
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),Y,N,N,Y,N,,,482,482,241,241,H3864,14,0,Completed,07/06/2018 16:48,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 21 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,21,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,26,2,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,All,PacificSource Health Plans,PacificSource Medicare MyCare 35 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,35,0,Completed,07/06/2018 16:48,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,42,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,43,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,48,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Personal Choice 65 Medical Only (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,7,0,Completed,07/16/2018 13:15,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Deluxe (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,5,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,10,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,16,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,14,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,10,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,18,Completed,07/27/2018 9:47,Local PPO
LA,All,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NC,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,81,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AZ,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,92,0,Completed,07/17/2018 11:44,HMO/HMOPOS
DE,All,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,104,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,110,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,45,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,48,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,18,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,13,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,25,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,4,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Washington Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,46,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Alliance Heart and Diabetes Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,19,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,4,0,Completed,07/13/2018 13:32,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,19,1,Completed,07/13/2018 13:32,HMO/HMOPOS
OK,All,St Francis Health System & St John Health System,Advantage Choice (HMO),Y,N,Y,N,N,,,,,,,H4198,1,0,Completed,07/23/2018 18:19,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,3,Completed,07/16/2018 15:07,PFFS
MS,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,17,0,Completed,07/23/2018 14:30,Local PPO
GA,All,Humana Inc.,Humana Gold Plus H4141-015 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,4,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,1,Completed,07/24/2018 13:42,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Extra (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,18,0,Completed,07/13/2018 13:32,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,6,Completed,07/16/2018 15:07,PFFS
CO,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
TN,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 7 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,7,0,Completed,07/06/2018 16:48,Local PPO
AZ,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,3,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,5,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,3,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,5,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,1,Completed,07/26/2018 15:53,Local PPO
WI,All,"HealthPartners, Inc.",HealthPartners Robin Birch (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,4,0,Completed,06/28/2018 12:59,Local PPO
CA,All,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
WV,All,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,482,482,241,241,H5106,13,0,Completed,07/13/2018 14:00,Local PPO
TN,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,33,0,Completed,07/26/2018 14:48,Local PPO
SC,All,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,37,0,Completed,07/26/2018 14:48,Local PPO
PA,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H5141,38,0,Completed,07/26/2018 14:48,Local PPO
GA,All,"Clover Health Holdings, Inc.",Clover Health Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,43,0,Completed,07/26/2018 14:48,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,3,0,Completed,07/20/2018 11:11,Local PPO
WI,All,"Care Wisconsin First, Inc.",Care Wisconsin Medicare Dual Advantage Plan (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5209,4,0,Completed,07/27/2018 12:44,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Esteem Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,12,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumChoice (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,11,0,Completed,06/27/2018 15:22,Local PPO
MI,All,Humana Inc.,HumanaChoice H5216-011 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,11,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,20,0,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,22,0,Completed,07/24/2018 13:42,Local PPO
MD,All,Humana Inc.,HumanaChoice H5216-029 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,29,0,Completed,07/24/2018 13:42,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-039 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,39,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
WA,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
WA,All,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
ME,All,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice H5216-060 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,60,0,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,65,0,Completed,07/24/2018 13:42,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-114 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,114,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-119 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,119,0,Completed,07/24/2018 13:42,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-138 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,138,0,Completed,07/24/2018 13:42,Local PPO
MD,Frederick,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
PA,Bucks,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,1,0,Completed,07/16/2018 13:15,Local PPO
GA,Dawson,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
GA,Taliaferro,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WV,Brooke,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
TN,Wayne,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,Orange,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,Anasco,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Lajas,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Las Piedras,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Guayanilla,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Loiza,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,Lee,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
OH,Fairfield,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
VA,Chesapeake City,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,Middlesex,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Sibley,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
TN,Union,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Dade,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
GA,Atkinson,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
GA,Habersham,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
VA,Essex,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
OH,Clinton,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Douglas,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Pipestone,PrimeWest Rural MN Health Care Access Initiative,Prime Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2926,1,0,Completed,06/15/2018 17:08,HMO/HMOPOS
VA,Manassas City,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
TX,Lavaca,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,Trinity,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
AR,Lincoln,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Caguas,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
NY,Kings,Bright Health Management,Bright Advantage Assist (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,5,0,Completed,07/20/2018 15:07,HMO/HMOPOS
VA,Powhatan,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Cabo Rojo,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Yabucoa,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Overton,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
GA,Bartow,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Owsley,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
KY,Washington,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
TN,Hardin,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,Knox,"WellCare Health Plans, Inc.",WellCare Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,24,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Lewis,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
TX,Dallas,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Nash,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,34,0,Completed,07/26/2018 11:48,Local PPO
NY,Oswego,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
CO,Clear Creek,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
KY,Gallatin,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
NM,Santa Fe,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
MS,Amite,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IN,Elkhart,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
MO,Audrain,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MO,Camden,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Atascosa,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Casey,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
WA,Kittitas,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
WA,Snohomish,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
TX,Camp,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
TX,Aransas,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
NY,Washington,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
LA,Franklin,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,East Baton Rouge,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,St. Martin,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Aguada,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Humacao,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Ponce,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
KY,Henry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,Kane,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Olmsted,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Carver,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,Otter Tail,Medica Holding Company,Medica DUAL Solution (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2458,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
MI,Ogemaw,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
VA,Warren,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,Madison,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus H4007-020 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Sabana Grande,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,Blair,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,Spalding,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,Cherokee,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Mifflin,Humana Inc.,Humana Gold Choice H8145-052 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,52,0,Completed,07/24/2018 13:42,PFFS
MO,Wright,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
VA,Isle of Wight,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
MT,Yellowstone,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
PR,Penuelas,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
TX,Fort Bend,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,6,0,Completed,06/20/2018 12:01,Local PPO
PA,Potter,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,York,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
CA,San Bernardino,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
MI,Ionia,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,Ingham,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Luzerne,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,Armstrong,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Putnam,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Stark,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Huntingdon,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,21,0,Completed,07/13/2018 14:00,HMO/HMOPOS
MA,Worcester,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,6,Completed,06/22/2018 9:28,HMO/HMOPOS
OH,Fulton,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
KY,Gallatin,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
KY,Fleming,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
TN,All,Humana Inc.,Humana Gold Plus H4461-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-036 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,10,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring Preferred NGA (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,All,CIGNA,Cigna-HealthSpring Preferred AR (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,38,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AR,All,CIGNA,Cigna-HealthSpring TotalCare AR (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,39,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring TotalCare ETN (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,40,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer 6 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,6,0,Completed,07/06/2018 16:48,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,2,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,4,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,4,Completed,07/26/2018 15:53,Local PPO
PR,All,"Constellation Health, LLC.",Olympus Prime Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,3,0,Completed,07/24/2018 14:28,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H4922,10,0,Completed,07/27/2018 16:18,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Basic (HMO),Y,N,Y,Y,N,,,400,400,200,200,H5050,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Best Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,16,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,4,0,Completed,07/26/2018 14:48,Local PPO
TX,All,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,35,0,Completed,07/26/2018 14:48,Local PPO
PA,All,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H5141,39,0,Completed,07/26/2018 14:48,Local PPO
WI,All,"Care Wisconsin First, Inc.",Care Wisconsin Partnership Plan (HMO SNP),N,N,N,N,N,,,,,,,H5209,2,0,Completed,07/27/2018 12:44,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Spirit (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,1,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumPlus Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,2,0,Completed,06/27/2018 15:22,Local PPO
WI,All,"Network Health, Inc.",Network Health Medicare Go (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,9,0,Completed,06/27/2018 15:22,Local PPO
NC,All,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
AZ,All,Humana Inc.,HumanaChoice H5216-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,34,0,Completed,07/24/2018 13:42,Local PPO
AZ,All,Humana Inc.,HumanaChoice H5216-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,35,0,Completed,07/24/2018 13:42,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,37,0,Completed,07/24/2018 13:42,Local PPO
HI,All,Humana Inc.,HumanaChoice H5216-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,40,0,Completed,07/24/2018 13:42,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,2,Completed,07/24/2018 13:42,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-051 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,51,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,1,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-052 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,52,2,Completed,07/24/2018 13:42,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-081 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,81,0,Completed,07/24/2018 13:42,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
NE,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
TN,All,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-109 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,109,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-112 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,112,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-151 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,151,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-158 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,158,0,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,HumanaChoice H5216-172 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,172,0,Completed,07/24/2018 13:42,Local PPO
WI,All,Humana Inc.,Humana Value Plus H5216-173 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,173,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,Humana Value Plus H5216-181 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,181,0,Completed,07/24/2018 13:42,Local PPO
UT,All,Humana Inc.,HumanaChoice H5216-189 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,189,0,Completed,07/24/2018 13:42,Local PPO
NM,All,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,1,Completed,07/24/2018 13:42,Local PPO
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,63,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,105,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,8,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IL,All,University of Wisconsin Hospitals and Clincs Autho,SwedishAmerican Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,18,0,Completed,06/19/2018 17:16,HMO/HMOPOS
KS,All,Aetna Inc.,Medicare Dual Preferred Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Gold Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,1,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Classic offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,5,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,9,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,30,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,31,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,33,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,53,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,64,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,72,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,89,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,HealthSun MediMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,23,0,Completed,07/25/2018 8:35,Local PPO
WY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
IL,All,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,3,0,Completed,07/26/2018 10:44,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,64,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,66,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,73,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,82,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,83,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,90,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,4,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,9,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,12,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,21,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,22,0,Completed,07/25/2018 16:54,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,60,0,Completed,07/17/2018 11:44,Local PPO
MS,Humphreys,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
IN,Fulton,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Cherokee,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
IN,Grant,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
KS,McPherson,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
IN,St. Joseph,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
TX,Brazos,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Polk,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
KY,Hardin,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
KS,Leavenworth,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MN,Cottonwood,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
SC,Charleston,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,Montgomery,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,16,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Bucks,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,Lancaster,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,Orange,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
SD,Pennington,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MN,Scott,UCare Minnesota,UCare s Minnesota Senior Health Options (HMO SNP),Y,N,Y,N,N,,,,,,,H2456,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
GA,Rockdale,Humana Inc.,Humana Gold Plus SNP-DE H4141-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,Atchison,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
KS,Grant,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NY,Bronx,"ParkerCare New York, LLC",AgeWell New York PlanWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,8,0,Completed,07/27/2018 16:18,HMO/HMOPOS
SC,Charleston,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
RI,Providence,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,39,0,Completed,07/26/2018 11:48,Local PPO
ND,Billings,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,Pipestone,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,Grant,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
MA,Plymouth,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,Smith,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,Cheatham,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Tuscarawas,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,Bonneville,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
LA,Jackson,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,Lafayette,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,Barceloneta,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,Rio Grande,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
NC,Transylvania,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
IA,Story,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
KY,Fleming,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Albany,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,62,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MN,Aitkin,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
TN,Johnson,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,Williamson,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Madison,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,Hinds,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
MO,St. Charles,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
OR,Douglas,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,Ottawa,Anthem Inc.,Anthem MediBlue Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,40,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Huron,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,Alpena,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
TN,Campbell,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Union,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Monroe,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IA,Decatur,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
TX,Travis,Imperial Health Plan of California,Imperial Insurance Company of Texas Traditional (HMO),Y,Y,Y,Y,N,,,482,482,20,20,H2793,3,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NC,Rowan,Blue Cross and Blue Shield of North Carolina,Blue Medicare PPO Enhanced (PPO),Y,N,N,Y,N,,,0,482,0,241,H3404,3,1,Completed,07/26/2018 14:31,Local PPO
PR,Culebra,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Kenedy,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
LA,Terrebonne,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
NY,Herkimer,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
PR,Las Marias,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Naguabo,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Summit,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
AR,Randolph,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,Dade,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
KY,Clay,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
KY,Madison,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
MD,Washington,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,129,0,Completed,07/24/2018 13:42,Local PPO
WV,Monroe,Humana Inc.,HumanaChoice H5216-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,21,0,Completed,07/24/2018 13:42,Local PPO
VA,Chesapeake City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
KS,Leavenworth,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
TX,Nueces,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
TX,Hardin,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
TX,Kleberg,Humana Inc.,HumanaChoice H5216-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,42,0,Completed,07/24/2018 13:42,Local PPO
AR,Franklin,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
CT,New London,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,Huron,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Lake,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,Guernsey,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
PA,Erie,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,Delaware,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
MO,Henry,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
UT,Box Elder,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,Mineral,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,Nueces,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Lawrence,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,San Juan,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
PR,Vega Alta,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
CA,San Mateo,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,158,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,Henry,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Campbell,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
MI,Huron,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
PA,Mercer,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WV,Wirt,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,Carroll,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,14,0,Completed,06/15/2018 12:28,HMO/HMOPOS
PA,Lawrence,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Humana Inc.,Humana Value Plus H5216-117 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,117,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-120 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,120,0,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-147 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,147,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-153 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,153,0,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-167 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,167,0,Completed,07/24/2018 13:42,Local PPO
ME,All,Humana Inc.,HumanaChoice H5216-177 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,177,0,Completed,07/24/2018 13:42,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-194 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,194,0,Completed,07/24/2018 13:42,Local PPO
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,51,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 8 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,57,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 5 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,62,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,72,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,83,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,89,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,1,0,Completed,06/15/2018 10:37,1876 Cost
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,7,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,10,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,11,0,Completed,06/19/2018 17:16,HMO/HMOPOS
OH,All,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
GA,All,Aetna Inc.,Aetna Medicare Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Better Health of Ohio Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5337,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,19,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,65,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,82,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,88,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AZ,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5430,1,0,Completed,07/19/2018 15:42,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,2,0,Completed,07/25/2018 8:35,Local PPO
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,25,0,Completed,07/25/2018 8:35,Local PPO
KS,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NE,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
NH,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OR,All,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
WA,All,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,2,Completed,07/24/2018 19:18,Local PPO
OR,All,Centene Corporation,Health Net Violet 3 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,15,0,Completed,07/24/2018 19:18,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,76,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,86,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,100,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,105,0,Completed,07/17/2018 11:44,Local PPO
NJ,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,124,0,Completed,07/17/2018 11:44,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,125,0,Completed,07/17/2018 11:44,Local PPO
NV,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,130,0,Completed,07/17/2018 11:44,Local PPO
TN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,141,0,Completed,07/17/2018 11:44,Local PPO
ME,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,142,0,Completed,07/17/2018 11:44,Local PPO
ME,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,153,0,Completed,07/17/2018 11:44,Local PPO
MA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,160,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,169,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,190,0,Completed,07/17/2018 11:44,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,196,0,Completed,07/17/2018 11:44,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,205,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,216,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,219,0,Completed,07/17/2018 11:44,Local PPO
KY,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,260,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,5,0,Completed,07/17/2018 11:44,Local PPO
SC,All,Humana Inc.,HumanaChoice H5525-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,25,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
MT,All,Humana Inc.,HumanaChoice H5525-031 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,31,0,Completed,07/24/2018 13:42,Local PPO
NC,All,Humana Inc.,HumanaChoice H5525-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,32,0,Completed,07/24/2018 13:42,Local PPO
NC,All,Humana Inc.,HumanaChoice H5525-034 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,34,0,Completed,07/24/2018 13:42,Local PPO
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Focus DC (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,7,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,35,0,Completed,07/27/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,2,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-060 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,60,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,All,Humana Inc.,Humana Value Plus H5619-065 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-083 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,87,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-091 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-095 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,95,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus H5619-112 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,112,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Inspire HMO (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,13,0,Completed,07/27/2018 13:58,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5656,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Magno (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,27,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,3,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,601,0,301,H5928,5,0,Completed,07/25/2018 12:48,HMO/HMOPOS
FL,Charlotte,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,6,0,Completed,07/20/2018 11:11,Local PPO
IL,Kankakee,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
MN,Ramsey,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
NM,Dona Ana,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
PA,Wyoming,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,Fulton,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,Buncombe,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,10,0,Completed,07/24/2018 9:02,HMO/HMOPOS
NC,Stokes,CIGNA,Cigna-HealthSpring Advantage Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,Washington,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NC,Wilkes,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,El Paso,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,Monroe,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PR,Hormigueros,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IN,Huntington,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,Perry,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ciales,Humana Inc.,Humana Gold Plus SNP-DE H4007-019 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Vieques,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PR,Rio Grande,Humana Inc.,Humana Gold Plus H4007-012 (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,Crockett,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
TN,Grainger,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
MO,Franklin,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
MO,Howell,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
KY,Carlisle,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
NC,Pender,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
GA,Appling,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
TX,Bandera,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,Denton,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Otsego,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage Flex (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,3,0,Completed,07/27/2018 16:16,HMO/HMOPOS
VA,Loudoun,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
OR,Lane,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
NY,Schuyler,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,Columbia,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,San Lorenzo,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
IN,Wayne,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
GA,Muscogee,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
GA,Randolph,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguada,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Paulding,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Pickaway,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
IN,Fountain,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MN,Becker,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
NC,Alamance,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,2,Completed,07/24/2018 13:42,Local PPO
MN,Clay,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
CO,Costilla,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
MS,Rankin,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
OK,Wagoner,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
IN,Jackson,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
GA,Crisp,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,Rappahannock,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
MO,Madison,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
GA,Tattnall,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
IL,Kane,"WellCare Health Plans, Inc.",WellCare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,48,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Poinsett,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,Lawrence,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,Huntington,Anthem Inc.,Anthem MediBlue Access Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,12,0,Completed,07/23/2018 14:30,Local PPO
WA,Kitsap,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,30,0,Completed,07/26/2018 11:48,Local PPO
PR,Utuado,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Lajas,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Santa Isabel,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,Logan,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
AL,Houston,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
NY,Cortland,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
SC,Greenville,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
VA,Spotsylvania,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Adjuntas,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San Juan,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
GA,Bibb,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
VA,Fauquier,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
GA,Lee,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MN,Mahnomen,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
MN,Swift,Humana Inc.,HumanaChoice H5216-063 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,63,0,Completed,07/24/2018 13:42,Local PPO
OH,Perry,Humana Inc.,HumanaChoice H5216-045 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,45,0,Completed,07/24/2018 13:42,Local PPO
WV,Putnam,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
FL,Broward,Humana Inc.,HumanaChoice H5216-065 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,65,0,Completed,07/24/2018 13:42,Local PPO
AL,Montgomery,Humana Inc.,HumanaChoice H5216-095 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,95,0,Completed,07/24/2018 13:42,Local PPO
IN,Jasper,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
WV,Pocahontas,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
IA,Winneshiek,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
KS,Reno,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Polk,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
TX,Johnson,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NH,Hillsborough,Humana Inc.,HumanaChoice H5216-059 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,59,0,Completed,07/24/2018 13:42,Local PPO
MN,McLeod,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
GA,Butts,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,1,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,Muskingum,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
WV,Marion,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
OK,Grady,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
PA,Cameron,Humana Inc.,Humana Gold Choice H8145-055 (PFFS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H8145,55,0,Completed,07/24/2018 13:42,PFFS
IL,White,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,Dauphin,Capital BlueCross,BlueJourney Alliance Assisted Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,20,0,Completed,07/19/2018 16:39,HMO/HMOPOS
CA,Imperial,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
IL,Kane,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PA,Beaver,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
VA,Hanover,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,2,0,Completed,07/26/2018 10:44,Local PPO
OH,Portage,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
MI,Alcona,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
MI,Dickinson,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
MD,Wicomico,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
TN,Blount,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,All,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,1,0,Completed,07/26/2018 10:44,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,69,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,77,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,96,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,97,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,16,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,23,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Imperial Traditional (HMO) (HMO),Y,Y,Y,Y,N,,,601,601,25,25,H5496,7,0,Completed,06/08/2018 19:20,HMO/HMOPOS
DC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,15,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,16,0,Completed,07/17/2018 11:44,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,87,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,114,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,116,0,Completed,07/17/2018 11:44,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,126,0,Completed,07/17/2018 11:44,Local PPO
WA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,127,0,Completed,07/17/2018 11:44,Local PPO
CT,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,157,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,168,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,179,0,Completed,07/17/2018 11:44,Local PPO
CO,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,187,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,194,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,215,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,224,0,Completed,07/17/2018 11:44,Local PPO
LA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,230,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,231,0,Completed,07/17/2018 11:44,Local PPO
LA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,233,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
SC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,249,0,Completed,07/17/2018 11:44,Local PPO
SC,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,253,0,Completed,07/17/2018 11:44,Local PPO
KY,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,259,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,17,0,Completed,07/17/2018 11:44,Local PPO
KY,All,Humana Inc.,HumanaChoice H5525-030 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,30,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-038 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,38,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,Humana Value Plus H5525-040 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,40,0,Completed,07/24/2018 13:42,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,2,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,1,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare MediOnlyNoRx (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,16,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AZ,All,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,5,0,Completed,06/22/2018 13:23,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,6,1,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,9,0,Completed,06/18/2018 13:49,HMO/HMOPOS
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,29,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,30,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,34,0,Completed,07/27/2018 13:42,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",SmartFund (MSA),Y,Y,Y,Y,N,,,1,482,1,241,H5613,2,0,Completed,06/27/2018 14:15,MSA
CA,All,Humana Inc.,Humana Gold Plus H5619-016 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Value Plus H5619-037 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,39,2,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,44,0,Completed,07/25/2018 12:48,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,12,0,Completed,07/09/2018 14:38,Local PPO
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,1,Completed,07/09/2018 14:38,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,19,0,Completed,07/24/2018 13:42,Local PPO
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Solutions (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,2,0,Completed,07/30/2018 7:32,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,601,0,301,H6229,5,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
TX,All,Texas Health Resources,Care N  Care Choice Premium (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,1,0,Completed,07/16/2018 11:27,Local PPO
NC,All,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,1,0,Completed,07/27/2018 12:46,HMO/HMOPOS
NY,All,Riverspring Health Holding Corp.,RiverSpring FIDA Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H6435,1,0,Completed,06/21/2018 15:49,Medicare-Medicaid Plan HMO/HMOPOS
KS,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,All,Humana Inc.,Humana Kidney Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-039 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Plus H6622-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,40,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H6622-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-053 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,53,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,All,Humana Inc.,Humana Gold Plus H6622-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Bronze Rx (Umpqua) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,7,0,Completed,07/28/2018 12:06,Local PPO
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,1,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6975,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Silver Rx (Willamette) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7006,3,0,Completed,07/28/2018 12:06,Local PPO
GA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,1,0,Completed,07/17/2018 16:12,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,6,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Aetna Inc.,Advantra Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,9,0,Completed,07/17/2018 11:44,Local PPO
MN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,5,0,Completed,07/26/2018 11:48,Local PPO
PR,All,InnovaCare Inc.,MMM Advantage (PPO),Y,Y,Y,Y,N,,,331,331,166,166,H7522,1,0,Completed,07/27/2018 11:51,Local PPO
CO,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
CA,All,Health Plan of San Mateo,CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H7885,1,0,Completed,07/26/2018 17:48,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,SANTA CLARA COUNTY HEALTH AUTHORITY,Santa Clara Family Health Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H7890,1,0,Completed,07/27/2018 17:58,Medicare-Medicaid Plan HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,30,0,Completed,06/04/2018 14:49,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Sapphire (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,31,0,Completed,06/04/2018 14:49,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Garnet (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,32,0,Completed,06/04/2018 14:49,Local PPO
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue (PPO),Y,Y,Y,Y,Y,100,100,175,175,75,75,H7971,1,0,Completed,07/24/2018 12:52,Local PPO
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct PPO Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8064,2,0,Completed,07/24/2018 9:02,Local PPO
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,7,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,2,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Select (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,4,0,Completed,06/11/2018 23:54,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
OH,All,Humana Inc.,Humana Gold Choice H8145-032 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,32,0,Completed,07/24/2018 13:42,PFFS
AL,All,Humana Inc.,Humana Gold Choice H8145-075 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,75,0,Completed,07/24/2018 13:42,PFFS
MN,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
AZ,All,Humana Inc.,Humana Gold Choice H8145-103 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,103,0,Completed,07/24/2018 13:42,PFFS
OK,All,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
CO,All,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
WI,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8189,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,Brown,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
IN,Blackford,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,Vanderburgh,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
GA,Cobb,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,Clark,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NY,Broome,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Greene,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,Bronx,Humana Inc.,HumanaChoice H5970-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,21,0,Completed,07/24/2018 13:42,Local PPO
TX,Coryell,Humana Inc.,HumanaChoice H0473-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,1,0,Completed,07/24/2018 13:42,Local PPO
TX,Lee,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
TN,Cocke,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Alamance,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,Union,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,Blount,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
FL,Sarasota,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,Gloucester,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,85,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,Warren,"Molina Healthcare, Inc.,",Molina Dual Options â€“ MyCareOhio (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5280,1,0,Completed,07/26/2018 20:18,Medicare-Medicaid Plan HMO/HMOPOS
FL,Sumter,Anthem Inc.,Freedom Platinum Rewards Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,96,0,Completed,07/27/2018 13:42,HMO/HMOPOS
GA,Troup,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,Monroe,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,Cayuga,"WellCare Health Plans, Inc.",WellCare Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
KY,Knott,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
KS,Ellis,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
AL,Lawrence,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
TN,Maury,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Clark,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Baxter,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,55,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,Cocke,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,Wyoming,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
OR,Douglas,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
MO,Platte,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
MA,Suffolk,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,42,0,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,Suffolk,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,Lake,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
IA,Cedar,"Medical Associates Clinic, P.C.",Mercy Iowa City Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,16,0,Completed,06/15/2018 10:34,1876 Cost
NY,Cortland,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
PR,Utuado,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,Dorado,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,Caddo,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
ME,Franklin,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,144,0,Completed,07/17/2018 11:44,Local PPO
MA,Hampden,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,225,0,Completed,07/17/2018 11:44,Local PPO
NC,Hoke,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
VA,Stafford,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
PR,Aguadilla,"Medical Card System, Inc.",MCS Classicare ExceD (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,30,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Scioto,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
PA,Perry,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
IN,Perry,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
GA,Fayette,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
TN,Claiborne,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PR,Ceiba,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
TX,Pecos,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
VA,Botetourt,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
PR,San Lorenzo,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Jayuya,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Canovanas,"Medical Card System, Inc.",MCS Classicare InteliCare (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,5,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Corozal,"Medical Card System, Inc.",MCS Classicare Platino MÃ¡sCa$h (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,29,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,San German,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Bayamon,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,Caguas,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
OH,Champaign,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,2,Completed,06/06/2018 14:14,Local PPO
OH,Delaware,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TX,Harris,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TN,Jackson,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
PA,Crawford,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
MS,Choctaw,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
MT,Ravalli,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,89,0,Completed,07/24/2018 13:42,Local PPO
VA,Wise,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
PA,Chester,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,122,0,Completed,07/24/2018 13:42,Local PPO
MI,Lapeer,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
WV,Clay,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
WV,Grant,Humana Inc.,Humana Value Plus H5216-125 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,125,0,Completed,07/24/2018 13:42,Local PPO
VA,James City,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
KS,Pottawatomie,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
MO,Jefferson,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
TX,Calhoun,Humana Inc.,HumanaChoice H5216-128 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,128,0,Completed,07/24/2018 13:42,Local PPO
NV,Clark,Humana Inc.,HumanaChoice H5216-036 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,36,0,Completed,07/24/2018 13:42,Local PPO
OH,Vinton,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
OR,Washington,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
FL,Pinellas,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
PA,Butler,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
AR,Saline,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,4,Completed,07/16/2018 15:07,PFFS
MI,Benzie,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,Mackinac,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
TN,Wilson,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,Prairie,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,Columbia,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
PR,Patillas,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
VA,Newport News City,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
NC,Chatham,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,241,0,Completed,07/17/2018 11:44,Local PPO
AL,Cherokee,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
OH,Seneca,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
PR,Ceiba,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
TX,Galveston,"Kelsey-Seybold Medical Group, PLLC",KelseyCare Advantage Rx (HMO),N,N,N,N,N,,,,,,,H0332,2,0,Completed,06/13/2018 10:20,HMO/HMOPOS
OR,Klamath,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,Erie,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
OH,Ashland,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
OH,Perry,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,1,Completed,06/06/2018 14:14,Local PPO
NH,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,2,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-042 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,42,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-052 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-057 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-063 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,63,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,1,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-070 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,70,2,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,Humana Inc.,Humana Gold Plus H5619-077 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-082 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,82,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-084 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,84,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus H5619-088 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,88,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-116 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,116,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Elite HMO SNP (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,14,0,Completed,07/27/2018 13:58,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,Covenant Health - Hendrick Medical Center,FirstCare Advantage Dual SNP (HMO SNP),Y,N,N,Y,N,,,450,482,225,241,H5742,1,0,Completed,07/26/2018 12:53,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,2,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,6,0,Completed,07/17/2018 17:06,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO ConnectedCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,7,0,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,601,0,301,H5928,1,0,Completed,07/25/2018 12:48,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise Coordinated Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,37,0,Completed,07/25/2018 12:48,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,9,0,Completed,07/09/2018 14:38,Local PPO
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,1,Completed,07/09/2018 14:38,Local PPO
NY,All,Humana Inc.,HumanaChoice SNP-DE H5970-020 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,20,0,Completed,07/24/2018 13:42,Local PPO
NY,All,"CenterLight Health System, Inc.",CenterLight Healthcare Direct Complete Plan (HMO SNP),N,N,N,N,N,,,,,,,H5989,2,0,Completed,07/31/2018 8:24,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,7,0,Completed,07/24/2018 9:02,HMO/HMOPOS
TX,All,Texas Health Resources,Care N  Care Choice (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,3,0,Completed,07/16/2018 11:27,Local PPO
SC,All,"UNICO Premier, LLC",PruittHealth Premier (HMO SNP),Y,N,Y,N,N,,,,,,,H6345,2,0,Completed,07/27/2018 12:46,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,2,0,Completed,07/20/2018 16:01,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,3,0,Completed,07/20/2018 16:01,HMO/HMOPOS
KS,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
MO,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6528,6,0,Completed,07/26/2018 11:48,Local PPO
VA,All,Humana Inc.,Humana Gold Plus H6622-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,All,Humana Inc.,Humana Gold Plus H6622-010 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,10,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-048 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,48,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,1,Completed,06/06/2018 14:14,HMO/HMOPOS
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,1,0,Completed,07/26/2018 11:48,Local PPO
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,2,0,Completed,07/26/2018 11:48,Local PPO
ME,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,CareSource Management Group Co.,CareSource MyCare Ohio (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8452,1,0,Completed,06/15/2018 9:17,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue ESRD (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,28,0,Completed,07/23/2018 14:30,Local PPO
WV,All,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
CA,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,601,601,301,301,H8677,2,0,Completed,07/26/2018 20:59,Medicare-Medicaid Plan HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,All,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
MN,All,Medica Holding Company,Medica Advantage Solution H8889-002 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,2,0,Completed,07/18/2018 10:13,Local PPO
MN,All,Medica Holding Company,Medica Advantage Solution H8889-004 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,4,0,Completed,07/18/2018 10:13,Local PPO
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,9,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,8,Completed,06/22/2018 9:28,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Latitude + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,38,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Dual Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9047,43,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Enrich + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,45,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NM,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H9082,7,0,Completed,07/26/2018 21:06,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Confidence (HMO-POS),Y,N,Y,Y,N,,,250,482,150,241,H9096,3,0,Completed,06/25/2018 12:02,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Essential (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,4,0,Completed,06/25/2018 12:02,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Prevea360 Medicare Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,8,0,Completed,06/25/2018 12:02,HMO/HMOPOS
NC,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,8,0,Completed,07/26/2018 8:56,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,12,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9287,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ID,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,3,0,Completed,07/17/2018 11:44,Local PPO
OR,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,8,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,1,0,Completed,07/20/2018 15:07,Local PPO
KY,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,2,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,3,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,1,Completed,07/19/2018 14:35,Local PPO
AR,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MS,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,3,0,Completed,06/19/2018 17:16,HMO/HMOPOS
PA,All,Humana Inc.,HumanaChoice R0923-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,R0923,2,0,Completed,07/24/2018 13:42,Regional PPO
WI,All,Humana Inc.,HumanaChoice R5361-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5361,1,0,Completed,07/24/2018 13:42,Regional PPO
IL,All,Humana Inc.,HumanaChoice R5361-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5361,2,0,Completed,07/24/2018 13:42,Regional PPO
OH,All,Humana Inc.,HumanaChoice R5495-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5495,2,0,Completed,07/24/2018 13:42,Regional PPO
FL,All,Humana Inc.,HumanaChoice R5826-018 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5826,18,0,Completed,07/24/2018 13:42,Regional PPO
OH,All,Anthem Inc.,Anthem MediBlue Access Basic (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5941,14,0,Completed,07/23/2018 14:30,Regional PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Gold (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R6801,9,0,Completed,07/26/2018 11:48,Regional PPO
CT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,R7444,1,0,Completed,07/26/2018 11:48,Regional PPO
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,1,0,Completed,07/26/2018 11:48,Regional PPO
MD,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,3,0,Completed,06/14/2018 9:57,Medicare Prescription Drug Plan
MS,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,74,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NH,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,75,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CT,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,76,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,76,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,84,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
ND,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,89,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CO,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,91,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AZ,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,92,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
ME,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,98,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NJ,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,101,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
DC,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,102,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WV,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,103,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AL,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,109,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
TN,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,109,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
OK,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,119,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CO,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,123,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,128,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
HI,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,129,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
LA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,133,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CT,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,137,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NJ,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,139,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
DE,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,140,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
VA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,142,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AL,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,147,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MI,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,148,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NE,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,158,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AZ,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,168,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NH,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,1,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
VA,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,6,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
NV,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,63,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
CT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,4,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MD,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,11,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
VA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,15,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
GA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,20,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
TN,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,24,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OH,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,29,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
LA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,42,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
TX,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,44,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NE,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,51,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WY,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,51,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NV,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,58,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,65,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AK,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,68,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CT,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,144,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NH,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,143,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MO,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,160,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WY,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,167,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
VT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,8,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NV,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,143,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
UT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,153,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
GA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,219,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IN,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,222,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IL,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,224,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MD,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,250,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
PA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,251,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
FL,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,256,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
OH,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,259,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ND,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,270,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CO,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,272,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ME,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,280,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NJ,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,283,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
SC,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,288,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
GA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,289,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ID,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,310,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
PA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,108,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
VA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,109,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AL,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,114,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,115,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WY,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,127,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,132,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
ME,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,172,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NH,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,172,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
PA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,176,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NH,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,218,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
DC,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,221,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WV,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,222,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
VA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,223,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OH,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,230,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WY,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,241,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NM,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,242,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CO,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,243,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,248,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TX,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,6,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
OK,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,10,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
IL,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,12,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
TX,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,14,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
NE,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5743,4,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
UT,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,2,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
FL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,356,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,365,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,374,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,380,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
RI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,385,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
DC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,387,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
VA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,389,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,400,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
LA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,402,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,406,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AZ,All,Blue Cross Blue Shield of Arizona,Blue MedicareRx Enhanced (PDP),Y,N,N,Y,Y,25,25,74,74,37,37,S6506,2,0,Completed,07/25/2018 16:49,Medicare Prescription Drug Plan
LA,All,"Aware Integrated, Inc.",Basic Blue Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,4,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
WY,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,7,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
NH,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,1,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
VT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,2,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
VA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,6,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
VA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,39,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
GA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,42,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
KY,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,47,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
KS,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,56,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
ID,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,63,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
CA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,64,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MD,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,5,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
GA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,10,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
IL,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,17,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
LA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,21,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
OR,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,30,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
WV,All,Capital BlueCross,SecureRx - Option 1 (PDP),Y,Y,Y,N,N,,,,,,,S8067,3,0,Completed,07/19/2018 16:39,Medicare Prescription Drug Plan
OH,All,Centene Corporation,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H0022,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NE,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-007 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H0028-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H0028-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H0028-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0088,1,0,Completed,07/20/2018 11:11,Local PPO
TX,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,8,0,Completed,07/26/2018 11:48,Local PPO
VT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,12,0,Completed,07/26/2018 11:48,Local PPO
KY,All,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,"Veritage, LLC",Blue Medicare Advantage Classic (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H0302,8,0,Completed,06/28/2018 17:45,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,44,3,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,51,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,6,0,Completed,07/25/2018 7:53,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,136,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,137,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
VT,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,137,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IL,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,151,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
OK,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,156,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NY,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5552,3,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OH,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,13,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
NH,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,46,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
VT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,5,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NJ,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,9,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
PA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,12,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
PA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,13,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NC,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,17,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
FL,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,22,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
KY,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,31,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,33,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
KS,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,48,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,50,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MN,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,50,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AZ,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,56,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
UT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,62,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ID,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,63,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,64,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
LA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,108,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ME,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,143,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AR,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,161,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
TX,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,164,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MN,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,167,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ND,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,167,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
SD,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,167,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ID,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,173,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OR,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,1,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
OK,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,113,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ND,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,123,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ID,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,153,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
DC,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,214,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
TN,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,220,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
KY,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,222,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,223,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,247,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
RI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,247,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
VT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,247,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
DE,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,250,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
SC,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,254,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IN,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,260,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,144,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
VT,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,144,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MD,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,147,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WV,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,148,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NE,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,167,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,172,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,8,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NE,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,123,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
SC,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,218,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NY,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,248,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WV,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,251,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WY,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,270,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,281,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
FL,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,290,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AL,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,291,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,311,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,127,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
ND,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,127,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CO,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,129,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
KY,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,185,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
KS,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,194,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,195,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AK,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,204,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NC,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,209,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
SC,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,210,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,219,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
RI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,219,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MO,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,234,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OK,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,239,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NV,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,245,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AK,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,250,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NM,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,13,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
OK,All,Health Care Service Corporation,Blue Cross MedicareRx Basic (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,15,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
MT,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5743,1,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
CT,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,126,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
VA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,130,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
SC,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,132,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TN,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,135,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IN,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,138,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IL,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,140,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MN,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,148,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MT,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,148,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NV,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,152,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WI,All,Wisconsin Physicians Service Ins Corporation.,WPS MedicareRx Plan 1 (PDP),Y,Y,Y,Y,N,,,58,74,29,37,S5753,6,0,Completed,07/18/2018 17:13,Medicare Prescription Drug Plan
WI,All,Wisconsin Physicians Service Ins Corporation.,WPS MedicareRx Plan 2 (PDP),Y,Y,Y,Y,N,,,58,74,29,37,S5753,7,0,Completed,07/18/2018 17:13,Medicare Prescription Drug Plan
DE,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,128,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WV,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,129,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OH,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,137,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NM,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,149,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ME,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,35,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MD,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,39,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WV,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,40,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NC,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,42,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,47,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OK,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,57,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ND,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,59,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AK,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,68,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NJ,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,278,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AZ,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,294,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AR,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,298,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OR,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,306,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TX,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,21,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,24,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
SD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,24,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,33,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
DC,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,4,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MD,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,4,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WV,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,5,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IL,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,15,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OK,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,21,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
VA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,65,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NC,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,66,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IN,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,73,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MS,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,78,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,102,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AK,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,116,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MO,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,140,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OK,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,144,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
SD,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,145,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
DE,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,151,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MD,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,151,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
PA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,152,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WV,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,152,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IL,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,163,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
LA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,167,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OK,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,169,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,171,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,353,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,357,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,360,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,39,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Contra Costa (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,33,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Ventura (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,34,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,86,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,147,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,153,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,164,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,165,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,172,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,177,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,56,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,89,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,103,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,3,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Chinese Hospital Association,CCHP Senior Program (HMO),Y,N,Y,N,N,,,,,,,H0571,1,0,Completed,07/19/2018 17:24,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Standard Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,1,0,Completed,06/13/2018 13:44,1876 Cost
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0624,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Silver Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,8,0,Completed,07/30/2018 13:44,1876 Cost
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,9,0,Completed,07/26/2018 11:48,Local PPO
MD,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,32,0,Completed,07/26/2018 11:48,Local PPO
MA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,40,0,Completed,07/26/2018 11:48,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,43,0,Completed,07/26/2018 11:48,Local PPO
CT,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,19,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,20,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Dual Access Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,24,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Classic Care I Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,25,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,40,1,Completed,07/12/2018 18:43,HMO/HMOPOS
NJ,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 006 (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H0982,6,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 009 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,9,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,92,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,32,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,2,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,195,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,204,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP Medicare Rx Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,2,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP Medicare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,6,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,25,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-065C (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,65,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-067 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-143 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,143,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-146 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,146,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,268,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,270,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AZ,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,273,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,275,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
UT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,276,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,277,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
HI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,278,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
TN,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,291,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MI,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,292,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
OH,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,293,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AZ,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,307,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,309,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
HI,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,312,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
VT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,105,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NJ,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,106,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
DE,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,107,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MD,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,107,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
GA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,112,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TN,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,114,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
KY,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,117,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,127,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AK,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,136,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MI,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,183,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WY,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,195,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AZ,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,198,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
DE,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,208,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MO,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,211,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AR,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,212,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
ME,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,218,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
SC,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,225,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,229,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IN,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,231,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IL,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,233,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MS,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,236,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TX,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,238,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IL,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,2,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
TX,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,5,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
OK,All,Health Care Service Corporation,Blue Cross MedicareRx Plus (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,11,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
KS,All,Blue Cross Blue Shield of Kansas,Blue MedicareRx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5726,13,0,Completed,07/26/2018 15:32,Medicare Prescription Drug Plan
KS,All,Blue Cross Blue Shield of Kansas,Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5726,14,0,Completed,07/26/2018 15:32,Medicare Prescription Drug Plan
MN,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,Y,15,0,0,74,0,37,S5743,4,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
SD,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,63,0,32,S5743,4,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
NY,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,37,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
DC,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,39,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TN,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,46,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MO,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,52,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WY,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,59,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
UT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,65,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IN,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,289,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IL,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,291,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
LA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,292,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ME,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,296,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MS,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,299,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,4,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,7,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
SC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,8,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
GA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,9,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,15,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,16,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,17,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
UT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,30,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,31,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,2,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
DE,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,4,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,28,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OH,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,72,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
KY,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,73,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,74,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CO,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,85,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WV,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,104,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
TN,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,106,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
LA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,108,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CO,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,111,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IN,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,138,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
FL,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,157,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AL,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,158,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IN,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,161,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MS,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,166,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
KS,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,170,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WY,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,171,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NV,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,175,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
UT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,177,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,178,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
HI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,179,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete Rx (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5904,2,0,Completed,07/25/2018 8:35,Medicare Prescription Drug Plan
MA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,348,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
TN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,357,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,368,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,362,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
TX,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,367,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
UT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,375,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,382,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,398,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,404,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,411,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NY,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5983,7,0,Completed,07/20/2018 12:33,Medicare Prescription Drug Plan
MN,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,7,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
PA,All,"Aware Integrated, Inc.",Basic Blue Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,10,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
ND,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,13,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
RI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,2,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NC,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,7,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
TN,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,11,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
OH,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,13,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
IL,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,16,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MO,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,17,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AR,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,18,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
KS,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,23,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
SD,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,24,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
UT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,30,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,35,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
VT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,35,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
PA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,38,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
TN,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,44,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
LA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,53,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,57,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NE,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,57,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WV,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,6,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
NC,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,8,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
FL,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,11,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
MS,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,20,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
SD,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,25,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
AK,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,34,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
WV,All,Capital BlueCross,SecureRx - Option 3 (PDP),Y,Y,Y,N,N,,,,,,,S8067,1,0,Completed,07/19/2018 16:39,Medicare Prescription Drug Plan
SD,All,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Plus H0028-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H0028-022 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H0028-027 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,11,0,Completed,07/26/2018 11:48,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,12,0,Completed,07/26/2018 11:48,Local PPO
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0321,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,All,Humana Inc.,Humana Gold Plus H1036-153 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,153,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-167 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,167,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-210 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,210,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-229 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,229,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,234,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-271 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,271,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,1,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-275 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,275,2,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-276 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,276,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare The Villages MedicareComplete 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,32,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1111,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,6,0,Completed,07/20/2018 16:01,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,4,0,Completed,07/13/2018 13:55,Local PPO
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,8,0,Completed,07/13/2018 13:55,Local PPO
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Special Needs Plan (HMO SNP),N,N,N,N,N,,,,,,,H1350,9,0,Completed,07/26/2018 16:43,HMO/HMOPOS
KS,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
OR,All,"Marquis Companies I, Inc.",AgeRight Advantage Health Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1372,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,All,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,1,0,Completed,07/20/2018 15:07,Local PPO
IL,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,36,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,53,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,All,"Vitality Health Plans, Inc.",Vitality Choice (HMO),Y,N,N,Y,N,,,601,601,301,301,H1426,1,0,Completed,06/25/2018 4:30,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Reid Health Alliance Medicare HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,20,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,16,0,Completed,07/17/2018 11:44,Local PPO
MO,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,35,0,Completed,07/17/2018 11:44,Local PPO
MO,All,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,19,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,All,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,4,0,Completed,06/15/2018 10:34,1876 Cost
VA,All,Piedmont Community Health Plan,Piedmont Select Medicare Option One (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,1,0,Completed,06/04/2018 9:28,Local PPO
ME,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,13,0,Completed,07/23/2018 15:54,HMO/HMOPOS
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,1,Completed,07/23/2018 15:54,HMO/HMOPOS
MO,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OH,All,Trinity Health,MediGold Flexible Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1846,4,0,Completed,07/12/2018 15:06,Local PPO
WA,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1894,2,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
HI,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
ND,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IL,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
NJ,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,127,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MD,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,128,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MI,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,136,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
SD,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,148,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MN,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,59,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NE,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,59,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WV,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,280,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AL,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,286,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TN,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,286,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
HI,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,308,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,2,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
LA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,20,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
TN,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,1,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
SC,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,8,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
GA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,9,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OR,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,28,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,83,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
SD,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,83,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AZ,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,86,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ME,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,92,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
HI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,93,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
RI,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,102,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NJ,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,131,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AR,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,141,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
TX,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,143,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,145,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,145,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ID,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,147,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
UT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,147,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ME,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,148,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
VA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,153,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
TN,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,158,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,159,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
KY,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,161,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
TX,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,168,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MN,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,171,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,171,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NM,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,172,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AZ,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,174,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
DC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,350,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,351,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,359,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,361,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,370,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ND,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,370,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,370,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NM,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,371,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,370,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,373,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ID,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,375,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,377,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ME,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,378,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,379,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
HI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,381,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,385,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,388,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
GA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,392,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,393,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
TN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,393,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
TX,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,403,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,406,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ND,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,406,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,411,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,413,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Rx Standard (PDP),Y,Y,Y,Y,Y,25,25,50,74,25,37,S5993,1,0,Completed,07/24/2018 12:52,Medicare Prescription Drug Plan
SD,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,7,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
CA,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,12,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
IA,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,13,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
MT,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,13,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
NE,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,13,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
WV,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,5,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,12,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,15,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
LA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,20,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MN,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,24,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
ND,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,24,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NV,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,28,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
HI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,32,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WV,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,38,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
TX,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,54,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
OK,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,55,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
IA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,57,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MN,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,57,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
CO,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,59,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
VA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,7,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
OH,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,14,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
IN,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,15,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
KS,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,24,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
MN,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,25,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
WY,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,25,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
AZ,All,Centene Corporation,Allwell Medicare Complement (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,30,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AZ,All,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Trio Medicare (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,37,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,40,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Marin San Mateo (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,31,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic Stanis (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,41,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,138,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,163,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,175,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,178,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,181,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,15,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,60,4,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,63,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,67,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,88,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,InterValley Health Plan,Inter Valley Health Plan Value Preferred Choice (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,14,0,Completed,07/03/2018 15:53,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,39,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,92,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,100,1,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,100,2,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Gold Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,101,1,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Chinese Hospital Association,CCHP Senior Select Program (HMO SNP),Y,N,Y,N,N,,,,,,,H0571,5,0,Completed,07/19/2018 17:24,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Plus Plan (Cost),Y,N,Y,Y,Y,100,50,250,300,125,150,H0602,3,0,Completed,06/13/2018 13:44,1876 Cost
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,26,0,Completed,06/13/2018 13:44,1876 Cost
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Gold (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,16,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,21,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,20,0,Completed,07/26/2018 11:48,Local PPO
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,31,0,Completed,07/26/2018 11:48,Local PPO
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,37,0,Completed,07/26/2018 11:48,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,42,0,Completed,07/26/2018 11:48,Local PPO
CT,All,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,21,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,22,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0755,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,29,0,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Harmony Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,32,0,Completed,07/12/2018 18:43,HMO/HMOPOS
PA,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,3,0,Completed,07/30/2018 8:53,MSA
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Secure Health (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,3,0,Completed,07/20/2018 13:57,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,3,0,Completed,07/19/2018 19:35,HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,5,0,Completed,07/19/2018 19:35,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,7,1,Completed,07/13/2018 13:55,HMO/HMOPOS
NC,All,Delaware Life Insurance Company,Clear Spring Health Essential Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,5,0,Completed,07/26/2018 10:44,Local PPO
MD,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,17,0,Completed,07/25/2018 13:04,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,21,0,Completed,07/25/2018 13:04,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,34,0,Completed,07/25/2018 13:04,1876 Cost
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,49,0,Completed,07/26/2018 11:48,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,66,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"BayCare Healht System, Inc.",BayCarePlus Rewards (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,2,0,Completed,07/26/2018 15:03,HMO/HMOPOS
WI,All,Independent Care Health Plan Inc.,iCare Family Care Partnership (HMO SNP),N,N,N,N,N,,,,,,,H2237,7,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,6,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Saver Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,28,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,33,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue PlusRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,5,0,Completed,07/24/2018 12:03,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,13,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 3 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,8,0,Completed,07/19/2018 14:09,Local PPO
MI,All,Henry Ford Health System,HAP Senior Plus Option 1 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,11,0,Completed,07/19/2018 14:09,Local PPO
MI,All,Henry Ford Health System,HAP Senior Plus Option 1 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,20,0,Completed,07/19/2018 14:09,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,10,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,11,0,Completed,07/26/2018 11:48,Local PPO
MN,All,Itasca County Health & Human Services,IMCare Classic (HMO SNP),N,N,N,N,N,,,,,,,H2417,1,0,Completed,06/05/2018 9:47,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Prime Solution Basic w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,16,0,Completed,07/18/2018 10:13,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Premier w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,37,0,Completed,07/18/2018 10:13,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Focus (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,38,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Ultimate (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,10,0,Completed,06/28/2018 12:59,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Active (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,24,0,Completed,06/28/2018 12:59,1876 Cost
VA,All,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,2,Completed,07/30/2018 13:14,HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,2,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,376,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,385,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
DE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,387,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,395,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,396,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
SD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,406,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,410,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
UT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,412,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
HI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,414,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Rx Value (PDP),Y,Y,Y,Y,Y,25,25,74,74,37,37,S5953,1,0,Completed,06/21/2018 16:47,Medicare Prescription Drug Plan
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Rx Plus (PDP),Y,Y,Y,Y,Y,25,25,74,74,37,37,S5953,2,0,Completed,06/21/2018 16:47,Medicare Prescription Drug Plan
LA,All,"Aware Integrated, Inc.",Basic Blue Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,11,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
SD,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,13,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
GA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,9,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AL,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,11,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
KY,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,14,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NM,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,25,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
OR,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,29,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,29,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AK,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,33,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
CT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,35,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
RI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,35,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NJ,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,36,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,45,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
ND,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,57,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NM,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,58,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NV,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,61,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
OR,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,62,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
HI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,65,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
PA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,6,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
AL,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,12,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
IA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,25,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
ND,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,25,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
ID,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,31,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
UT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,31,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
CA,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,32,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
HI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,33,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
GU,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,106,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
HI,All,Humana Inc.,Humana Gold Plus H0028-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NM,All,Humana Inc.,Humana Gold Plus H0028-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H0028-023 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-036 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-043 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,43,2,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,70,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
PR,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,105,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
PA,All,Capital BlueCross,SecureRx - Option 1 (PDP),Y,Y,Y,N,N,,,,,,,S8067,3,0,Completed,07/19/2018 16:39,Medicare Prescription Drug Plan
NE,All,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H0028-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,39,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,10,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,All,BlueCross BlueShield of Alabama,Blue Advantage Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,15,0,Completed,07/16/2018 9:33,Local PPO
AL,All,UAB Health System,VIVA Medicare Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,15,1,Completed,07/11/2018 10:32,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,All,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0192,1,0,Completed,07/24/2018 11:05,Medicare-Medicaid Plan HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0251,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,10,0,Completed,07/26/2018 11:48,Local PPO
WV,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,13,0,Completed,07/26/2018 11:48,Local PPO
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0271,14,0,Completed,07/26/2018 11:48,Local PPO
KY,All,Humana Inc.,Humana Gold Plus H0292-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0292,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,4,0,Completed,07/26/2018 11:48,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Open (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,11,0,Completed,07/26/2018 11:48,Local PPO
AZ,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,44,1,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,All,UCare Minnesota,Care Advantage with Fairview & North Memorial (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H0422,2,0,Completed,07/17/2018 18:16,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0439,3,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,Humana Inc.,HumanaChoice H0473-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0473,2,0,Completed,07/24/2018 13:42,Local PPO
CA,All,Contra Costa Health Services,THE CONTRA COSTA HEALTH PLAN,N,N,N,N,N,,,,,,,H0502,999,0,Completed,07/30/2018 15:31,1876 Cost
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,15,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,26,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,3,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Solano (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,121,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Focus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,170,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,183,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,184,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Connect (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,58,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,60,3,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,66,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,69,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,90,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,91,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,InterValley Health Plan,Inter Valley Health Plan Service To Seniors (HMO),Y,Y,Y,Y,N,,,601,601,301,301,H0545,1,0,Completed,07/03/2018 15:53,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,44,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 002 (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H0982,2,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,97,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,79,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,215,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,24,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-062C (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,62,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-074 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,74,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-168 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,168,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-213 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,213,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Community HMO SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,235,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-255 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,255,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-259 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,259,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,265,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-269 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,269,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Special Care Miami-Dade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1142,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,All,Personal Touch Holding Corp.,Integra Harmony Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,5,0,Completed,09/11/2018 14:34,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Miami-Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,1,0,Completed,07/25/2018 11:54,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,4,0,Completed,07/25/2018 11:54,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,1,0,Completed,07/13/2018 13:55,Local PPO
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,9,0,Completed,07/13/2018 13:55,Local PPO
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
IL,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,2,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
OH,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS 30 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Guide HMO Rx 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,21,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Reid Health Alliance Medicare POS Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,22,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Simplete 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,25,0,Completed,06/26/2018 17:06,HMO/HMOPOS
SD,All,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,4,0,Completed,07/17/2018 11:44,Local PPO
IA,All,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,8,0,Completed,07/17/2018 11:44,Local PPO
KS,All,Aetna Inc.,Medicare Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,17,0,Completed,07/17/2018 11:44,Local PPO
OK,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,21,0,Completed,07/17/2018 11:44,Local PPO
OH,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,29,0,Completed,07/17/2018 11:44,Local PPO
KS,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,36,0,Completed,07/17/2018 11:44,Local PPO
MO,All,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
IA,All,Aetna Inc.,Coventry Advantra Diamond (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,48,0,Completed,07/17/2018 11:44,Local PPO
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,27,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Choice Plan (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,6,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,36,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,37,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,All,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
KS,All,Aetna Inc.,Medicare Advantage Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,28,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Health NYC - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,17,0,Completed,07/27/2018 15:56,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,3,Completed,07/20/2018 11:11,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NV,All,Renown Health,Senior Care Plus: Freedom Rx Select Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,5,0,Completed,07/24/2018 17:55,Local PPO
PA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
PA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,9,0,Completed,07/24/2018 19:18,HMO/HMOPOS
OK,All,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,1,0,Completed,07/06/2018 11:25,HMO/HMOPOS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Ultimate Premier Plus (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,2,0,Completed,07/06/2018 11:25,HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for FIDA Care Complete (Medicare-Medicaid Plan),Y,N,Y,Y,Y,100,0,0,482,0,241,H3018,1,0,Completed,07/26/2018 14:21,Medicare-Medicaid Plan HMO/HMOPOS
FL,All,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3132,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare NNJ Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,80,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NE,All,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Choice (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3170,2,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 3 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,7,0,Completed,07/20/2018 13:16,HMO/HMOPOS
LA,All,Aetna Inc.,Aetna Medicare Dual Preferred (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3239,1,0,Completed,07/18/2018 8:11,HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3251,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,7,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",GoldSecure with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,30,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,48,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare Advantage without Rx (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H3328,1,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,1,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,2,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Essential (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,32,4,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Go (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,41,1,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,2,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,5,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEssential (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,53,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,19,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst Coordinated Benefits Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,27,0,Completed,07/25/2018 11:36,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP $0 Medicare Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,14,0,Completed,07/02/2018 10:44,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,24,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 3 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,11,1,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,1,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Choice Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,13,2,Completed,07/17/2018 15:41,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,All,BlueCross BlueShield of Alabama,Blue Advantage Complete (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0104,12,0,Completed,07/16/2018 9:33,Local PPO
CA,All,California Physicians  Service,Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,Y,N,,,0,601,0,301,H0148,2,0,Completed,07/25/2018 12:48,Medicare-Medicaid Plan HMO/HMOPOS
AL,All,UAB Health System,VIVA Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,8,0,Completed,07/11/2018 10:32,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,3,0,Completed,07/26/2018 11:48,Local PPO
IL,All,Humana Inc.,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0336,1,0,Completed,07/24/2018 13:42,Medicare-Medicaid Plan HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,44,2,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,All,CIGNA,Cigna-HealthSpring Achieve Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0354,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0480,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,29,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,31,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage B Only North (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,10,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,32,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Value (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,140,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,158,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,173,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,185,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem ESRD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,55,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,64,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,74,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,12,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Green (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,45,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber I (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,55,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Healthy Heart (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,68,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Jade (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,114,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Silver SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,5,0,Completed,07/30/2018 13:44,1876 Cost
CO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,8,0,Completed,07/26/2018 11:48,Local PPO
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,27,0,Completed,07/26/2018 11:48,Local PPO
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0755,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Classic Care II Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,37,0,Completed,07/12/2018 18:43,HMO/HMOPOS
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 005 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,5,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,85,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareExtra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,40,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,182,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Guardian (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,186,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,188,1,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,189,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,210,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,218,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Amber II (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,110,2,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,2,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,15,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Gold SV Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,6,0,Completed,07/30/2018 13:44,1876 Cost
AL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,4,0,Completed,07/26/2018 11:48,Local PPO
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,5,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,12,0,Completed,07/26/2018 11:48,Local PPO
NH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,15,0,Completed,07/26/2018 11:48,Local PPO
CT,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,26,0,Completed,07/26/2018 11:48,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,33,0,Completed,07/26/2018 11:48,Local PPO
OH,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Embrace Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,39,2,Completed,07/12/2018 18:43,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Select Care Plan (HMO SNP),Y,Y,Y,Y,N,,,150,601,150,301,H0838,41,0,Completed,07/12/2018 18:43,HMO/HMOPOS
NJ,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0913,15,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 001 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,1,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareOne (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareFree PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,76,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,83,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds PLUS (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,187,2,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,193,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,196,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,197,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,201,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,202,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,212,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP Medicare Rx Savings (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,14,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP Medicare Flagler Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,16,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-102 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-104A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,104,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-119 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,119,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,121,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-157 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,157,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H1036-171 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,171,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-233 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,233,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,237,1,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-237 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,237,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-249 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,249,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-263 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,263,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-265 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,265,2,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Medicare Assist (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Classic Plan (HMO-POS),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,1,0,Completed,07/18/2018 14:47,HMO/HMOPOS
IA,All,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,1,0,Completed,06/15/2018 10:34,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",Medical Associates Basic Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,2,0,Completed,06/15/2018 10:34,1876 Cost
MO,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
IL,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
KS,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
MD,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
AR,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
AZ,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
KS,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-034 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,47,1,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,1,Completed,07/20/2018 13:57,HMO/HMOPOS
UT,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,1,0,Completed,07/19/2018 19:35,HMO/HMOPOS
NV,All,"Intermountain Health Care, Inc.",SelectHealth Advantage - Lung Care (HMO SNP),Y,N,Y,Y,N,,,240,480,20,240,H1994,11,0,Completed,07/19/2018 19:35,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,7,2,Completed,07/13/2018 13:55,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,17,0,Completed,07/26/2018 11:48,Local PPO
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Platinum (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,3,0,Completed,06/11/2018 23:54,Local PPO
WI,All,"Community Care, Inc.",Community Care s Partnership Program Disabled (HMO SNP),N,N,N,N,N,,,,,,,H2034,2,0,Completed,07/30/2018 15:42,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
MI,All,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan Choice (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2161,3,0,Completed,07/26/2018 13:52,HMO/HMOPOS
VA,All,"MFA Lifeworks, LLC",LifeWorks Advantage I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H2185,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,17,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,32,0,Completed,07/26/2018 11:48,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,37,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,48,0,Completed,07/26/2018 11:48,Local PPO
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,71,0,Completed,07/26/2018 11:48,Local PPO
MI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2247,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,15,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Health Plan Senior Care Options (HMO SNP),Y,Y,Y,Y,N,,,482,482,241,241,H2256,29,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,34,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,39,0,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,7,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,12,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Medical Only (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,19,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Primary Choice Medicare (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,24,0,Completed,07/19/2018 14:09,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,18,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,20,0,Completed,07/26/2018 11:48,Local PPO
NY,All,Humana Inc.,Humana Gold Plus SNP-DE H3533-002 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-020 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,20,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Promedica Health System,Paramount Elite - Enhanced Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,4,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MI,All,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,All,Promedica Health System,Paramount Elite - Standard Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,15,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,All,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
MI,All,Promedica Health System,Paramount Elite - Prime Medical and Drug (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,22,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,29,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Sapphire (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,48,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,All,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,2,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,All,Health Plan of West Virginia,"The Health Plan SecureCare - Option I, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,21,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,All,"Momentum Health Holdings, LLC",Generations Classic (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,1,0,Completed,07/20/2018 0:19,HMO/HMOPOS
OK,All,"American Health Companies, Inc.",American Health Advantage of Oklahoma (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H3708,1,0,Completed,07/26/2018 17:59,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,Samaritan Health Services,Samaritan Advantage Special Needs Plan (HMO SNP),Y,Y,N,N,N,,,,,,,H3811,3,0,Completed,06/29/2018 15:38,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health PPORX (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,6,0,Completed,06/12/2018 10:27,Local PPO
OR,All,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,7,0,Completed,06/12/2018 10:27,Local PPO
OR,All,"Moda, Inc.",Moda Health PPORX Enhanced (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,9,0,Completed,06/12/2018 10:27,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,1,Completed,07/13/2018 13:55,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,9,2,Completed,07/13/2018 13:55,Local PPO
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,1,Completed,07/13/2018 13:55,Local PPO
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Complete Plus (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,10,0,Completed,07/16/2018 15:11,Local PPO
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 27 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,27,0,Completed,07/06/2018 16:48,HMO/HMOPOS
MT,All,PacificSource Health Plans,PacificSource Medicare MyCare 30 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,30,0,Completed,07/06/2018 16:48,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx Choice (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,49,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Personal Choice 65 Rx (PPO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3909,9,0,Completed,07/16/2018 13:15,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Standard (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,15,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Capital BlueCross,BlueJourney Prime (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,17,0,Completed,07/19/2018 16:39,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,13,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,17,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,15,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,11,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,14,Completed,07/27/2018 9:47,Local PPO
NY,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H3930,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,93,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,99,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,129,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,132,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,16,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,20,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,49,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,50,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,12,Completed,07/27/2018 9:47,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,21,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,26,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-054C (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,130,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H1036-137 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,137,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-231 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,231,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-243 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,243,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-253 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,253,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-268 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,268,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Rewards Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,14,0,Completed,07/18/2018 14:47,HMO/HMOPOS
GA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1109,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medicaid Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,8,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NM,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,1,0,Completed,07/30/2018 11:21,HMO/HMOPOS
TX,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,4,0,Completed,07/30/2018 11:21,HMO/HMOPOS
NY,All,Personal Touch Holding Corp.,Integra Synergy Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,2,0,Completed,09/11/2018 14:34,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1286,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1286,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,3,0,Completed,07/25/2018 11:54,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Prime Central Florida (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,10,0,Completed,07/25/2018 11:54,HMO/HMOPOS
MO,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Complete (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,1,0,Completed,07/26/2018 16:09,HMO/HMOPOS
KS,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H1352,2,0,Completed,07/26/2018 16:09,HMO/HMOPOS
IL,All,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,N,Y,Y,100,0,0,482,0,241,H1415,21,0,Completed,07/25/2018 7:53,HMO/HMOPOS
IL,All,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1415,24,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,26,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,2,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,All,"Vitality Health Plans, Inc.",Vitality Plus (HMO),Y,N,N,Y,N,,,601,601,301,301,H1426,3,0,Completed,06/25/2018 4:30,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare POS 10 Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,19,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1607,14,0,Completed,07/23/2018 14:30,Local PPO
MO,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,13,0,Completed,07/17/2018 11:44,Local PPO
KS,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
MO,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,36,0,Completed,07/17/2018 11:44,Local PPO
WV,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,40,0,Completed,07/17/2018 11:44,Local PPO
MO,All,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,50,0,Completed,07/17/2018 11:44,Local PPO
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,38,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,All,"Medical Associates Clinic, P.C.",Clinton Community Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,12,0,Completed,06/15/2018 10:34,1876 Cost
MO,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MT,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
TX,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
MT,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
TX,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
UT,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Secure Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,9,0,Completed,07/18/2018 14:47,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,6,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,All,"The Schroer Group, Inc.",Valor Health Plan (HMO SNP),N,N,N,N,N,,,,,,,H1119,1,0,Completed,08/22/2018 14:36,HMO/HMOPOS
GA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WI,All,"Network Health, Inc.",NetworkPrime (MSA),Y,N,Y,Y,N,,,150,482,150,241,H1181,1,0,Completed,06/27/2018 15:22,MSA
NM,All,CHRISTUS Health Plan,CHRISTUS Health Plan Generations Plus (HMO),Y,N,Y,Y,N,,,150,482,150,241,H1189,2,0,Completed,07/30/2018 11:21,HMO/HMOPOS
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,2,0,Completed,07/25/2018 13:31,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Broward (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,2,0,Completed,07/25/2018 11:54,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Preferred (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,21,0,Completed,07/26/2018 16:43,HMO/HMOPOS
MS,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,34,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,35,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,41,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,43,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO 20 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO Basic (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,8,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare POS Basic Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Simplete Riverside 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,33,0,Completed,06/26/2018 17:06,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1537,4,0,Completed,07/26/2018 11:48,Local PPO
AR,All,"Select Founders, LLC",Tribute (HMO-POS SNP),Y,Y,Y,Y,Y,50,0,0,482,0,241,H1587,1,0,Completed,06/25/2018 16:07,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,18,0,Completed,07/17/2018 11:44,Local PPO
KS,All,Aetna Inc.,Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,24,0,Completed,07/17/2018 11:44,Local PPO
NE,All,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,38,0,Completed,07/17/2018 11:44,Local PPO
KS,All,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,39,0,Completed,07/17/2018 11:44,Local PPO
WV,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,41,0,Completed,07/17/2018 11:44,Local PPO
KS,All,Aetna Inc.,Freedom Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,47,0,Completed,07/17/2018 11:44,Local PPO
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Aetna Medicare Select Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,40,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Piedmont Community Health Plan,Piedmont Select Medicare Option Three (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,3,0,Completed,06/04/2018 9:28,Local PPO
SD,All,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H1787,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NC,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
WY,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
LA,All,Humana Inc.,Humana Total Care Advantage H1951-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-048 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,48,2,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1969,2,0,Completed,07/13/2018 13:55,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence Blue MedAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1969,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
TN,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
CO,All,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,1,0,Completed,07/26/2018 10:44,Local PPO
NC,All,Delaware Life Insurance Company,Clear Spring Health Essential (PPO),Y,N,N,Y,N,,,482,482,241,241,H2020,3,0,Completed,07/26/2018 10:44,Local PPO
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage w/o Part D (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2172,5,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,1,0,Completed,07/26/2018 11:48,Local PPO
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,2,0,Completed,07/26/2018 11:48,Local PPO
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,23,0,Completed,07/26/2018 11:48,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,65,0,Completed,07/26/2018 11:48,Local PPO
HI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,68,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"BayCare Healht System, Inc.",BayCarePlus Complete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2235,1,0,Completed,07/26/2018 15:03,HMO/HMOPOS
CA,All,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,7,1,Completed,07/27/2018 15:23,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue SaverRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,24,0,Completed,07/24/2018 12:03,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,16,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Strive Medicare Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2446,1,0,Completed,07/09/2018 14:38,HMO/HMOPOS
WI,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Core (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,34,0,Completed,07/18/2018 10:13,1876 Cost
SD,All,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
NE,All,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,43,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,"Aware Integrated, Inc.",Platinum Blue Core Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,5,0,Completed,07/09/2018 14:38,1876 Cost
MN,All,"Aware Integrated, Inc.",Platinum Blue Choice Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,9,0,Completed,07/09/2018 14:38,1876 Cost
MN,All,"Aware Integrated, Inc.",Platinum Blue Complete Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,10,0,Completed,07/09/2018 14:38,1876 Cost
WI,All,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
WI,All,"HealthPartners, Inc.",HealthPartners Freedom Vital with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,19,0,Completed,06/28/2018 12:59,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Vital (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,23,0,Completed,06/28/2018 12:59,1876 Cost
AZ,All,Humana Inc.,Humana Gold Plus H2463-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2463,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Sentara Health Care (SHC),Optima Medicare Prime (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,5,1,Completed,07/30/2018 13:14,HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,Anthem Inc.,Amerivantage Balance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,25,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,4,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,4,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Option 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,All,Aetna Inc.,Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KS,All,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,6,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Health LI - SNP (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,3,0,Completed,07/27/2018 15:56,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage 300 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,104,1,Completed,07/20/2018 11:11,Local PPO
TX,All,Imperial Health Plan of California,Imperial Insurance Company of Texas Traditional (HMO),Y,Y,Y,Y,N,,,482,482,20,20,H2793,3,0,Completed,06/08/2018 19:20,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,34,1,Completed,07/20/2018 11:11,PFFS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,1,Completed,07/20/2018 11:11,PFFS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Ultimate Elite (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,3,0,Completed,07/06/2018 11:25,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,4,0,Completed,07/18/2018 17:46,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,6,0,Completed,07/18/2018 17:46,HMO/HMOPOS
PR,All,"Constellation Health, LLC.",Genesis Prime Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,3,0,Completed,07/24/2018 14:28,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,31,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian MediCare PPO Plan 1 (PPO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3206,3,0,Completed,07/20/2018 13:16,Local PPO
NY,All,"MVP Health Care, Inc.",Preferred Gold with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,21,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
VT,All,"MVP Health Care, Inc.",GoldValue with Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,22,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,63,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,2,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,3,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,4,Completed,07/20/2018 13:43,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,2,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Gem (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,22,2,Completed,07/26/2018 16:43,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,2,0,Completed,06/18/2018 13:49,Local PPO
TN,All,"WellCare Health Plans, Inc.",WellCare Value (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,31,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Dividend (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,39,0,Completed,07/20/2018 11:11,HMO/HMOPOS
IN,All,The Carle Foundation,Health Alliance Medicare HMO Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,9,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,12,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Simplete Riverside 1 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,32,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Simplete Riverside 3 (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,34,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1475,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IA,All,Aetna Inc.,Coventry Total Care (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,7,0,Completed,07/17/2018 11:44,Local PPO
WV,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,27,0,Completed,07/17/2018 11:44,Local PPO
IA,All,Aetna Inc.,Coventry Advantra Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,37,0,Completed,07/17/2018 11:44,Local PPO
MO,All,Aetna Inc.,Freedom (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,51,0,Completed,07/17/2018 11:44,Local PPO
IA,All,Aetna Inc.,Coventry Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,16,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,17,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IA,All,"Medical Associates Clinic, P.C.",Mercy Iowa City Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,16,0,Completed,06/15/2018 10:34,1876 Cost
MO,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1664,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WV,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,All,Centene Corporation,Absolute Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H1723,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
IN,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
SD,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
UT,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
HI,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
SD,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-024 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Essential (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,9,0,Completed,07/19/2018 19:35,HMO/HMOPOS
NV,All,"Intermountain Health Care, Inc.",SelectHealth Advantage - Diabetes and Heart Care (HMO SNP),Y,N,Y,Y,N,,,240,480,20,240,H1994,10,0,Completed,07/19/2018 19:35,HMO/HMOPOS
DC,All,CIGNA,Cigna-HealthSpring Traditions (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,20,0,Completed,07/25/2018 7:53,HMO/HMOPOS
DC,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High DC (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2172,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
DC,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard DC (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2172,3,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OR,All,Centene Corporation,Trillium Advantage Dual (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2174,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MA,All,"Commonwealth Care Alliance, Inc.",Senior Care Options Program (HMO SNP),Y,N,Y,N,N,,,,,,,H2225,1,0,Completed,07/17/2018 17:08,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,16,0,Completed,07/26/2018 11:48,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,19,0,Completed,07/26/2018 11:48,Local PPO
HI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,25,0,Completed,07/26/2018 11:48,Local PPO
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,30,0,Completed,07/26/2018 11:48,Local PPO
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,31,0,Completed,07/26/2018 11:48,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus SNP-DE H1951-033 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,"Intermountain Health Care, Inc.",SelectHealth Advantage Enhanced (HMO),Y,N,Y,Y,N,,,240,480,20,240,H1994,8,0,Completed,07/19/2018 19:35,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1997,2,0,Completed,07/13/2018 13:55,HMO/HMOPOS
ME,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,10,0,Completed,07/26/2018 11:48,Local PPO
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage (PPO),Y,N,Y,Y,N,,,482,482,241,241,H2032,1,0,Completed,06/11/2018 23:54,Local PPO
DE,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,22,0,Completed,07/25/2018 7:53,HMO/HMOPOS
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,9,0,Completed,07/25/2018 13:04,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,33,0,Completed,07/25/2018 13:04,1876 Cost
NY,All,"Village Care of New York, Inc.",VillageCareMAX Medicare Health Advantage (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H2168,1,0,Completed,06/07/2018 11:28,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,35,0,Completed,07/26/2018 11:48,Local PPO
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 2 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2228,36,0,Completed,07/26/2018 11:48,Local PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,41,0,Completed,07/26/2018 11:48,Local PPO
NM,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,42,0,Completed,07/26/2018 11:48,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,44,0,Completed,07/26/2018 11:48,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue ValueRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,18,2,Completed,07/24/2018 12:03,Local PPO
CA,All,Golden State Medicare Health Plan,Golden State (HMO),Y,N,Y,Y,N,,,601,601,301,301,H2241,7,2,Completed,07/27/2018 15:23,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,26,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Basic No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,42,0,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue ValueRx (HMO),Y,N,Y,N,N,,,,,0,0,H2261,22,2,Completed,07/24/2018 12:03,HMO/HMOPOS
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare HMO Blue FlexRx (HMO-POS),Y,N,Y,N,N,,,,,0,0,H2261,23,2,Completed,07/24/2018 12:03,HMO/HMOPOS
NY,All,Bright Health Management,Bright Advantage Assist (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2288,5,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,1,0,Completed,07/26/2018 11:48,Local PPO
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,8,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,19,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,4,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 4 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,4,0,Completed,07/19/2018 14:09,Local PPO
MI,All,Henry Ford Health System,HAP Senior Plus Option 2 (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H2322,12,0,Completed,07/19/2018 14:09,Local PPO
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,1,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,17,0,Completed,07/26/2018 11:48,Local PPO
MN,All,PrimeWest Rural MN Health Care Access Initiative,PrimeWest Senior Health Complete (HMO SNP),N,N,N,N,N,,,,,,,H2416,1,0,Completed,06/15/2018 17:05,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Prime Solution Basic w/Rx 2 (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,1,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Value (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,31,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Platinum Blue Choice Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,6,0,Completed,07/09/2018 14:38,1876 Cost
WI,All,"HealthPartners, Inc.",HealthPartners Freedom Balance (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,16,0,Completed,06/28/2018 12:59,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Basic (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,22,0,Completed,06/28/2018 12:59,1876 Cost
AZ,All,Humana Inc.,Humana Gold Plus H2463-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2463,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
UT,All,Humana Inc.,Humana Gold Plus H2486-003 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2486,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,31,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Premier (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,18,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,2,Completed,07/26/2018 15:53,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,8,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,13,0,Completed,07/26/2018 11:48,Local PPO
MN,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Enhanced w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,17,0,Completed,07/18/2018 10:13,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Thrift (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,30,0,Completed,07/18/2018 10:13,1876 Cost
ND,All,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,36,0,Completed,07/18/2018 10:13,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Total w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,41,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Standard (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,44,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,UCare Minnesota,UCare Value (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Platinum Blue Complete Plan (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,7,0,Completed,07/09/2018 14:38,1876 Cost
WI,All,"HealthPartners, Inc.",HealthPartners Freedom Basic (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,4,0,Completed,06/28/2018 12:59,1876 Cost
MN,All,"HealthPartners, Inc.",HealthPartners Freedom Balance with Rx (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,17,0,Completed,06/28/2018 12:59,1876 Cost
ND,All,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
LA,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,3,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,29,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,2,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,6,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,All,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,24,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Advantra Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,26,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 150A (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,102,1,Completed,07/20/2018 11:11,Local PPO
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier Plus 250A (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,13,0,Completed,07/20/2018 11:11,PFFS
NV,All,Renown Health,Senior Care Plus: Freedom Rx Enhanced Plan (PPO),Y,N,Y,N,Y,100,100,,,,,H2906,6,0,Completed,07/24/2018 17:55,Local PPO
PA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Choice H2944-127 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,127,0,Completed,07/24/2018 13:42,PFFS
NV,All,Renown Health,Senior Care Plus: Value Rx Complete (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2960,19,0,Completed,07/24/2018 17:58,HMO/HMOPOS
FL,All,"ULTIMATE HEALTH PLAN, INC.",Acclaim Plus (HMO),Y,Y,Y,Y,N,,,482,482,241,241,H2962,12,0,Completed,07/06/2018 11:25,HMO/HMOPOS
IL,All,Family Health Network,Community Advantage (HMO),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,2,0,Completed,07/26/2018 14:30,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3113,5,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3113,8,0,Completed,07/26/2018 15:09,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,9,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare SNJ Prime Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,85,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Choice w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,22,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 2 with Rx (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,1,0,Completed,07/20/2018 13:16,HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NJ,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3240,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueCare Plus (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3259,1,0,Completed,06/04/2018 13:06,HMO/HMOPOS
GA,All,"UNICO Premier, LLC",PruittHealth Premier D-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3291,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
FL,All,InnovaCare Inc.,MMM - ELITE DADE (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,1,0,Completed,07/27/2018 11:51,HMO/HMOPOS
FL,All,InnovaCare Inc.,MMM - ELITE (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3293,2,0,Completed,07/27/2018 11:51,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 601 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,22,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield BlueSaver (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,62,0,Completed,07/26/2018 16:02,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue COPD (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,18,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,2,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Choice Plan 2 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,3,0,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Passage Plan 1 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,10,0,Completed,07/17/2018 15:41,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,32,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,41,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,13,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,"AllCare Health, Inc.",AllCare Advantage Gold (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,1,0,Completed,07/19/2018 0:49,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,1,0,Completed,07/26/2018 15:08,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,7,0,Completed,07/26/2018 15:08,HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,2,0,Completed,06/20/2018 12:01,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Elite (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,10,0,Completed,06/20/2018 12:01,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Select (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,11,0,Completed,06/20/2018 12:01,HMO/HMOPOS
WA,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 38 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,38,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 40 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,40,0,Completed,07/06/2018 16:48,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,45,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,47,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,1,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,32,0,Completed,07/13/2018 14:00,Local PPO
DC,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,95,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MD,All,Aetna Inc.,Aetna Medicare Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,97,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,108,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,118,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,122,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AL,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,125,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,130,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,131,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,136,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring PreferredPlus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,53,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Secure Rx (HMO SNP),Y,Y,Y,Y,N,,,542,542,23,271,H3954,97,0,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,11,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,15,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,14,Completed,07/27/2018 9:47,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,39,0,Completed,07/26/2018 11:48,Local PPO
HI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,43,0,Completed,07/26/2018 11:48,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,64,0,Completed,07/26/2018 11:48,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue SaverRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,17,0,Completed,07/24/2018 12:03,Local PPO
WI,All,Independent Care Health Plan Inc.,Aurora CompleteCare (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,9,0,Completed,07/18/2018 14:56,HMO/HMOPOS
WI,All,Independent Care Health Plan Inc.,Lakeland Care +Health (HMO SNP),Y,N,N,Y,Y,50,50,482,482,241,241,H2237,10,0,Completed,07/18/2018 14:56,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,19,7,Completed,07/16/2018 9:33,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,5,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Senior Plus Option 2 (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H2354,21,0,Completed,07/19/2018 14:09,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,14,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,16,0,Completed,07/26/2018 11:48,Local PPO
ND,All,Medica Holding Company,Medica Prime Solution Core w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,35,0,Completed,07/18/2018 10:13,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Focus w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,39,0,Completed,07/18/2018 10:13,1876 Cost
WI,All,Medica Holding Company,Medica Prime Solution Total (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,40,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,UCare Minnesota,UCare Prime (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,20,0,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Classic (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,21,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Total (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,25,3,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Complete (HMO-POS),Y,N,Y,Y,N,,,440,440,120,220,H2459,26,1,Completed,07/17/2018 18:16,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Platinum Blue Core Plan with Rx (Cost),Y,Y,Y,Y,Y,65,65,473,482,236,241,H2461,8,0,Completed,07/09/2018 14:38,1876 Cost
WI,All,"HealthPartners, Inc.",HealthPartners Freedom Vital (Cost),Y,N,Y,Y,N,,,457,457,226,226,H2462,18,0,Completed,06/28/2018 12:59,1876 Cost
SD,All,"HealthPartners, Inc.",HealthPartners Sanford Ultimate (Cost),Y,N,Y,Y,N,,,482,482,241,241,H2462,25,0,Completed,06/28/2018 12:59,1876 Cost
HI,All,"WellCare Health Plans, Inc.", Ohana Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
HI,All,"WellCare Health Plans, Inc.", Ohana Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2533,1,0,Completed,07/26/2018 20:07,Medicare-Medicaid Plan HMO/HMOPOS
VA,All,Sentara Health Care (SHC),Optima Medicare Value (HMO),Y,N,Y,Y,N,,,482,482,241,241,H2563,3,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore Heart Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,26,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,28,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,5,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,34,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,CoxHealth MedicarePlus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,15,0,Completed,07/19/2018 12:41,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Option 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,6,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Total Care (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,15,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,22,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Preferred POS (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2758,8,0,Completed,07/25/2018 8:35,HMO/HMOPOS
NY,All,"QHP Financial Group, Inc.",Advantage Value One NY - Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H2773,18,0,Completed,07/27/2018 15:56,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 750B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,100,0,Completed,07/20/2018 11:11,Local PPO
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,2,Completed,07/20/2018 11:11,Local PPO
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,2,Completed,07/20/2018 11:11,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NE,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,28,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,31,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Secure (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,35,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
IL,All,Essence Group Holdings Corporation,Essence Advantage Select (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,16,0,Completed,07/19/2018 12:41,HMO/HMOPOS
IL,All,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Gold Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,5,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,All,Aetna Inc.,Coventry Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,16,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,101,1,Completed,07/20/2018 11:11,Local PPO
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Advantage Plus 550B (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2775,103,1,Completed,07/20/2018 11:11,Local PPO
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,2,Completed,07/20/2018 11:11,PFFS
NV,All,Renown Health,Senior Care Plus: Value Rx Enhanced Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,4,0,Completed,07/24/2018 17:58,HMO/HMOPOS
PR,All,"Constellation Health, LLC.",Genesis @ Home Constellation Health (HMO SNP),Y,Y,Y,Y,N,,,20,331,20,166,H3054,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
IL,All,Family Health Network,Community Flex-Plan (HMO-POS),Y,Y,Y,Y,Y,100,25,482,482,241,241,H3071,3,0,Completed,07/26/2018 14:30,HMO/HMOPOS
NJ,All,Aetna Inc.,Aetna Medicare Smart Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3152,88,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,13,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,32,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Select (HMO-POS),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,33,0,Completed,07/24/2018 12:52,HMO/HMOPOS
MN,All,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Grand (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,3,0,Completed,07/17/2018 13:06,Local PPO
CA,All,Centene Corporation,Health Net Cal MediConnect Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,601,0,301,H3237,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Mosaic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3307,23,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,65,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Value (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,36,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueSecure (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,14,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BluePlus (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,18,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Secure (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,2,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Optimum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,6,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Platinum (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,7,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Bassett (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,15,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Select (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,16,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare Blue Choice Advanced (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,18,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst 65 Plus Plan (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,1,0,Completed,07/25/2018 11:36,HMO/HMOPOS
NY,All,"Healthfirst, Inc.",Healthfirst Life Improvement Plan (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3359,21,0,Completed,07/25/2018 11:36,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health Medicare Family Choice (HMO SNP),Y,Y,N,N,N,,,,,,,H3362,20,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,All,"Independent Health Association, Inc.",Independent Health s Encompass 65 Core (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3362,33,0,Completed,07/27/2018 7:12,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Value Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,4,0,Completed,07/02/2018 10:44,HMO/HMOPOS
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicaid Advantage Plus (HMO SNP),Y,N,Y,N,N,,,,,0,0,H3328,16,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Dual Advantage Flex (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3328,17,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Gold (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,21,1,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Dual (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,42,3,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueEnhanced (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,6,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,43,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Elderplan, Inc.",Elderplan Extra Help (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3347,9,0,Completed,07/02/2018 16:20,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,10,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Basic (HMO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,17,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Smart Fit (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,23,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,2,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,2,Completed,07/26/2018 14:31,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion HMO (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,3,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx (HMO),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,4,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,6,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion Basic Rx 2 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,17,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus SNP-DE H3533-004 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-010 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,10,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Coordination Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3536,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire Premier II (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Prime Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3655,38,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Ruby (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,44,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Classic (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,20,0,Completed,07/13/2018 14:08,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southwest OH Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,16,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,All,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,3,Completed,07/12/2018 15:19,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health PPO (PPO),Y,Y,Y,Y,N,,,0,455,0,228,H3813,1,0,Completed,06/12/2018 10:27,Local PPO
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,8,0,Completed,07/26/2018 15:08,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,11,2,Completed,07/13/2018 13:55,Local PPO
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3822,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Standard (PPO),Y,N,N,Y,N,,,482,482,241,241,H3832,7,0,Completed,07/16/2018 15:11,Local PPO
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,1,0,Completed,07/25/2018 13:34,Local PPO
OH,All,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,46,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,51,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,3,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS Basic (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,24,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Prestige (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,39,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,10,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Northern Pennsylvania Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,37,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Excela Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,49,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Essential (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,7,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Alliance Lung Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,18,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Diamante Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,17,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,1,Completed,07/23/2018 14:30,Local PPO
PA,All,"Rifkin Managed Care Holding Company, LLC",Provider Partners Pennsylvania Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4093,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
FL,All,"DOCTORS HEALTHCARE PLANS, INC.",DrCare (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,3,0,Completed,07/25/2018 17:00,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Advance (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,17,0,Completed,07/13/2018 13:32,HMO/HMOPOS
MO,All,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OK,All,St Francis Health System & St John Health System,Advantage Premier (HMO),Y,N,Y,N,N,,,,,,,H4198,3,0,Completed,07/23/2018 18:19,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,1,Completed,07/16/2018 15:07,PFFS
PA,All,UPMC Health System,UPMC for Life Dual (HMO SNP),Y,N,N,Y,N,,,443,542,222,271,H4279,1,0,Completed,07/25/2018 8:08,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MS,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,11,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,2,Completed,06/06/2018 14:14,Local PPO
TN,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,33,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,43,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,27,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4778,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
IL,All,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,12,2,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Merit (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,16,1,Completed,07/26/2018 15:53,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York PlanWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,8,0,Completed,07/27/2018 16:18,HMO/HMOPOS
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,6,0,Completed,07/26/2018 13:57,HMO/HMOPOS
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,15,0,Completed,07/26/2018 13:57,HMO/HMOPOS
LA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NJ,All,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,7,0,Completed,07/26/2018 14:48,Local PPO
NJ,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,41,0,Completed,07/26/2018 14:48,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,6,0,Completed,07/20/2018 11:11,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,11,0,Completed,07/20/2018 11:11,Local PPO
WI,All,"Marshfield Clinic Health System, Inc.",Surety Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,8,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Promise Rx (HMO-POS),Y,Y,Y,Y,N,,,426,482,213,241,H5211,9,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,Humana Inc.,HumanaChoice H5216-006 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,6,0,Completed,07/24/2018 13:42,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-036 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,36,0,Completed,07/24/2018 13:42,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-058 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,58,0,Completed,07/24/2018 13:42,Local PPO
LA,All,Humana Inc.,HumanaChoice H5216-064 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,64,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-076 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,76,0,Completed,07/24/2018 13:42,Local PPO
CO,All,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
AL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Choice H2944-114 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,114,0,Completed,07/24/2018 13:42,PFFS
OK,All,Humana Inc.,Humana Gold Choice H2944-197 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,197,0,Completed,07/24/2018 13:42,PFFS
NV,All,Renown Health,Senior Care Plus: Value Basic Plan (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,9,0,Completed,07/24/2018 17:58,HMO/HMOPOS
CA,All,Stanford Health Care,Stanford Health Care Advantage - Platinum (HMO),Y,Y,Y,Y,N,,,50,601,25,301,H2986,1,0,Completed,07/18/2018 17:46,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete ONE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3113,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Value w/Rx (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,4,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Dual Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,12,0,Completed,07/20/2018 13:16,HMO/HMOPOS
MN,All,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,1,0,Completed,07/17/2018 13:06,Local PPO
MN,All,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,2,0,Completed,07/17/2018 13:06,Local PPO
NY,All,ErieNiagara MLTC,Kalos Health Gold Plus (HMO SNP),N,N,N,N,N,,,,,,,H3227,1,0,Completed,07/29/2018 10:12,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Rx Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,39,1,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueClassic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,38,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Medicare BlueBasic (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3335,44,0,Completed,06/26/2018 15:07,Local PPO
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Select (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,1,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield Senior Blue 651 (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,19,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueCross BlueShield Senior Blue Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,58,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueShield Freedom Plus (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,59,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,All,HealthNow New York Inc.,BlueShield Freedom Premier (HMO-POS),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3384,64,0,Completed,07/26/2018 16:02,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3387,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Choice Rx (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,2,0,Completed,07/02/2018 10:44,HMO/HMOPOS
NY,All,"Capital District Physicians  Health Plan, Inc.",CDPHP Basic RX (HMO),Y,N,Y,Y,Y,75,75,482,482,241,241,H3388,13,0,Completed,07/02/2018 10:44,HMO/HMOPOS
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Align (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,1,5,Completed,07/06/2018 10:44,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue ESRD (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,19,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage POS Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage POS (HMO-POS),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,15,0,Completed,06/26/2018 17:06,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 1 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,6,0,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,1,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Flex Plan 2 (HMO-POS),Y,N,Y,Y,N,,,492,542,246,271,H3528,12,2,Completed,07/17/2018 15:41,HMO/HMOPOS
CT,All,"EmblemHealth, Inc.",ConnectiCare Choice Plan 3 (HMO),Y,N,Y,Y,N,,,492,542,246,271,H3528,14,0,Completed,07/17/2018 15:41,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire Premier (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3561,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,7,0,Completed,07/17/2018 11:44,HMO/HMOPOS
ME,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3597,9,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MI,All,Promedica Health System,Paramount Elite - Enhanced Medical Only (HMO),Y,N,Y,Y,N,,,0,482,0,241,H3653,18,0,Completed,07/26/2018 14:00,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Emerald (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,28,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Basic - MA Only (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,14,0,Completed,07/13/2018 14:08,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Plus (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,17,0,Completed,07/13/2018 14:08,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southwest OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,17,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,All,Trinity Health,MediGold Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,19,1,Completed,07/12/2018 15:19,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,16,0,Completed,07/26/2018 15:08,HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,10,0,Completed,07/13/2018 13:55,Local PPO
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Premier Plus (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H3822,8,0,Completed,06/20/2018 12:01,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Essentials Rx 26 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,26,1,Completed,07/06/2018 16:48,HMO/HMOPOS
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,2,Completed,07/06/2018 10:44,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Local (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
VA,All,Anthem Inc.,Anthem MediBlue Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Essential (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,23,4,Completed,07/26/2018 14:31,HMO/HMOPOS
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare HMO Enhanced (HMO),Y,N,N,Y,N,,,0,482,0,241,H3449,24,1,Completed,07/26/2018 14:31,HMO/HMOPOS
AR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3464,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW Companion Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H3471,1,0,Completed,06/26/2018 17:06,HMO/HMOPOS
WA,All,The Carle Foundation,Health Alliance NW SignalAdvantage HMO Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,100,482,100,241,H3471,5,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3499,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-006 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,6,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Summa Health System Community,SummaCare Medicare Topaz (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3660,50,0,Completed,07/19/2018 14:01,HMO/HMOPOS
OH,All,Trinity Health,MediGold Southeast OH Essential Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,15,0,Completed,07/12/2018 15:19,HMO/HMOPOS
OK,All,"Momentum Health Holdings, LLC",Generations Select (HMO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H3706,18,0,Completed,07/20/2018 0:19,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,16,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,"AllCare Health, Inc.",AllCare Advantage Preferred Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,20,0,Completed,07/19/2018 0:49,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan My Choice (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,6,0,Completed,07/26/2018 15:08,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan AllCare Preferred Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,11,0,Completed,07/26/2018 15:08,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan smartHMO (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,13,0,Completed,07/26/2018 15:08,HMO/HMOPOS
CA,All,"Alignment Healthcare USA, LLC",Alignment Health Plan Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H3815,15,0,Completed,07/26/2018 15:08,HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3817,8,2,Completed,07/13/2018 13:55,Local PPO
ID,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 32 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,32,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 34 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,34,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 37 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,37,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 39 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,39,0,Completed,07/06/2018 16:48,HMO/HMOPOS
OH,All,UPMC Health System,UPMC for Life (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,2,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx Enhanced (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,6,0,Completed,07/25/2018 8:08,HMO/HMOPOS
OH,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,29,0,Completed,07/25/2018 8:08,HMO/HMOPOS
OH,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,482,222,241,H3907,37,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Deductible with Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,44,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,33,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,5,Completed,07/13/2018 14:00,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,18,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,10,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,12,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,15,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,17,Completed,07/27/2018 9:47,Local PPO
PA,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,64,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare PinnacleHealth Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,91,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,96,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,100,0,Completed,07/17/2018 11:44,HMO/HMOPOS
DE,All,Aetna Inc.,Aetna Medicare Standard Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,102,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Main Line Health Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,105,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,106,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,107,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NV,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,115,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,133,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Highmark Health,Freedom Blue PPO Select (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,24,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Capital BlueCross,BlueJourney Classic (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H3923,13,0,Completed,07/19/2018 16:39,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,11,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,17,Completed,07/27/2018 9:47,Local PPO
NY,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NY,All,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Silver Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,70,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NV,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,94,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,123,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,126,0,Completed,07/17/2018 11:44,HMO/HMOPOS
KY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,134,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CO,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,135,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Focus Rx (HMO-POS),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,54,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,16,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,1,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,35,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3979,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Ã“ptimo (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,1,0,Completed,07/20/2018 10:37,Local PPO
FL,All,"DOCTORS HEALTHCARE PLANS, INC.",DrPlus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,2,0,Completed,07/25/2018 17:00,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Standard with Drugs (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,13,0,Completed,07/13/2018 13:32,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone First VIP Choice (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,1,0,Completed,07/24/2018 13:32,HMO/HMOPOS
PA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
PA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Value Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Breathe (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Mediblue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-004 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,4,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,34,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,44,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,49,1,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,21,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Chronic Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,2,0,Completed,07/13/2018 13:55,Local PPO
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer 12 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,12,0,Completed,07/06/2018 16:48,Local PPO
IL,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
AZ,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,4,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,9,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,2,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,2,Completed,07/26/2018 15:53,Local PPO
CO,All,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,1,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,2,Completed,07/24/2018 13:42,Local PPO
MT,All,Humana Inc.,HumanaChoice H5216-089 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,89,0,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-094 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,94,0,Completed,07/24/2018 13:42,Local PPO
TN,All,Humana Inc.,HumanaChoice H5216-099 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,99,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-111 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,111,0,Completed,07/24/2018 13:42,Local PPO
MD,All,Humana Inc.,HumanaChoice H5216-129 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,129,0,Completed,07/24/2018 13:42,Local PPO
MI,All,Humana Inc.,HumanaChoice H5216-133 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,133,0,Completed,07/24/2018 13:42,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
NV,All,Humana Inc.,HumanaChoice H5216-141 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,141,0,Completed,07/24/2018 13:42,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,Humana Value Plus H5216-176 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,176,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-192 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,192,0,Completed,07/24/2018 13:42,Local PPO
CO,All,Humana Inc.,Humana Value Plus H5216-195 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,195,0,Completed,07/24/2018 13:42,Local PPO
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 7 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,49,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 6 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,52,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 4 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,56,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,61,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,102,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,UW Health Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,9,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,12,0,Completed,06/19/2018 17:16,HMO/HMOPOS
GA,All,Aetna Inc.,Advantra Platinum (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5302,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,25,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,31,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,All,Sharp Healthcare,Sharp Direct Advantage Gold Card (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5386,3,0,Completed,07/27/2018 14:15,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Signature offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,4,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,7,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Plus offered by SCAN Health Plan (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,40,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,54,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,59,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,93,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Rewards Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,96,0,Completed,07/27/2018 13:42,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
KY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OK,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WA,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,4,Completed,07/24/2018 19:18,Local PPO
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,16,2,Completed,07/24/2018 19:18,Local PPO
NY,All,"Healthfirst, Inc.",Healthfirst AbsoluteCare FIDA Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5441,1,0,Completed,07/25/2018 11:36,Medicare-Medicaid Plan HMO/HMOPOS
IL,All,Delaware Life Insurance Company,Clear Spring Health Essential (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,2,0,Completed,07/26/2018 10:44,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,67,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,71,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,75,0,Completed,07/23/2018 14:30,HMO/HMOPOS
PA,All,UPMC Health System,UPMC for Life HMO Premier Rx (HMO),Y,N,N,Y,N,,,443,542,222,271,H3907,52,0,Completed,07/25/2018 8:08,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare PPO Signature (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,34,3,Completed,07/13/2018 14:00,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,12,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Advantage Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,59,14,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,11,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,13,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,13,Completed,07/27/2018 9:47,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Enhanced Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,62,16,Completed,07/27/2018 9:47,Local PPO
LA,All,Aetna Inc.,Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3928,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H3930,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,98,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OH,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,109,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,112,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,127,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,138,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,All,Aetna Inc.,Aetna Medicare Platinum Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,139,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,30,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,44,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,13,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,10,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,42,2,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Basic Medical (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,41,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Beaver Valley Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,51,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Completo Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,41,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,InnovaCare Inc.,PMC Max (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4004,56,0,Completed,07/27/2018 11:51,HMO/HMOPOS
LA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4089,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H4152,5,0,Completed,07/13/2018 13:32,HMO/HMOPOS
TN,All,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,1,Completed,07/16/2018 15:07,PFFS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,17,5,Completed,07/16/2018 15:07,PFFS
PA,All,"Independence Health Group, Inc.",AmeriHealth Caritas VIP Care (HMO SNP),Y,N,Y,Y,N,,,0,542,0,271,H4227,2,0,Completed,07/24/2018 13:32,HMO/HMOPOS
MS,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MS,All,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4407,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-029 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,1,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,2,1,Completed,06/06/2018 14:14,Local PPO
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Premium (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,3,2,Completed,06/06/2018 14:14,Local PPO
TX,All,"WellCare Health Plans, Inc.",WellCare TexanPlus Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,26,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Primary (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,35,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,All,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,47,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,All,CIGNA,Cigna-HealthSpring PreferredPlus Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,48,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Premier Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,25,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Preferred Medical Only (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,8,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,13,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,18,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,11,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,15,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS Standard (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,6,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS Deluxe (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,20,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,32,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Highmark Health,Community Blue Medicare HMO Signature (HMO),Y,N,Y,Y,N,,,542,542,271,271,H3957,38,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Gold (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,33,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Cares (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,36,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Choice Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,43,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Penn Highlands Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,45,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Southeast Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,52,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Value (HMO),Y,Y,Y,Y,N,,,0,542,0,271,H3962,4,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Supremo (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,9,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Unico (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,19,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Ã“ptimo Plus (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4005,4,0,Completed,07/20/2018 10:37,Local PPO
PR,All,Humana Inc.,Humana Gold Plus SNP-DE H4007-016 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,8,0,Completed,07/23/2018 14:30,Local PPO
AL,All,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,1,0,Completed,07/27/2018 12:48,Local PPO
AL,All,"SeniorSelect, LLC",Simpra Advantage (PPO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4091,2,0,Completed,07/27/2018 12:48,Local PPO
GA,All,Humana Inc.,Humana Gold Plus H4141-017 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,17,3,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,All,Humana Inc.,Humana Gold Plus H4141-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4141,19,2,Completed,07/24/2018 13:42,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Preferred (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,7,0,Completed,07/13/2018 13:32,HMO/HMOPOS
PA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H4236,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem StartSmart Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-031 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,31,3,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare TexanPlus Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,29,0,Completed,07/20/2018 11:11,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,25,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,27,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Premier (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,36,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Alliance Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,42,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4523,20,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Explorer 8 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,8,0,Completed,07/06/2018 16:48,Local PPO
IL,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4778,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4847,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AZ,All,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,4,Completed,07/26/2018 15:53,Local PPO
MN,All,"HealthPartners, Inc.",HealthPartners Journey Pace (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,2,0,Completed,06/28/2018 12:59,Local PPO
MO,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,15,0,Completed,07/23/2018 14:30,Local PPO
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,1,0,Completed,07/26/2018 13:57,HMO/HMOPOS
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,7,0,Completed,07/26/2018 13:57,HMO/HMOPOS
WI,All,"HealthPartners, Inc.",HealthPartners Robin Maple (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,5,0,Completed,06/28/2018 12:59,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York FeelWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,3,0,Completed,07/27/2018 16:18,HMO/HMOPOS
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,14,0,Completed,07/26/2018 13:57,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,12,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Key (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,22,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NJ,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,1,0,Completed,07/26/2018 14:48,Local PPO
NJ,All,"Clover Health Holdings, Inc.",Clover Health Choice Premier (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,32,0,Completed,07/26/2018 14:48,Local PPO
AZ,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,40,0,Completed,07/26/2018 14:48,Local PPO
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,2,0,Completed,07/20/2018 11:11,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,4,0,Completed,07/20/2018 11:11,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,8,0,Completed,07/20/2018 11:11,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,9,0,Completed,07/20/2018 11:11,Local PPO
WI,All,"Marshfield Clinic Health System, Inc.",Spirit Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,4,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Assurance Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,7,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumPremier Pharmacy (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,5,0,Completed,06/27/2018 15:22,Local PPO
WI,All,"Network Health, Inc.",Network PlatinumPremier (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,6,0,Completed,06/27/2018 15:22,Local PPO
WI,All,"Network Health, Inc.",Network PlatinumSelect (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,8,0,Completed,06/27/2018 15:22,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-013 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,13,0,Completed,07/24/2018 13:42,Local PPO
NC,All,Humana Inc.,HumanaChoice H5216-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,15,1,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-019 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,19,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,27,0,Completed,07/24/2018 13:42,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-044 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,44,0,Completed,07/24/2018 13:42,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-050 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,50,0,Completed,07/24/2018 13:42,Local PPO
NH,All,Humana Inc.,HumanaChoice H5216-057 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,57,0,Completed,07/24/2018 13:42,Local PPO
CO,All,Humana Inc.,HumanaChoice H5216-078 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,78,2,Completed,07/24/2018 13:42,Local PPO
OK,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-091 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,91,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-107 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,107,0,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-124 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,124,0,Completed,07/24/2018 13:42,Local PPO
NM,All,Humana Inc.,HumanaChoice H5216-137 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,137,0,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-146 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,146,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-154 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,154,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
MS,All,Humana Inc.,Humana Value Plus H5216-160 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,160,0,Completed,07/24/2018 13:42,Local PPO
AR,All,Humana Inc.,Humana Value Plus H5216-165 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,165,0,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,HumanaChoice H5216-169 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,169,0,Completed,07/24/2018 13:42,Local PPO
NE,All,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
SD,All,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,46,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,54,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,59,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,85,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,87,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,88,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,91,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,97,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,84,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,87,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,95,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,13,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,15,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,All,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,20,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Elite Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,24,0,Completed,07/25/2018 16:54,HMO/HMOPOS
GA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,91,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,109,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,139,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,148,0,Completed,07/17/2018 11:44,Local PPO
WI,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,150,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,152,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,167,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,199,0,Completed,07/17/2018 11:44,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,206,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,227,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,236,0,Completed,07/17/2018 11:44,Local PPO
WY,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,240,0,Completed,07/17/2018 11:44,Local PPO
WA,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,244,0,Completed,07/17/2018 11:44,Local PPO
SC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,247,0,Completed,07/17/2018 11:44,Local PPO
CO,All,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,250,0,Completed,07/17/2018 11:44,Local PPO
SC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,252,0,Completed,07/17/2018 11:44,Local PPO
TN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,254,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Advantra Silver Plus (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,13,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,18,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-006 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,6,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5525-008 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,8,0,Completed,07/24/2018 13:42,Local PPO
NC,All,Humana Inc.,HumanaChoice H5525-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,26,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5525-042 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,42,0,Completed,07/24/2018 13:42,Local PPO
NY,All,HealthNow New York Inc.,BlueCross BlueShield Forever Blue Value (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,16,0,Completed,07/26/2018 16:02,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,5,0,Completed,07/25/2018 8:08,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA0 Vantage STANDARD (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,17,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino ClÃ¡sico (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,28,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AZ,All,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,4,0,Completed,06/22/2018 13:23,HMO/HMOPOS
AZ,All,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5587,2,0,Completed,07/25/2018 18:31,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-023 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-039 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,39,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,46,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-054 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-062 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,62,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-075 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,75,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-080 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,80,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-093 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,93,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-100 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,100,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-102 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,102,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-110 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,110,0,Completed,07/24/2018 13:42,HMO/HMOPOS
UT,All,"Molina Healthcare, Inc.,",Healthy Advantage Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,7,0,Completed,07/26/2018 20:21,HMO/HMOPOS
ID,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,8,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,1,0,Completed,07/27/2018 13:58,HMO/HMOPOS
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 4 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,4,0,Completed,07/06/2018 16:48,Local PPO
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 11 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,11,0,Completed,07/06/2018 16:48,Local PPO
AZ,All,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,4,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,2,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,12,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,3,Completed,07/26/2018 15:53,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Ideal (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,18,5,Completed,07/26/2018 15:53,Local PPO
PR,All,"Constellation Health, LLC.",Olympus Constellation Health (PPO),Y,Y,Y,Y,N,,,20,331,20,166,H4876,1,0,Completed,07/24/2018 14:28,Local PPO
MN,All,"HealthPartners, Inc.",HealthPartners Journey Stride (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,1,0,Completed,06/28/2018 12:59,Local PPO
VA,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,14,0,Completed,07/23/2018 14:30,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,8,0,Completed,07/13/2018 13:55,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Asuris TruAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5010,1,0,Completed,07/13/2018 13:55,Local PPO
WA,All,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5010,2,0,Completed,07/13/2018 13:55,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Essential (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,9,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Centennial (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,21,0,Completed,07/25/2018 13:04,HMO/HMOPOS
GA,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,26,0,Completed,07/26/2018 14:48,Local PPO
SC,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,36,0,Completed,07/26/2018 14:48,Local PPO
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,1,0,Completed,07/20/2018 11:11,Local PPO
WI,All,"Marshfield Clinic Health System, Inc.",Essence (HMO-POS),Y,Y,Y,Y,N,,,264,482,132,241,H5211,3,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,Humana Inc.,HumanaChoice H5216-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,1,0,Completed,07/24/2018 13:42,Local PPO
DE,All,Humana Inc.,HumanaChoice H5216-028 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,28,0,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
HI,All,Humana Inc.,HumanaChoice H5216-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,41,0,Completed,07/24/2018 13:42,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-047 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,47,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-055 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,55,0,Completed,07/24/2018 13:42,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-067 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,67,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-068 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,68,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-075 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,75,0,Completed,07/24/2018 13:42,Local PPO
MN,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,1,Completed,07/24/2018 13:42,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-088 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,88,0,Completed,07/24/2018 13:42,Local PPO
ND,All,Humana Inc.,HumanaChoice H5216-092 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,92,0,Completed,07/24/2018 13:42,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-093 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,93,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-106 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,106,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,Humana Value Plus H5216-115 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,115,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-121 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,121,0,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-123 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,123,0,Completed,07/24/2018 13:42,Local PPO
DE,All,Humana Inc.,HumanaChoice H5216-127 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,127,0,Completed,07/24/2018 13:42,Local PPO
UT,All,Humana Inc.,HumanaChoice H5216-131 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,131,0,Completed,07/24/2018 13:42,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-139 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,139,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,1,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-148 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,148,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-152 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,152,0,Completed,07/24/2018 13:42,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-163 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,163,0,Completed,07/24/2018 13:42,Local PPO
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,16,0,Completed,07/26/2018 13:57,HMO/HMOPOS
MS,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,11,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Asuris TruAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5010,4,0,Completed,07/13/2018 13:55,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Optimal (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Freedom Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Rx (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,23,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CA,All,Community Health Group,CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H5172,2,0,Completed,06/01/2018 19:20,Medicare-Medicaid Plan HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Essence Rx (HMO-POS),Y,Y,Y,Y,N,,,324,482,162,241,H5211,2,0,Completed,07/27/2018 16:50,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Ally Rx (HMO SNP),Y,Y,Y,Y,N,,,324,482,162,241,H5211,10,0,Completed,07/27/2018 16:50,HMO/HMOPOS
MI,All,Humana Inc.,HumanaChoice H5216-009 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,9,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,18,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,1,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,2,Completed,07/24/2018 13:42,Local PPO
WA,All,Humana Inc.,HumanaChoice H5216-048 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,48,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-062 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,62,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-072 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,72,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-074 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,74,0,Completed,07/24/2018 13:42,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,HumanaChoice H5216-083 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,83,0,Completed,07/24/2018 13:42,Local PPO
MT,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-113 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,113,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-122 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,122,0,Completed,07/24/2018 13:42,Local PPO
ID,All,Humana Inc.,HumanaChoice H5216-132 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,132,0,Completed,07/24/2018 13:42,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-136 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,136,0,Completed,07/24/2018 13:42,Local PPO
AR,All,Humana Inc.,HumanaChoice H5216-140 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,140,0,Completed,07/24/2018 13:42,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-142 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,142,2,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-143 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,143,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
MO,All,Humana Inc.,HumanaChoice SNP-DE H5216-164 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,164,0,Completed,07/24/2018 13:42,Local PPO
IA,All,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,HumanaChoice H5216-174 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,174,0,Completed,07/24/2018 13:42,Local PPO
WI,All,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,1,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,HumanaChoice H5216-184 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,184,0,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,HumanaChoice H5216-185 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,185,0,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,Humana Value Plus H5216-186 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,186,0,Completed,07/24/2018 13:42,Local PPO
MI,All,Humana Inc.,HumanaChoice H5216-190 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,190,0,Completed,07/24/2018 13:42,Local PPO
NM,All,Humana Inc.,HumanaChoice H5216-196 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,196,2,Completed,07/24/2018 13:42,Local PPO
AZ,All,Humana Inc.,HumanaChoice H5216-198 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,198,0,Completed,07/24/2018 13:42,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,7,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,33,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,48,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,77,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,79,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,82,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,99,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"Medical Associates Clinic, P.C.",Medical Associates Community Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,2,0,Completed,06/15/2018 10:37,1876 Cost
WI,All,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H5256,4,0,Completed,06/15/2018 10:37,1876 Cost
IL,All,University of Wisconsin Hospitals and Clincs Autho,SwedishAmerican Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,20,0,Completed,06/19/2018 17:16,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,1,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,3,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,7,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,8,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,26,0,Completed,07/26/2018 15:09,HMO/HMOPOS
MO,All,Aetna Inc.,Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,18,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Medica HealthCare Plans MedicareMax Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5420,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,10,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Balance (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,34,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medi-Medi Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,78,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,HealthSun SunPlus Advantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,1,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NH,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OK,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
NE,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WA,All,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,10,0,Completed,07/24/2018 19:18,Local PPO
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,16,1,Completed,07/24/2018 19:18,Local PPO
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,65,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,78,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,88,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra Smile (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,27,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Imperial Senior Value (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,601,601,25,25,H5496,5,0,Completed,06/08/2018 19:20,HMO/HMOPOS
PA,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,12,0,Completed,07/17/2018 11:44,Local PPO
CT,All,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,13,0,Completed,07/17/2018 11:44,Local PPO
NJ,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,37,0,Completed,07/17/2018 11:44,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,82,0,Completed,07/17/2018 11:44,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,89,0,Completed,07/17/2018 11:44,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,101,0,Completed,07/17/2018 11:44,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,102,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,103,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,107,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,108,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,115,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,118,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Aetna Medicare Gold Plan (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,122,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Premier Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,170,0,Completed,07/17/2018 11:44,Local PPO
MA,All,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,221,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,223,0,Completed,07/17/2018 11:44,Local PPO
LA,All,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,235,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,261,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Humana Inc.,HumanaChoice H5525-004 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,4,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-007 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,7,0,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,HumanaChoice H5525-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,23,0,Completed,07/24/2018 13:42,Local PPO
NC,All,Humana Inc.,HumanaChoice H5525-035 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,35,0,Completed,07/24/2018 13:42,Local PPO
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Platino Advance (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,26,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,All,Triple-S Management Corporation,TitÃ¡n+ (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,30,0,Completed,07/20/2018 10:57,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Edge (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5779,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,8,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Pharmacy Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,9,0,Completed,07/17/2018 17:06,HMO/HMOPOS
CA,All,AIDS Healthcare Foundation,PHP (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5852,1,0,Completed,07/16/2018 12:31,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,10,0,Completed,07/25/2018 12:48,HMO/HMOPOS
PA,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H5932,9,0,Completed,07/26/2018 8:56,HMO/HMOPOS
CA,All,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5943,2,0,Completed,07/16/2018 13:40,HMO/HMOPOS
NY,All,Humana Inc.,HumanaChoice H5970-021 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,21,0,Completed,07/24/2018 13:42,Local PPO
OR,All,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H5995,1,0,Completed,07/28/2018 12:06,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,4,0,Completed,07/13/2018 13:55,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,2,0,Completed,07/24/2018 9:02,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct smartHMO (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,5,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,3,0,Completed,07/24/2018 19:18,Local PPO
NC,All,Liberty Healthcare Insurance,Liberty Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,All,CareSource Management Group Co.,CareSource Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,1,0,Completed,06/15/2018 9:17,HMO/HMOPOS
OH,All,CareSource Management Group Co.,CareSource Advantage Zero Premium (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,4,0,Completed,06/15/2018 9:17,HMO/HMOPOS
MO,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Access (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,1,0,Completed,07/26/2018 16:09,Local PPO
KS,All,Blue Cross and Blue Shield of Kansas City,Blue Medicare Advantage Essential (PPO),Y,Y,Y,Y,Y,100,100,0,482,0,241,H6502,2,0,Completed,07/26/2018 16:09,Local PPO
KY,All,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Cleveland Clinic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,23,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H6622-026 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-036 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,36,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,All,Humana Inc.,Humana Value Plus H6622-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,49,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-054 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,54,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Silver Rx (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,3,0,Completed,07/28/2018 12:06,Local PPO
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,7,0,Completed,07/23/2018 15:56,HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6786,2,0,Completed,07/23/2018 14:30,Local PPO
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,2,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,Centene Corporation,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H6870,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
SC,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,5,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NE,All,Aetna Inc.,Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,4,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,1,Completed,07/19/2018 7:40,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,1,0,Completed,07/20/2018 11:12,Local PPO
MN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,2,0,Completed,07/26/2018 11:48,Local PPO
TX,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7678,1,0,Completed,07/26/2018 20:42,HMO/HMOPOS
TX,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
KY,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,2,Completed,07/23/2018 14:30,Local PPO
TN,All,"American Health Companies, Inc.",American Health Advantage of Tennessee (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H7779,1,0,Completed,07/26/2018 18:02,HMO/HMOPOS
WI,All,Humana Inc.,HumanaChoice H5216-168 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,168,0,Completed,07/24/2018 13:42,Local PPO
AL,All,Humana Inc.,Humana Value Plus H5216-179 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,179,0,Completed,07/24/2018 13:42,Local PPO
AZ,All,Humana Inc.,Humana Value Plus H5216-197 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,197,0,Completed,07/24/2018 13:42,Local PPO
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,39,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,40,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,44,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,67,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,73,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,74,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,90,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
IL,All,University of Wisconsin Hospitals and Clincs Autho,SwedishAmerican Senior Preferred Value (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,19,0,Completed,06/19/2018 17:16,HMO/HMOPOS
CT,All,"Tufts Associated HMO, Inc.",CareAdvantage Premier (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,3,0,Completed,07/03/2018 8:46,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,2,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,INLAND EMPIRE HEALTH PLAN,IEHP DualChoice (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H5355,1,0,Completed,06/26/2018 11:45,Medicare-Medicaid Plan HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,20,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Plus (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,45,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,66,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medicare Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,60,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,77,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Savings COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,83,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,HealthSun HealthAdvantage Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5431,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
WY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
OR,All,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,13,0,Completed,07/24/2018 19:18,Local PPO
FL,All,Anthem Inc.,Simply More (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,74,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,85,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,89,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,94,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,3,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,7,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,8,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,14,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential Smile (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,28,0,Completed,07/25/2018 16:54,HMO/HMOPOS
KY,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,20,0,Completed,07/17/2018 11:44,Local PPO
NV,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,22,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,58,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,77,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,94,0,Completed,07/17/2018 11:44,Local PPO
DE,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,95,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,117,0,Completed,07/17/2018 11:44,Local PPO
WA,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,128,0,Completed,07/17/2018 11:44,Local PPO
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,84,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,103,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5322,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,29,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,30,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,All,CIGNA,Leon Medical Centers Health Plans - Leon Cares (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
FL,All,CIGNA,Cigna-HealthSpring TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5410,13,0,Completed,07/25/2018 7:53,HMO/HMOPOS
GA,All,Anthem Inc.,Anthem MediBlue Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,67,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,91,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,92,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,All,Orange County Health Authority,OneCare (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5433,1,0,Completed,07/27/2018 13:02,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,1,Completed,07/24/2018 19:18,Local PPO
OR,All,Centene Corporation,Health Net Violet 2 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,14,3,Completed,07/24/2018 19:18,Local PPO
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,68,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,79,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,81,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,100,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,101,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,6,0,Completed,07/25/2018 16:54,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,10,0,Completed,07/25/2018 16:54,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,27,0,Completed,07/17/2018 11:44,Local PPO
FL,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,33,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,40,0,Completed,07/17/2018 11:44,Local PPO
CO,All,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,57,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,81,0,Completed,07/17/2018 11:44,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,84,0,Completed,07/17/2018 11:44,Local PPO
KY,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,85,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,110,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,119,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,120,0,Completed,07/17/2018 11:44,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,131,0,Completed,07/17/2018 11:44,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,134,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,151,0,Completed,07/17/2018 11:44,Local PPO
TN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,154,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,177,0,Completed,07/17/2018 11:44,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,186,0,Completed,07/17/2018 11:44,Local PPO
WI,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,195,0,Completed,07/17/2018 11:44,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,197,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,203,0,Completed,07/17/2018 11:44,Local PPO
CO,All,Aetna Inc.,Aetna Medicare Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,208,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,211,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,214,0,Completed,07/17/2018 11:44,Local PPO
MS,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,218,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,239,0,Completed,07/17/2018 11:44,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,248,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5521,263,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-017 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,17,0,Completed,07/24/2018 13:42,Local PPO
NC,All,Humana Inc.,HumanaChoice SNP-DE H5525-036 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,36,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,Humana Value Plus H5525-039 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,39,0,Completed,07/24/2018 13:42,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,7,0,Completed,07/25/2018 8:08,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO Rx Enhanced (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,8,0,Completed,07/25/2018 8:08,Local PPO
NY,All,Visiting Nurse Service of New York,VNSNY CHOICE Total (HMO SNP),Y,N,Y,N,N,,,,,,,H5549,3,0,Completed,07/19/2018 12:05,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino CÃ³modo (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,27,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Emerald Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,17,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,22,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,28,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-032 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-045 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,45,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,50,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-051 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-059 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,59,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-064 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,64,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H5619-071 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,71,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-081 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-111 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,111,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MN,All,South Country Health Alliance,AbilityCare (HMO SNP),N,N,N,N,N,,,,,,,H5703,1,0,Completed,07/23/2018 14:24,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Royal Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,23,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Platino Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,24,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Platino Blindao (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,28,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,All,"CareOregon, Inc.",CareOregon Advantage Plus (HMO-POS SNP),Y,Y,Y,Y,N,,,0,455,0,228,H5859,1,0,Completed,07/23/2018 20:16,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MN,All,UCare Minnesota,UCare Connect + Medicare (HMO SNP),Y,N,Y,N,N,,,,,,,H5937,1,0,Completed,07/17/2018 18:16,HMO/HMOPOS
CA,All,SCAN Health Plan,VillageHealth (HMO-POS SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5943,1,0,Completed,07/16/2018 13:40,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,10,2,Completed,07/09/2018 14:38,Local PPO
HI,All,AlohaCare,AlohaCare Advantage Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5969,2,0,Completed,07/27/2018 20:10,HMO/HMOPOS
TX,All,Texas Health Resources,Care N  Care Choice Plus (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,2,0,Completed,07/16/2018 11:27,Local PPO
NC,All,Liberty Healthcare Insurance,Liberty at Home (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,1,0,Completed,07/20/2018 16:01,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,6,0,Completed,07/20/2018 16:01,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6526,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan (HMO),Y,N,Y,N,N,,,,,,,H7802,3,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Connected (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7833,1,0,Completed,07/26/2018 15:09,Medicare-Medicaid Plan HMO/HMOPOS
CO,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
TX,All,"Clover Health Holdings, Inc.",Clover Health Classic Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8010,9,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MI,All,Humana Inc.,Humana Value Plus H8087-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,2,0,Completed,07/24/2018 13:42,Local PPO
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Select Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,1,0,Completed,06/11/2018 23:54,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
WV,All,Humana Inc.,Humana Gold Choice H8145-021 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,21,0,Completed,07/24/2018 13:42,PFFS
WV,All,Humana Inc.,Humana Gold Choice H8145-050 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,50,0,Completed,07/24/2018 13:42,PFFS
GA,All,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
IA,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
VA,All,Humana Inc.,Humana Gold Choice H8145-108 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,108,0,Completed,07/24/2018 13:42,PFFS
CA,All,Local Initiative Health Authority for LA County,L.A. Care Cal MediConnect Plan (Medicare-Medicaid Plan),Y,Y,N,Y,Y,100,0,0,601,0,301,H8258,1,0,Completed,07/27/2018 18:18,Medicare-Medicaid Plan HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,5,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,8,7,Completed,07/23/2018 14:30,HMO/HMOPOS
OR,All,"Moda, Inc.",Moda Health HMO Enhanced + RX (HMO),Y,Y,Y,Y,N,,,0,455,0,228,H8506,3,0,Completed,06/12/2018 10:27,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8597,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
WV,All,Health Plan of West Virginia,The Health Plan SecureChoice Capitol Plan (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,13,0,Completed,06/15/2018 12:33,Local PPO
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Premier (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,4,0,Completed,06/20/2018 12:01,Local PPO
WY,All,Aetna Inc.,Aetna Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,8,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Montage Health,Aspire Health Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H8764,1,0,Completed,07/23/2018 13:14,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,6,0,Completed,07/26/2018 11:48,Local PPO
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,13,0,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,4,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,7,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,5,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,9,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,5,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,7,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,33,0,Completed,06/22/2018 9:28,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Choice + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,24,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Compass + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,39,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,All,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Plus (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,1,0,Completed,07/31/2018 14:27,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,5,0,Completed,06/25/2018 12:02,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,10,0,Completed,07/25/2018 15:07,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Peak + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,11,0,Completed,07/24/2018 10:50,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,1,0,Completed,07/20/2018 11:12,HMO/HMOPOS
SC,All,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,3,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,7,0,Completed,06/27/2018 14:20,Local PPO
NY,All,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,12,0,Completed,06/27/2018 14:20,Local PPO
MI,All,Henry Ford Health System,HAP Empowered MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9712,1,0,Completed,07/24/2018 15:11,Medicare-Medicaid Plan HMO/HMOPOS
KY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
SC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,140,0,Completed,07/17/2018 11:44,Local PPO
ME,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,143,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,145,0,Completed,07/17/2018 11:44,Local PPO
MA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,159,0,Completed,07/17/2018 11:44,Local PPO
LA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,178,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,183,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,222,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,226,0,Completed,07/17/2018 11:44,Local PPO
LA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,232,0,Completed,07/17/2018 11:44,Local PPO
WA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,237,0,Completed,07/17/2018 11:44,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,240,0,Completed,07/17/2018 11:44,Local PPO
SC,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,245,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,258,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Humana Inc.,HumanaChoice H5525-005 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5525,5,0,Completed,07/24/2018 13:42,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA4 Vantage TRADITIONAL PLUS (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,8,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino Ideal (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,2,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino Progreso (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,17,0,Completed,07/25/2018 9:28,HMO/HMOPOS
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,5,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,6,2,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,26,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Plus Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,32,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-053 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,53,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,Humana Inc.,Humana Gold Plus H5619-078 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,78,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WV,All,Humana Inc.,Humana Gold Plus H5619-113 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,113,0,Completed,07/24/2018 13:42,HMO/HMOPOS
UT,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,1,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Premier Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,4,0,Completed,07/27/2018 13:58,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Focus Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,6,0,Completed,07/27/2018 13:58,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Ventura Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,9,0,Completed,07/27/2018 13:58,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,All,Triple-S Management Corporation,TitÃ¡n (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,29,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Prime PCP Elite (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,12,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Extra Plan (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,10,0,Completed,07/17/2018 17:06,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Value Plan (HMO) (HMO),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,16,0,Completed,07/17/2018 17:06,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,5,Completed,07/24/2018 14:36,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,4,0,Completed,07/25/2018 12:48,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise TotalDual Plan (HMO SNP),Y,N,Y,Y,N,,,0,601,0,301,H5928,9,0,Completed,07/25/2018 12:48,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Complete (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,11,0,Completed,07/09/2018 14:38,Local PPO
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,1,Completed,07/09/2018 14:38,Local PPO
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,14,2,Completed,07/09/2018 14:38,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,1,0,Completed,07/24/2018 13:42,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-016 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,16,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5525-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,22,0,Completed,07/24/2018 13:42,Local PPO
NY,All,HealthNow New York Inc.,BlueShield Forever Blue 770 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,18,0,Completed,07/26/2018 16:02,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA7 Vantage Dual Special Needs Plan (HMO-POS SNP),Y,N,Y,Y,N,,,482,482,241,241,H5576,19,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,8,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Medicare Essentials (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,1,Completed,07/24/2018 19:18,HMO/HMOPOS
AZ,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5590,6,2,Completed,07/24/2018 19:18,HMO/HMOPOS
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,3,0,Completed,06/18/2018 13:49,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Value Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,13,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Gold Rewards Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,1,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Emerald Partial (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,16,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,19,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CO,All,Denver Health and Hospital Authority,Denver Health Medicare Choice (HMO SNP),Y,N,Y,N,N,,,,,0,0,H5608,1,0,Completed,07/20/2018 12:33,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-003 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-012 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-026 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,26,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,1,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,2,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-066 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,66,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-073 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,73,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,Humana Inc.,Humana Gold Plus H5619-079 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,79,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Plus H5619-086 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,86,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus H5619-094 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-097 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,97,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-099 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,99,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-101 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,101,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-104 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,104,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-114 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,114,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-115 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,115,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,9,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MA,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature with Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MI,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NM,All,Anthem Inc.,Amerivantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5746,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Extra (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Elements (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,1,5,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,7,Completed,07/24/2018 14:36,HMO/HMOPOS
KS,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KS,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6550,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,21,2,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Cleveland Clinic Preferred SNP-DE (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,24,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,All,Humana Inc.,Humana Gold Plus H6622-028 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,28,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,2,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,All,"Eon Health Plan, LLC",EON SILVER (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,3,0,Completed,07/24/2018 12:34,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,1,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Bronze (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,6,0,Completed,07/28/2018 12:06,Local PPO
NY,All,Riverspring Health Holding Corp.,RiverSpring MAP (HMO SNP),N,N,N,N,N,,,,,,,H6776,2,0,Completed,06/21/2018 15:57,HMO/HMOPOS
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,3,3,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,1,0,Completed,07/03/2018 11:24,HMO/HMOPOS
KY,All,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,4,0,Completed,07/03/2018 11:24,HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Nursing Home Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,3,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Gold Rx (Willamette) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7006,1,0,Completed,07/28/2018 12:06,Local PPO
TX,All,Memorial Hermann Health System,Memorial Hermann Advantage (HMO),Y,N,Y,Y,N,,,482,482,241,241,H7115,1,0,Completed,07/26/2018 9:38,HMO/HMOPOS
FL,All,Humana Inc.,HumanaChoice Florida H7284-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7284,2,0,Completed,07/24/2018 13:42,Local PPO
MN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Headwaters (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,1,0,Completed,07/26/2018 11:48,Local PPO
MA,All,"Tufts Associated HMO, Inc.",Tufts Health Unify (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H7419,1,0,Completed,07/16/2018 9:33,Medicare-Medicaid Plan HMO/HMOPOS
KS,All,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7621,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H7621,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,5,0,Completed,06/20/2018 12:01,HMO/HMOPOS
SC,All,Humana Inc.,Humana Gold Choice H8145-069 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,69,0,Completed,07/24/2018 13:42,PFFS
MS,All,Humana Inc.,Humana Gold Choice H8145-087 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,87,0,Completed,07/24/2018 13:42,PFFS
MO,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
MI,All,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
AR,All,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
SC,All,Anthem Inc.,AFC Special Care Rx (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8170,2,0,Completed,07/27/2018 13:46,HMO/HMOPOS
WV,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8211,3,0,Completed,07/26/2018 11:48,Local PPO
PR,All,"Constellation Health, LLC.",Apollo @ Home Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,4,0,Completed,07/24/2018 14:28,HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,6,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,13,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,17,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Dual Advantage Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,28,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8552,20,0,Completed,07/23/2018 14:30,Local PPO
MA,All,"Baystate Health, Inc.",Health New England Medicare Premium (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,1,0,Completed,07/23/2018 10:18,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Select (HMO-POS),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,16,0,Completed,07/23/2018 10:18,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,10,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,3,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,4,0,Completed,07/26/2018 11:48,Local PPO
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,8,0,Completed,07/26/2018 11:48,Local PPO
WI,All,UCare Minnesota,EssentiaCare Secure (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,1,0,Completed,07/17/2018 18:16,Local PPO
MN,All,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
MI,All,Humana Inc.,Humana Gold Plus H8908-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
VA,All,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Gold (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,2,0,Completed,07/19/2018 16:43,HMO/HMOPOS
LA,All,Humana Inc.,HumanaChoice R0110-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0110,1,0,Completed,07/24/2018 13:42,Regional PPO
MS,All,Humana Inc.,HumanaChoice R0110-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0110,1,0,Completed,07/24/2018 13:42,Regional PPO
LA,All,Humana Inc.,HumanaChoice R0110-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0110,3,0,Completed,07/24/2018 13:42,Regional PPO
WV,All,Humana Inc.,HumanaChoice R0923-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0923,1,0,Completed,07/24/2018 13:42,Regional PPO
AR,All,Humana Inc.,HumanaChoice R1532-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1532,1,0,Completed,07/24/2018 13:42,Regional PPO
MO,All,Humana Inc.,HumanaChoice R1532-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1532,1,0,Completed,07/24/2018 13:42,Regional PPO
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1548,1,0,Completed,07/26/2018 15:09,Regional PPO
HI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3175,3,0,Completed,07/26/2018 15:09,Regional PPO
AR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Choice (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,11,0,Completed,07/26/2018 11:48,Regional PPO
TX,All,Humana Inc.,HumanaChoice R4182-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4182,1,0,Completed,07/24/2018 13:42,Regional PPO
TX,All,Humana Inc.,HumanaChoice R4182-004 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4182,4,0,Completed,07/24/2018 13:42,Regional PPO
OK,All,Humana Inc.,HumanaChoice R4845-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4845,2,0,Completed,07/24/2018 13:42,Regional PPO
FL,All,Humana Inc.,HumanaChoice R5826-074 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5826,74,0,Completed,07/24/2018 13:42,Regional PPO
OH,All,Aetna Inc.,Aetna Medicare OH Connect Gold (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R6694,3,0,Completed,07/17/2018 11:44,Regional PPO
AZ,All,Humana Inc.,HumanaChoice R7220-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7220,2,0,Completed,07/24/2018 13:42,Regional PPO
CA,All,California Physicians  Service,Blue Shield Rx Enhanced (PDP),Y,N,Y,Y,N,,,0,74,0,37,S2468,4,0,Completed,07/20/2018 14:52,Medicare Prescription Drug Plan
VA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,69,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NJ,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,78,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
PA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,80,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IN,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,86,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,89,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NM,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,90,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,97,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,99,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
VT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,99,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
PA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,103,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MI,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,110,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
OH,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,111,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AR,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,115,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
TX,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,118,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,121,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NE,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,121,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
UT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,127,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WV,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,141,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MO,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,152,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
SD,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,158,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
OR,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,169,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
PA,All,Highmark Health,Blue Rx PDP Plus (PDP),Y,N,Y,Y,N,,,74,74,37,37,S5593,2,0,Completed,07/13/2018 14:00,Medicare Prescription Drug Plan
PA,All,Highmark Health,Blue Rx PDP Complete (PDP),Y,N,Y,Y,N,,,74,74,37,37,S5593,3,0,Completed,07/13/2018 14:00,Medicare Prescription Drug Plan
GA,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,9,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
GA,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,10,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem Blue Cross MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,33,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
ME,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,46,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
RI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,4,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
VT,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,4,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CA,All,Anthem Inc.,Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,601,0,301,H6229,6,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct Healthy State HMO Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,10,0,Completed,07/24/2018 9:02,HMO/HMOPOS
MT,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-008 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,8,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus H6622-019 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,19,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H6622-025 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,25,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-027 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,27,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NV,All,Humana Inc.,Humana Gold Plus SNP-CLD H6622-030 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,30,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-043 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,43,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,50,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Gold Rx (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,4,0,Completed,07/28/2018 12:06,Local PPO
OR,All,ATRIO Health Plans,ATRIO Bronze Rx (Rogue) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,18,3,Completed,07/28/2018 12:06,Local PPO
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,8,0,Completed,07/23/2018 15:56,HMO/HMOPOS
NH,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Gain Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,9,0,Completed,07/23/2018 15:56,HMO/HMOPOS
NY,All,Riverspring Health Holding Corp.,RiverSpring Star (HMO SNP),N,N,N,N,N,,,,,,,H6776,1,0,Completed,06/21/2018 15:57,HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Dual Coverage Care (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,2,0,Completed,07/26/2018 14:21,HMO/HMOPOS
GA,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Select (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,2,0,Completed,07/19/2018 7:40,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,2,Completed,07/19/2018 7:40,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage Core (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,6,0,Completed,07/17/2018 16:12,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,7,0,Completed,07/17/2018 11:44,Local PPO
MN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Lakeshore (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,6,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7445,4,0,Completed,07/26/2018 15:09,HMO/HMOPOS
NE,All,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,8,0,Completed,06/04/2018 14:49,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,9,0,Completed,06/04/2018 14:49,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,12,0,Completed,06/04/2018 14:49,Local PPO
NJ,All,"Clover Health Holdings, Inc.",Clover Health Value (HMO),Y,Y,Y,Y,N,,,0,601,0,301,H8010,3,0,Completed,07/26/2018 14:48,HMO/HMOPOS
IL,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8046,1,0,Completed,07/26/2018 20:47,Medicare-Medicaid Plan HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Basic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8133,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Choice H8145-004 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,4,0,Completed,07/24/2018 13:42,PFFS
FL,All,Humana Inc.,Humana Gold Choice H8145-061 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,61,0,Completed,07/24/2018 13:42,PFFS
MO,All,Humana Inc.,Humana Gold Choice H8145-125 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,125,0,Completed,07/24/2018 13:42,PFFS
PR,All,"Constellation Health, LLC.",Apollo Constellation Health (HMO),Y,Y,Y,Y,N,,,20,331,20,166,H8266,1,0,Completed,07/24/2018 14:28,HMO/HMOPOS
AL,All,Bright Health Management,Bright Advantage Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,3,0,Completed,07/20/2018 15:07,HMO/HMOPOS
TX,All,CIGNA,Cigna-HealthSpring CarePlan (Medicare-Medicaid Plan),Y,Y,Y,Y,N,,,0,482,0,241,H8423,1,0,Completed,07/25/2018 7:53,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,16,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,33,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Value (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8554,1,0,Completed,06/20/2018 12:01,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureChoice - Option II (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8604,11,0,Completed,06/15/2018 12:33,Local PPO
UT,All,Aetna Inc.,Aetna Advantra (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,9,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,19,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,22,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Montage Health,Aspire Health Value (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H8764,3,0,Completed,07/23/2018 13:14,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthySaver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,9,3,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5926,1,0,Completed,07/26/2018 20:37,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield Promise AdvantageOptimum Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H5928,16,0,Completed,07/25/2018 12:48,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,2,Completed,07/09/2018 14:38,Local PPO
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,8,0,Completed,07/09/2018 14:38,Local PPO
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,3,0,Completed,07/30/2018 7:32,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Advantage Solution H6154-001 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct preferredPLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,6,0,Completed,07/24/2018 9:02,HMO/HMOPOS
TX,All,Texas Health Resources,Care N  Care Choice MA-Only (PPO),Y,N,Y,Y,N,,,0,482,0,241,H6328,5,0,Completed,07/16/2018 11:27,Local PPO
IN,All,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,1,0,Completed,07/24/2018 19:18,Local PPO
IN,All,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,4,0,Completed,07/24/2018 19:18,Local PPO
AZ,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6439,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6595,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Plus H6622-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H6622-005 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-014 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,14,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,All,Humana Inc.,Humana Gold Plus H6622-032 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Plus H6622-034 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,34,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-052 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,52,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H6622-057 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NH,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,1,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicaid Advantage Plus (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,4,0,Completed,07/26/2018 14:21,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Select Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,9,3,Completed,07/19/2018 7:40,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7326,2,0,Completed,07/20/2018 11:12,Local PPO
MN,All,"UnitedHealth Group, Inc.",UnitedHealthcare Sync (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7404,4,0,Completed,07/26/2018 11:48,Local PPO
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7464,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
CA,All,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H7621,3,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7680,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
VA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
CO,All,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7853,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
TX,All,"Clover Health Holdings, Inc.",Clover Health Classic (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H8010,8,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MI,All,Aetna Inc.,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,0,0,H8026,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
NY,All,"Elderplan, Inc.",Elderplan FIDA Total Care (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8029,1,0,Completed,07/02/2018 16:20,Medicare-Medicaid Plan HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Dual Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H8133,9,0,Completed,06/20/2018 12:01,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Premium Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,3,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Preferred (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,5,0,Completed,06/11/2018 23:54,HMO/HMOPOS
TX,All,Baylor Scott & White Holdings,SeniorCare Advantage Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H8142,6,0,Completed,06/11/2018 23:54,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Choice H8145-011 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,11,0,Completed,07/24/2018 13:42,PFFS
OR,All,Providence Health & Services,Providence Medicare Extra Part B Only + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,13,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NY,All,VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK,Nascentia Health Institutional (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9066,2,0,Completed,07/31/2018 14:27,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Balance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,2,0,Completed,06/25/2018 12:02,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Prevea360 Medicare Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,7,0,Completed,06/25/2018 12:02,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Prevea360 Medicare Advantage Complete (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,9,0,Completed,06/25/2018 12:02,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Healthy at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H9104,6,0,Completed,07/16/2018 13:40,HMO/HMOPOS
WV,All,"Stonerise Senior Advantage Holdings, LLC",WV Senior Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9153,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,1,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,5,0,Completed,07/25/2018 15:07,HMO/HMOPOS
SC,All,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H9403,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
PA,All,Capital BlueCross,Vibra Health Plan Essential (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,1,0,Completed,07/19/2018 16:39,Local PPO
OR,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,7,0,Completed,07/17/2018 11:44,Local PPO
RI,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,9,0,Completed,07/17/2018 11:44,Local PPO
RI,All,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,10,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Centene Corporation,Michigan Complete Health (Medicare-Medicaid Plan),Y,N,Y,N,N,,,,,,,H9487,1,0,Completed,07/24/2018 19:18,Medicare-Medicaid Plan HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,1,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,1,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,2,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,3,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,4,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,3,Completed,07/19/2018 14:35,Local PPO
NY,All,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
NY,All,"MVP Health Care, Inc.",Gold PPO with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,9,0,Completed,06/27/2018 14:20,Local PPO
AR,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,4,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,3,Completed,07/16/2018 15:07,HMO/HMOPOS
NC,All,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,6,0,Completed,06/25/2018 20:32,Local PPO
MS,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (w/Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,1,0,Completed,06/19/2018 17:16,HMO/HMOPOS
MN,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen MN Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H9834,5,0,Completed,06/19/2018 17:16,HMO/HMOPOS
NY,All,"PHSI, Inc.",PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9869,1,0,Completed,07/23/2018 13:52,Medicare-Medicaid Plan HMO/HMOPOS
VA,All,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Platinum (HMO),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,3,0,Completed,07/19/2018 16:43,HMO/HMOPOS
MS,All,Humana Inc.,HumanaChoice R0110-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0110,3,0,Completed,07/24/2018 13:42,Regional PPO
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Flex (Regional PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,R0802,1,0,Completed,06/18/2018 13:49,Regional PPO
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Flex (Regional PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,R0802,1,0,Completed,06/18/2018 13:49,Regional PPO
MO,All,Humana Inc.,HumanaChoice R1532-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1532,2,0,Completed,07/24/2018 13:42,Regional PPO
GA,All,Humana Inc.,HumanaChoice R3392-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3392,2,0,Completed,07/24/2018 13:42,Regional PPO
AR,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,12,0,Completed,07/26/2018 11:48,Regional PPO
OK,All,Humana Inc.,HumanaChoice R4845-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4845,1,0,Completed,07/24/2018 13:42,Regional PPO
ME,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5329,1,0,Completed,07/26/2018 11:48,Regional PPO
WI,All,Humana Inc.,HumanaChoice R5361-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5361,2,0,Completed,07/24/2018 13:42,Regional PPO
OH,All,Anthem Inc.,Anthem MediBlue Access Core (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5941,13,0,Completed,07/23/2018 14:30,Regional PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Choice (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R6801,11,0,Completed,07/26/2018 11:48,Regional PPO
AL,All,Humana Inc.,HumanaChoice R7315-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7315,1,0,Completed,07/24/2018 13:42,Regional PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Essential (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,4,0,Completed,07/26/2018 11:48,Regional PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,8,0,Completed,07/26/2018 11:48,Regional PPO
RI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,5,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
DE,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,11,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AL,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,25,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MS,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,41,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MN,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,51,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,60,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NY,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,145,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
DE,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,147,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
SC,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,151,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MI,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,155,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WI,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,158,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
HI,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,175,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NJ,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,18,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MO,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,88,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
KS,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,118,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MT,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,123,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AZ,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,138,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
DE,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,214,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ME,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,246,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NH,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,246,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
GA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,255,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,261,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IL,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,262,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
KS,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,269,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AK,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,279,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
VA,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,286,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
IN,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,294,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
KS,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,303,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ND,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,304,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,105,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
SC,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,111,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IN,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,117,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IL,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,119,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MS,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,122,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
UT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,133,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CA,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,134,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IL,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,187,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NE,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,195,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NV,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,199,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
ID,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,216,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
FL,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,227,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
AL,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,228,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TN,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,228,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
TX,All,Anthem Inc.,Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8786,1,0,Completed,07/23/2018 14:30,Medicare-Medicaid Plan HMO/HMOPOS
MI,All,Humana Inc.,Humana Gold Plus H8908-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,All,Fallon Community Health Plan,NaviCare (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,19,0,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,5,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,8,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,6,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,9,Completed,06/22/2018 9:28,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Select Medical (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,35,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Harbor + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,49,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OK,All,Humana Inc.,Humana Value Plus H9070-002 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9070,2,0,Completed,07/24/2018 13:42,Local PPO
OH,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Ruby (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,2,0,Completed,07/26/2018 8:56,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Alpine (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,4,0,Completed,07/24/2018 10:50,HMO/HMOPOS
ID,All,Aetna Inc.,Aetna Medicare Alliance Prime Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,6,0,Completed,07/17/2018 11:44,Local PPO
WI,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,4,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,3,Completed,07/19/2018 14:35,Local PPO
GA,All,"Eon Health Plan, LLC",EON CHOICE (PPO),Y,Y,N,Y,N,,,482,482,241,241,H9589,3,0,Completed,07/24/2018 12:34,Local PPO
VT,All,"MVP Health Care, Inc.",WellSelect with Part D (PPO),Y,Y,Y,Y,N,,,1,482,1,241,H9615,8,0,Completed,06/27/2018 14:20,Local PPO
KY,All,"University Health Care, Inc.",Passport Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H9870,1,0,Completed,07/23/2018 16:42,HMO/HMOPOS
VA,All,Virginia Cwlth University Hlth System Authority,Virginia Premier Advantage Elite (HMO SNP),Y,Y,Y,Y,Y,100,25,0,460,0,230,H9877,1,0,Completed,07/19/2018 16:43,HMO/HMOPOS
OH,All,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,2,0,Completed,07/20/2018 15:07,Local PPO
MN,All,Medica Holding Company,Medica AccessAbility Solution Enhanced (HMO SNP),Y,Y,Y,Y,Y,100,100,200,482,100,241,H9952,1,0,Completed,07/18/2018 10:13,HMO/HMOPOS
LA,All,Humana Inc.,HumanaChoice R0110-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0110,2,0,Completed,07/24/2018 13:42,Regional PPO
PA,All,Humana Inc.,HumanaChoice R0923-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,R0923,1,0,Completed,07/24/2018 13:42,Regional PPO
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3332,1,0,Completed,07/25/2018 8:35,Regional PPO
SC,All,Humana Inc.,HumanaChoice R3392-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3392,1,0,Completed,07/24/2018 13:42,Regional PPO
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Choice (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,11,0,Completed,07/26/2018 11:48,Regional PPO
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice Plan 4 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5342,6,0,Completed,07/26/2018 11:48,Regional PPO
OH,All,Humana Inc.,HumanaChoice R5495-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5495,1,0,Completed,07/24/2018 13:42,Regional PPO
FL,All,Humana Inc.,HumanaChoice R5826-005 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5826,5,0,Completed,07/24/2018 13:42,Regional PPO
TN,All,Humana Inc.,HumanaChoice R7315-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7315,2,0,Completed,07/24/2018 13:42,Regional PPO
SC,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,8,0,Completed,07/26/2018 11:48,Regional PPO
SC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Gold (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,10,0,Completed,07/26/2018 11:48,Regional PPO
SC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Choice (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,11,0,Completed,07/26/2018 11:48,Regional PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,12,0,Completed,07/26/2018 11:48,Regional PPO
AL,All,BlueCross BlueShield of Alabama,BlueRx Enhanced Plus (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S1030,1,0,Completed,07/16/2018 9:33,Medicare Prescription Drug Plan
TN,All,BlueCross BlueShield of Alabama,BlueRx Enhanced (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S1030,10,0,Completed,07/16/2018 9:33,Medicare Prescription Drug Plan
TN,All,Tennessee Rural Health Improvement Association,Farm Bureau Essential Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,5,0,Completed,07/25/2018 17:38,Medicare Prescription Drug Plan
CT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,Y,Y,Y,N,,,37,74,0,0,S2893,1,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
CT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,Y,Y,Y,N,,,37,74,0,0,S2893,3,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
NY,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,2,0,Completed,06/14/2018 9:57,Medicare Prescription Drug Plan
AZ,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,23,0,Completed,06/14/2018 9:57,Medicare Prescription Drug Plan
ME,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,75,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WY,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,89,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MT,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,121,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
OR,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,135,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MT,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
VA,All,Humana Inc.,Humana Gold Choice H8145-091 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,91,0,Completed,07/24/2018 13:42,PFFS
NY,All,Anthem Inc.,Empire MediBlue Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,27,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Visiting Nurse Service of New York,VNSNY CHOICE FIDA Complete (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8490,1,0,Completed,07/19/2018 12:05,Medicare-Medicaid Plan HMO/HMOPOS
NM,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,2,0,Completed,06/20/2018 12:01,Local PPO
UT,All,Aetna Inc.,Aetna Advantra Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8649,8,0,Completed,07/17/2018 11:44,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,18,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,2,0,Completed,07/26/2018 11:48,Local PPO
WI,All,UCare Minnesota,EssentiaCare Grand (PPO),Y,N,Y,Y,N,,,440,440,120,220,H8783,2,0,Completed,07/17/2018 18:16,Local PPO
MI,All,Humana Inc.,Humana Gold Plus SNP-DE H8908-005 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8908,5,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,29,6,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,9,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Plus Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,31,6,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,8,Completed,06/22/2018 9:28,HMO/HMOPOS
OR,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,Dean Advantage Assurance (HMO),Y,N,Y,Y,N,,,250,482,150,241,H9096,1,0,Completed,06/25/2018 12:02,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,21,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,23,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Sound + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,7,0,Completed,07/24/2018 10:50,HMO/HMOPOS
PA,All,Capital BlueCross,Vibra Health Plan Enhanced (PPO),Y,Y,Y,Y,N,,,0,542,0,271,H9408,2,0,Completed,07/19/2018 16:39,Local PPO
ID,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,2,0,Completed,07/17/2018 11:44,Local PPO
NH,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,11,0,Completed,07/17/2018 11:44,Local PPO
NH,All,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,12,0,Completed,07/17/2018 11:44,Local PPO
KS,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
NY,All,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9516,2,0,Completed,07/20/2018 15:07,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,6,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,2,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,4,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,1,Completed,07/19/2018 14:35,Local PPO
GA,All,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9589,1,0,Completed,07/24/2018 12:34,Local PPO
KY,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,4,0,Completed,07/20/2018 11:12,HMO/HMOPOS
KY,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,6,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NC,All,Moses H. Cone Memorial Hospital Corp.,Teal Premier Pro Plus (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,7,0,Completed,06/25/2018 20:32,Local PPO
KY,All,Humana Inc.,HumanaChoice R0865-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0865,3,0,Completed,07/24/2018 13:42,Regional PPO
NC,All,Humana Inc.,HumanaChoice R1390-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1390,2,0,Completed,07/24/2018 13:42,Regional PPO
AR,All,Humana Inc.,HumanaChoice R1532-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1532,2,0,Completed,07/24/2018 13:42,Regional PPO
SC,All,Humana Inc.,HumanaChoice R3392-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3392,2,0,Completed,07/24/2018 13:42,Regional PPO
AR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Silver (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,8,0,Completed,07/26/2018 11:48,Regional PPO
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Gold (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,9,0,Completed,07/26/2018 11:48,Regional PPO
MI,All,Humana Inc.,HumanaChoice R3887-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3887,1,0,Completed,07/24/2018 13:42,Regional PPO
KS,All,Humana Inc.,HumanaChoice R4845-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4845,2,0,Completed,07/24/2018 13:42,Regional PPO
SC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Silver (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,9,0,Completed,07/26/2018 11:48,Regional PPO
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,13,0,Completed,07/26/2018 11:48,Regional PPO
AL,All,Tennessee Rural Health Improvement Association,Farm Bureau Select Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,6,0,Completed,07/25/2018 17:38,Medicare Prescription Drug Plan
PR,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S2874,4,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
RI,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,N,Y,Y,N,,,0,74,0,37,S2893,3,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Silver (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,9,0,Completed,07/26/2018 11:48,Regional PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Choice (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,11,0,Completed,07/26/2018 11:48,Regional PPO
MA,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,N,Y,N,N,,,,,0,0,S2893,1,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
RI,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,N,Y,Y,N,,,0,74,0,37,S2893,1,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
VT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Premier (PDP),Y,N,Y,N,N,,,,,0,0,S2893,3,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
LA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,12,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
TX,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,13,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
SC,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,70,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
RI,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,76,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WV,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,80,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
GA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,82,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
OH,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,85,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MN,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,89,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NE,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,89,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AK,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,96,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
VA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,104,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
SC,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,106,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
FL,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,108,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MO,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,114,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MS,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,116,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
KS,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,120,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AK,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,130,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NH,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,136,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
DC,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,140,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
PA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,141,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NC,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,143,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
SC,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,144,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
FL,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,146,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IN,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,150,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
TX,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,155,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IA,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,158,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NC,All,Blue Cross and Blue Shield of North Carolina,Blue Medicare Rx Enhanced (PDP),Y,N,N,Y,N,,,0,74,0,37,S5540,4,0,Completed,07/26/2018 14:31,Medicare Prescription Drug Plan
KY,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,17,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
MO,All,Anthem Inc.,Blue MedicareRx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,43,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
WI,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,57,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
NH,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,3,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NJ,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,8,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MD,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,10,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
SC,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,18,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
GA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,21,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AL,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,24,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AZ,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,57,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NV,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,59,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OK,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,109,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ND,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,241,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IL,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,1,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
IA,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,63,0,32,S5743,4,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
ME,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,125,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NC,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,131,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AL,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,135,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
KY,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,138,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,148,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OR,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,153,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
CA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,155,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Rx Basic (PDP),Y,Y,Y,Y,N,,,74,74,37,37,S5795,3,0,Completed,07/16/2018 15:07,Medicare Prescription Drug Plan
CT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,36,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AL,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,46,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
KS,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,58,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,59,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MT,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,59,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
CO,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,61,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,64,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
HI,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,67,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
CT,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,276,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,276,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
VT,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,276,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NY,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,277,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
DE,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,279,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OH,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,288,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WI,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,290,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OK,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,300,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,306,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AK,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,309,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,13,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
KS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,23,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,24,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MP,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,36,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
PA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,5,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,30,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NJ,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,62,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,83,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MN,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,83,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NV,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,87,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
KS,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,109,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WY,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,145,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,149,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
DC,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,151,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,176,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Premier Rx (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5904,1,0,Completed,07/25/2018 8:35,Medicare Prescription Drug Plan
UT,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,1,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,18,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CO,All,"Friday Health Plans, Inc.",Friday Health Plans Gold Plan (Cost),Y,N,Y,Y,N,,,0,445,0,222,H0657,9,0,Completed,07/30/2018 13:44,1876 Cost
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,10,0,Completed,07/26/2018 11:48,Local PPO
PA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0710,17,0,Completed,07/26/2018 11:48,Local PPO
OR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0710,36,0,Completed,07/26/2018 11:48,Local PPO
CT,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,5,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NC,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0712,25,0,Completed,07/20/2018 11:11,HMO/HMOPOS
CT,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H0712,28,0,Completed,07/20/2018 11:11,HMO/HMOPOS
OH,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0724,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,"Universal Care, Inc",Brand New Day Classic Choice Medi-Medi Plan (HMO),Y,Y,Y,Y,N,,,150,601,150,301,H0838,33,0,Completed,07/12/2018 18:43,HMO/HMOPOS
OH,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0908,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Medicare Advantage (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H0927,1,0,Completed,07/25/2018 17:17,Medicare-Medicaid Plan HMO/HMOPOS
FL,All,Humana Inc.,CareOne PLUS (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,57,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,91,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,124,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,175,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Champion (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,203,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,FHCP Medicare Premier Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,11,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,29,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-044 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-077A (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H1036-151 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,151,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,156,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-217 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,217,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-226 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,226,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-241 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,241,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-270 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,270,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Choice Broward (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,5,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",Preferred Choice Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,37,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,33,0,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1170,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
NY,All,Personal Touch Holding Corp.,Integra Synergy Plan (HMO SNP),Y,N,Y,N,N,,,,,,,H1205,6,0,Completed,09/11/2018 14:34,HMO/HMOPOS
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD (HMO),Y,N,Y,Y,N,,,241,482,241,241,H1225,1,0,Completed,07/25/2018 13:31,HMO/HMOPOS
HI,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1230,1,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,1,0,Completed,07/20/2018 16:01,Local PPO
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,2,0,Completed,07/20/2018 16:01,Local PPO
NE,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"Devoted Health, Inc.",Devoted Health Prime Greater Tampa Bay (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,9,0,Completed,07/25/2018 11:54,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,2,0,Completed,07/13/2018 13:55,Local PPO
NH,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Select (PPO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1365,1,0,Completed,06/18/2018 13:49,Local PPO
TN,All,Bright Health Management,Bright Advantage Flex Plus (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1393,2,0,Completed,07/20/2018 15:07,Local PPO
MS,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,38,0,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,52,1,Completed,07/20/2018 11:11,HMO/HMOPOS
TN,All,"WellCare Health Plans, Inc.",WellCare Advance (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1416,54,1,Completed,07/20/2018 11:11,HMO/HMOPOS
SC,All,Centene Corporation,Allwell Dual Medicare Essentials (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1436,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IL,All,The Carle Foundation,Health Alliance Medicare HMO 40 Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,10,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IN,All,The Carle Foundation,Reid Health Alliance Medicare HMO Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1463,13,0,Completed,06/26/2018 17:06,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,All,Humana Inc.,Humana Gold Plus H1468-016 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,16,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IL,All,Humana Inc.,Humana Community HMO Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1468,17,0,Completed,07/24/2018 13:42,HMO/HMOPOS
SD,All,Aetna Inc.,Coventry Advantra Platinum (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,1,0,Completed,07/17/2018 11:44,Local PPO
WV,All,Aetna Inc.,AdvantraOne (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1608,31,0,Completed,07/17/2018 11:44,Local PPO
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,18,0,Completed,07/17/2018 11:44,HMO/HMOPOS
FL,All,Aetna Inc.,Coventry Medicare Summit Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1609,20,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Aetna Inc.,"Aetna Better Health, Inc. (HMO SNP)",Y,Y,Y,Y,Y,100,0,0,482,0,241,H1610,1,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IL,All,"Medical Associates Clinic, P.C.",Medical Associates SmartPlan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,3,0,Completed,06/15/2018 10:34,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",Medical Associates Freedom Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,8,0,Completed,06/15/2018 10:34,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",Cedar Valley Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,10,0,Completed,06/15/2018 10:34,1876 Cost
IA,All,"Medical Associates Clinic, P.C.",Central Iowa Health Senior Plan (Cost),Y,N,Y,Y,Y,100,0,200,482,0,241,H1651,11,0,Completed,06/15/2018 10:34,1876 Cost
VA,All,Piedmont Community Health Plan,Piedmont Select Medicare Option Two (PPO),Y,N,Y,Y,N,,,482,482,241,241,H1659,2,0,Completed,06/04/2018 9:28,Local PPO
ME,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,15,0,Completed,07/23/2018 15:54,HMO/HMOPOS
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Value Rx Plus (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1660,17,2,Completed,07/23/2018 15:54,HMO/HMOPOS
TX,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H1666,4,0,Completed,06/20/2018 12:01,Local PPO
WV,All,Aetna Inc.,Advantra Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1692,3,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"Independent Living Systems, LLC",Health Pointe Direct Complete Plan (HMO SNP),Y,N,Y,N,N,,,,,0,0,H1722,1,0,Completed,08/16/2018 12:20,HMO/HMOPOS
PA,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,542,0,271,H1924,1,0,Completed,07/30/2018 8:53,MSA
TX,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
UT,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,1,0,Completed,07/30/2018 8:53,MSA
KS,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,2,0,Completed,07/30/2018 8:53,MSA
IN,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
MS,All,"Port Holdings, Inc.",Lasso Healthcare (MSA),Y,N,N,Y,Y,100,0,0,482,0,241,H1924,3,0,Completed,07/30/2018 8:53,MSA
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
RI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 3 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1944,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H1944,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,44,0,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,2,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,Humana Inc.,Humana Gold Plus H1951-049 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1951,49,3,Completed,07/24/2018 13:42,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Choices 65 #14 (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,14,2,Completed,07/20/2018 13:57,HMO/HMOPOS
LA,All,"PH Holdings, LLC",Peoples Health Choices Gold (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H1961,17,0,Completed,07/20/2018 13:57,HMO/HMOPOS
MI,All,"DLP Marquette General Hospital, LLC",Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H1977,1,0,Completed,07/25/2018 7:38,Medicare-Medicaid Plan HMO/HMOPOS
ME,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice Plan 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2001,1,0,Completed,07/26/2018 11:48,Local PPO
TN,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2011,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
PR,All,Humana Inc.,HumanaChoice Value H2029-001 (PPO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H2029,1,0,Completed,07/24/2018 13:42,Local PPO
DC,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
DE,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,28,0,Completed,07/25/2018 7:53,HMO/HMOPOS
DC,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring Achieve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,29,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,CIGNA,Cigna-HealthSpring PreventiveCare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2108,32,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,2,0,Completed,07/25/2018 13:04,1876 Cost
VA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,22,0,Completed,07/25/2018 13:04,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,29,0,Completed,07/25/2018 13:04,1876 Cost
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Plus Basic w/o D (B) (Cost),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2150,30,0,Completed,07/25/2018 13:04,1876 Cost
TX,All,Texas Health Resources,Care N  Care Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H2171,1,0,Completed,07/16/2018 11:27,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage High MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,2,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Standard MD (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,4,0,Completed,07/25/2018 13:04,HMO/HMOPOS
MD,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2172,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
DE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,10,0,Completed,07/26/2018 11:48,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,13,0,Completed,07/26/2018 11:48,Local PPO
OR,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,29,0,Completed,07/26/2018 11:48,Local PPO
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,47,0,Completed,07/26/2018 11:48,Local PPO
KS,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2228,71,0,Completed,07/26/2018 11:48,Local PPO
MA,All,"Blue Cross and Blue Shield of Massachusetts, Inc.",Medicare PPO Blue PlusRx (PPO),Y,N,Y,N,N,,,,,0,0,H2230,2,0,Completed,07/24/2018 12:03,Local PPO
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime Rx Plus (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,1,1,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Prime No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,16,2,Completed,07/16/2018 9:33,HMO/HMOPOS
MA,All,"Tufts Associated HMO, Inc.",Tufts Medicare Preferred HMO Value No Rx (HMO),Y,Y,Y,Y,Y,100,100,200,482,150,241,H2256,40,0,Completed,07/16/2018 9:33,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 1 (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2292,2,0,Completed,07/26/2018 11:48,Local PPO
MI,All,Spectrum Health System,PriorityMedicare Value (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,21,0,Completed,07/26/2018 15:53,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Key (HMO-POS),Y,N,N,Y,N,,,420,482,190,241,H2320,22,3,Completed,07/26/2018 15:53,HMO/HMOPOS
SC,All,"Eon Health Plan, LLC",EON GOLD (PPO SNP),Y,Y,N,Y,N,,,482,482,241,241,H2334,1,0,Completed,07/24/2018 12:34,Local PPO
MI,All,Henry Ford Health System,HAP Senior Plus (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H2354,15,0,Completed,07/19/2018 14:09,HMO/HMOPOS
MI,All,Henry Ford Health System,HAP Empowered Duals (HMO SNP),Y,Y,Y,N,N,,,,,0,0,H2354,25,0,Completed,07/19/2018 14:09,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,12,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,15,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2406,19,0,Completed,07/26/2018 11:48,Local PPO
MN,All,South Country Health Alliance,SeniorCare Complete (HMO SNP),N,N,N,N,N,,,,,,,H2419,1,0,Completed,07/23/2018 14:22,HMO/HMOPOS
MN,All,"HealthPartners, Inc.",HealthPartners Minnesota Senior Health Options (HMO SNP),N,N,N,N,N,,,,,,,H2422,2,0,Completed,06/28/2018 12:59,HMO/HMOPOS
ND,All,Medica Holding Company,Medica Prime Solution Thrift w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,7,0,Completed,07/18/2018 10:13,1876 Cost
MN,All,Medica Holding Company,Medica Prime Solution Value w/Rx (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,22,0,Completed,07/18/2018 10:13,1876 Cost
IA,All,Medica Holding Company,Medica Prime Solution Premier (Cost),Y,Y,Y,Y,Y,100,100,200,482,100,241,H2450,42,0,Completed,07/18/2018 10:13,1876 Cost
LA,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2491,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
VA,All,Sentara Health Care (SHC),Optima Community Complete (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H2563,4,0,Completed,07/30/2018 13:14,HMO/HMOPOS
AZ,All,Anthem Inc.,Amerivantage CareMore Care Access (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,20,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,1,Completed,07/23/2018 14:30,HMO/HMOPOS
TX,All,Anthem Inc.,Amerivantage Dual Coordination (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2593,30,3,Completed,07/23/2018 14:30,HMO/HMOPOS
MO,All,Essence Group Holdings Corporation,Essence Advantage (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,5,0,Completed,07/19/2018 12:41,HMO/HMOPOS
IL,All,Essence Group Holdings Corporation,Essence Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,200,482,100,241,H2610,6,0,Completed,07/19/2018 12:41,HMO/HMOPOS
MO,All,Aetna Inc.,Advantage Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,23,0,Completed,07/17/2018 11:44,HMO/HMOPOS
MO,All,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
OK,All,Aetna Inc.,Select Advantage (no drug) (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,25,0,Completed,07/17/2018 11:44,HMO/HMOPOS
AR,All,Aetna Inc.,Advantra Total Care (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,29,0,Completed,07/17/2018 11:44,HMO/HMOPOS
IL,All,Aetna Inc.,Gold Advantage Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2663,32,0,Completed,07/17/2018 11:44,HMO/HMOPOS
TX,All,Imperial Health Plan of California,Imperial Insurance Company of Texas Dual (HMO SNP) (HMO SNP),Y,Y,Y,Y,N,,,482,482,20,20,H2793,4,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NE,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,20,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2802,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 200 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,33,3,Completed,07/20/2018 11:11,PFFS
ME,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,35,2,Completed,07/20/2018 11:11,PFFS
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Premier 300 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2816,36,1,Completed,07/20/2018 11:11,PFFS
PA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H2915,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
MO,All,Humana Inc.,Humana Gold Choice H2944-013 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,13,0,Completed,07/24/2018 13:42,PFFS
IN,All,Humana Inc.,Humana Gold Choice H2944-124 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H2944,124,0,Completed,07/24/2018 13:42,PFFS
NV,All,Renown Health,Senior Care Plus: Value Rx Select (HMO),Y,N,Y,N,Y,100,100,,,,,H2960,18,0,Completed,07/24/2018 17:58,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,29,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Advantage (HMO),Y,Y,Y,Y,Y,100,100,175,601,75,301,H3154,30,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NE,All,Blue Cross Blue Shield of Nebraska,Blue Cross Blue Shield Nebraska MA Core (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H3170,1,0,Completed,07/20/2018 12:28,HMO/HMOPOS
NM,All,Presbyterian Healthcare Services,Presbyterian Senior Care Plan 1 (HMO),Y,Y,Y,Y,Y,100,100,218,482,109,241,H3204,8,0,Completed,07/20/2018 13:16,HMO/HMOPOS
MN,All,ALLINA HEALTH AND AETNA INSURANCE COMPANY,Allina Health | Aetna Medicare Discover Elite (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3219,4,0,Completed,07/17/2018 13:06,Local PPO
CT,All,"EmblemHealth, Inc.",ConnectiCare Passage Dual (HMO SNP),Y,N,Y,Y,N,,,492,542,246,271,H3276,1,0,Completed,07/17/2018 15:36,HMO/HMOPOS
NY,All,"MVP Health Care, Inc.",Preferred Gold without Part D (HMO-POS),Y,Y,Y,Y,N,,,1,482,1,241,H3305,20,0,Completed,06/27/2018 14:12,HMO/HMOPOS
NY,All,Aetna Inc.,Aetna Medicare Value Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3312,18,0,Completed,07/17/2018 11:44,HMO/HMOPOS
NY,All,"The New York State Catholic Health Plan, Inc.",Fidelis Medicare $0 Premium (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3328,21,0,Completed,07/27/2018 16:16,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Rx Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,39,2,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"EmblemHealth, Inc.",EmblemHealth VIP Part B Saver (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H3330,40,0,Completed,07/20/2018 13:43,HMO/HMOPOS
NY,All,"Lifetime Healthcare, Inc.",Univera SeniorChoice Value Plus (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H3351,12,0,Completed,06/26/2018 15:07,HMO/HMOPOS
NY,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan 2 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3379,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"HealthPartners UnityPoint Health, Inc.",HealthPartners UnityPoint Health Symmetry (PPO),Y,N,Y,Y,N,,,482,482,241,241,H3416,2,3,Completed,07/06/2018 10:44,Local PPO
IN,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,21,0,Completed,07/23/2018 14:30,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3447,22,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Humana Inc.,Humana Gold Plus H3533-013 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3533,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Aultman Health Foundation,PrimeTime Health Plan Aultimate (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H3664,21,0,Completed,07/13/2018 14:08,HMO/HMOPOS
OH,All,Trinity Health,MediGold Classic Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3668,18,1,Completed,07/12/2018 15:19,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare - Option IV (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,18,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,All,Health Plan of West Virginia,The Health Plan SecureCare SNP (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,19,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OH,All,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,All,Health Plan of West Virginia,The Health Plan SecureCare - Option II (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,20,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,All,Health Plan of West Virginia,The Health Plan SecureCare Capitol Plan (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,23,0,Completed,06/15/2018 12:28,HMO/HMOPOS
WV,All,Health Plan of West Virginia,"The Health Plan SecureCare Capitol Plan, MA Only (HMO)",Y,N,Y,Y,Y,100,0,0,482,0,241,H3672,24,0,Completed,06/15/2018 12:28,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3749,17,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OK,All,"CommunityCare Managed Healthcare Plans of OK, Inc.",Senior Health Plan Silver Plus (HMO),Y,N,Y,N,N,,,,,,,H3755,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete LP1 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3794,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3805,21,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OR,All,"AllCare Health, Inc.",AllCare Advantage Gold Plus Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H3810,3,0,Completed,07/19/2018 0:49,HMO/HMOPOS
OR,All,Samaritan Health Services,Samaritan Advantage Premier Plan (HMO),Y,Y,N,Y,Y,50,50,480,480,240,240,H3811,2,0,Completed,06/29/2018 15:38,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Special Needs Plan (HMO SNP),Y,N,Y,Y,N,,,482,482,241,241,H3814,7,0,Completed,07/28/2018 12:06,HMO/HMOPOS
HI,All,Hawaii Medical Service Association,HMSA Akamai Advantage Dual Care (PPO SNP),Y,N,N,Y,N,,,482,482,241,241,H3832,11,0,Completed,07/16/2018 15:11,Local PPO
MT,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 29 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,29,0,Completed,07/06/2018 16:48,HMO/HMOPOS
WA,All,PacificSource Health Plans,PacificSource Medicare MyCare Rx 33 (HMO),Y,N,N,Y,N,,,482,482,241,241,H3864,33,0,Completed,07/06/2018 16:48,HMO/HMOPOS
MD,All,Johns Hopkins Healthcare LLC,Johns Hopkins Advantage MD Plus (PPO),Y,N,Y,Y,N,,,241,482,241,241,H3890,2,0,Completed,07/25/2018 13:34,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Classic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,2,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Freedom Blue PPO Basic (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,12,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Freedom Blue PPO ValueRx (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,18,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Highmark Health,Community Blue Medicare Plus PPO Distinct (PPO),Y,N,Y,Y,N,,,542,542,271,271,H3916,36,0,Completed,07/13/2018 14:00,Local PPO
PA,All,Geisinger Health System,Geisinger Gold Preferred Complete Rx (PPO),Y,Y,Y,Y,N,,,542,542,23,271,H3924,60,16,Completed,07/27/2018 9:47,Local PPO
PA,All,Aetna Inc.,Aetna Medicare Basic Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3931,55,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,101,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Aetna Inc.,Aetna Medicare UVA Health System Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H3931,124,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,CIGNA,Cigna-HealthSpring Alliance (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3949,31,0,Completed,07/25/2018 7:53,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Select Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,51,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,"Independence Health Group, Inc.",Keystone 65 Basic Rx (HMO),Y,Y,Y,Y,Y,100,100,0,542,0,271,H3952,55,0,Completed,07/16/2018 13:15,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,11,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,15,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,156,17,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,14,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Advantage Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,157,16,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,15,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,39,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Capital BlueCross,BlueJourney Alliance Assisted Care (HMO SNP),Y,Y,Y,Y,N,,,0,542,0,271,H3962,20,0,Completed,07/19/2018 16:39,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Extra (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,44,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Valor Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4003,47,0,Completed,07/27/2018 11:51,HMO/HMOPOS
OH,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,10,2,Completed,07/23/2018 14:30,Local PPO
WI,All,Anthem Inc.,Anthem MediBlue Access Core (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4036,16,0,Completed,07/23/2018 14:30,Local PPO
MD,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4094,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
FL,All,"DOCTORS HEALTHCARE PLANS, INC.",DrMax (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H4140,1,0,Completed,07/25/2018 17:00,HMO/HMOPOS
TN,All,"Missouri Healthcare Advisors, LLC",NHC Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,1,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Select (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4497,1,1,Completed,06/06/2018 14:14,Local PPO
TX,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,9,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TN,All,CIGNA,Cigna-HealthSpring Preferred KNX (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,37,0,Completed,07/25/2018 7:53,HMO/HMOPOS
AL,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,45,0,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,24,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MO,All,Humana Inc.,Humana Gold Plus H4623-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4623,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,PacificSource Health Plans,PacificSource Medicare Explorer Rx 9 (PPO),Y,N,N,Y,N,,,482,482,241,241,H4754,9,0,Completed,07/06/2018 16:48,Local PPO
NY,All,"WellCare Health Plans, Inc.",WellCare Today s Options Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,1,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,5,3,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,6,3,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,11,1,Completed,07/20/2018 11:11,HMO/HMOPOS
MI,All,Spectrum Health System,PriorityMedicare Select (PPO),Y,N,N,Y,N,,,420,482,190,241,H4875,17,1,Completed,07/26/2018 15:53,Local PPO
MN,All,"HealthPartners, Inc.",HealthPartners Journey Steady (PPO),Y,N,Y,Y,N,,,482,482,241,241,H4882,3,0,Completed,06/28/2018 12:59,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York CareWell (HMO SNP),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,4,0,Completed,07/27/2018 16:18,HMO/HMOPOS
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,13,0,Completed,07/26/2018 13:57,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,2,0,Completed,07/26/2018 15:09,HMO/HMOPOS
LA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,10,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Classic (PPO),Y,Y,N,Y,Y,100,100,482,482,241,241,H5009,2,0,Completed,07/13/2018 13:55,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Vital (HMO),Y,N,Y,Y,N,,,482,482,241,241,H5050,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Columbia (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,19,0,Completed,07/25/2018 13:04,HMO/HMOPOS
LA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,"Clover Health Holdings, Inc.",Clover Health Choice (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,25,0,Completed,07/26/2018 14:48,Local PPO
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5190,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network PlatinumPlus (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,1,0,Completed,06/27/2018 15:22,Local PPO
WI,All,"Network Health, Inc.",NetworkCares (PPO SNP),Y,N,Y,Y,N,,,150,482,150,241,H5215,7,0,Completed,06/27/2018 15:22,Local PPO
FL,All,"Athena Healthcare Holdings, LLC",SOLIS SPF 008 (HMO),Y,N,Y,Y,N,,,482,482,241,241,H0982,8,0,Completed,07/20/2018 18:11,HMO/HMOPOS
FL,All,"AvMed, Inc.",AvMed Medicare Choice (HMO),Y,N,Y,Y,Y,100,100,0,482,0,241,H1016,21,0,Completed,07/27/2018 9:10,HMO/HMOPOS
FL,All,Humana Inc.,CareNeeds (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,77,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,CareFree (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1019,94,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Select (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,61,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,73,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,91,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,170,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,176,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,190,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,192,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,198,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,205,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Dividend Prime (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,209,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,211,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Elite (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,213,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,"WellCare Health Plans, Inc.",WellCare Reserve (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1032,217,0,Completed,07/20/2018 11:11,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1035,19,0,Completed,07/25/2018 8:35,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-056 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,56,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-081D (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,81,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-140 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,140,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,160,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus - Diabetes (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,175,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-215 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,215,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-222 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,222,0,Completed,07/24/2018 13:42,HMO/HMOPOS
MS,All,Humana Inc.,Humana Gold Plus H1036-223 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,223,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus H1036-230 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,230,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,236,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Gold Plus SNP-DE H1036-247 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,247,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,Humana Inc.,Humana Value Plus H1036-264 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1036,264,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,34,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,43,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1045,45,0,Completed,07/26/2018 11:48,HMO/HMOPOS
FL,All,"Health First, Inc.",Health First Value Plan (HMO),Y,N,Y,Y,Y,95,75,482,482,20,241,H1099,6,0,Completed,07/18/2018 14:47,HMO/HMOPOS
VA,All,"Innovation Health Holdings, LLC",Innovation Health Medicare Voyager Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1100,1,0,Completed,07/24/2018 18:39,Local PPO
GA,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,1,Completed,07/20/2018 11:11,HMO/HMOPOS
GA,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1112,36,3,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1248,5,0,Completed,07/20/2018 16:01,Local PPO
NE,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,1,0,Completed,07/26/2018 11:48,Local PPO
IA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,2,0,Completed,07/26/2018 11:48,Local PPO
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1278,3,0,Completed,07/26/2018 11:48,Local PPO
FL,All,"Devoted Health, Inc.",Devoted Health Prime Miami-Dade (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,6,0,Completed,07/25/2018 11:54,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Prime Broward (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,7,0,Completed,07/25/2018 11:54,HMO/HMOPOS
FL,All,"Devoted Health, Inc.",Devoted Health Prime Palm Beach (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H1290,8,0,Completed,07/25/2018 11:54,HMO/HMOPOS
ID,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H1304,10,0,Completed,07/13/2018 13:55,Local PPO
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,1,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option I (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,15,2,Completed,07/26/2018 16:43,HMO/HMOPOS
ID,All,"Blue Cross of Idaho Health Services, Inc.",True Blue Rx Option II (HMO),Y,N,N,Y,Y,100,100,482,482,241,241,H1350,16,1,Completed,07/26/2018 16:43,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,11,Completed,07/27/2018 9:47,HMO/HMOPOS
NC,All,Humana Inc.,HumanaChoice H5216-017 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,17,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,24,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-025 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,25,0,Completed,07/24/2018 13:42,Local PPO
TX,All,Humana Inc.,HumanaChoice H5216-043 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,43,1,Completed,07/24/2018 13:42,Local PPO
OR,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-054 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,54,0,Completed,07/24/2018 13:42,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-066 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,66,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-071 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,71,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-073 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,73,0,Completed,07/24/2018 13:42,Local PPO
NM,All,Humana Inc.,HumanaChoice H5216-077 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,77,0,Completed,07/24/2018 13:42,Local PPO
NE,All,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
AL,All,Humana Inc.,HumanaChoice H5216-096 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,96,0,Completed,07/24/2018 13:42,Local PPO
TN,All,Humana Inc.,HumanaChoice H5216-097 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,97,0,Completed,07/24/2018 13:42,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-104 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,104,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-150 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,150,0,Completed,07/24/2018 13:42,Local PPO
MS,All,Humana Inc.,HumanaChoice H5216-159 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,159,0,Completed,07/24/2018 13:42,Local PPO
ND,All,Humana Inc.,Humana Value Plus H5216-171 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,171,0,Completed,07/24/2018 13:42,Local PPO
ME,All,Humana Inc.,HumanaChoice H5216-175 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,175,0,Completed,07/24/2018 13:42,Local PPO
MI,All,Humana Inc.,HumanaChoice H5216-178 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,178,2,Completed,07/24/2018 13:42,Local PPO
TN,All,Humana Inc.,Humana Value Plus H5216-180 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,180,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
NM,All,Humana Inc.,Humana Value Plus H5216-199 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,199,0,Completed,07/24/2018 13:42,Local PPO
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,30,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,35,0,Completed,07/26/2018 11:48,HMO/HMOPOS
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,36,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,50,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TN,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,81,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,100,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IA,All,University of Wisconsin Hospitals and Clincs Autho,Gundersen Senior Preferred Value (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,4,0,Completed,06/19/2018 17:16,HMO/HMOPOS
WI,All,University of Wisconsin Hospitals and Clincs Autho,ProHealth Senior Preferred Elite (no Rx) (HMO),Y,N,Y,N,N,,,,,,,H5262,13,0,Completed,06/19/2018 17:16,HMO/HMOPOS
CT,All,"Tufts Associated HMO, Inc.",CareAdvantage Preferred (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,1,0,Completed,07/03/2018 8:46,HMO/HMOPOS
CT,All,"Tufts Associated HMO, Inc.",CareAdvantage Prime (HMO),Y,Y,Y,Y,N,,,542,542,271,271,H5273,2,0,Completed,07/03/2018 8:46,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,2,4,Completed,07/24/2018 19:18,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5294,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
FL,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,28,0,Completed,07/26/2018 15:09,HMO/HMOPOS
KS,All,Aetna Inc.,Medicare Dual Preferred Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5325,2,0,Completed,07/17/2018 11:44,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5377-001 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5377,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Sharp Healthcare,Sharp Direct Advantage Platinum Card (HMO),Y,Y,N,Y,Y,100,0,0,601,0,301,H5386,4,0,Completed,07/27/2018 14:15,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,8,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,Heart First (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,28,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Connections at Home (HMO SNP),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,29,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,52,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,Scripps Heart First offered by SCAN Health Plan (HMO SNP),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,55,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic II (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,61,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom VIP Care (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,70,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Platinum Plan Rx (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,94,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KS,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
PA,All,Geisinger Health System,Geisinger Gold Classic Complete Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,158,12,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,13,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,16,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Geisinger Health System,Geisinger Gold Classic Essential Rx (HMO),Y,Y,Y,Y,N,,,542,542,23,271,H3954,159,18,Completed,07/27/2018 9:47,HMO/HMOPOS
PA,All,Highmark Health,Security Blue HMO-POS ValueRx (HMO-POS),Y,N,Y,Y,N,,,542,542,271,271,H3957,31,0,Completed,07/13/2018 14:00,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,11,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PA,All,Aetna Inc.,Advantra Butler Prime (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H3959,47,0,Completed,07/17/2018 11:44,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Elite (HMO-POS),Y,Y,Y,Y,N,,,331,331,166,166,H4003,34,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,InnovaCare Inc.,PMC Premier Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,48,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,InnovaCare Inc.,MMM Relax Platino (HMO SNP),Y,Y,Y,Y,N,,,331,331,166,166,H4004,61,0,Completed,07/27/2018 11:51,HMO/HMOPOS
PR,All,Humana Inc.,Humana Gold Plus SNP-DE H4007-018 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H4007,18,0,Completed,07/24/2018 13:42,HMO/HMOPOS
FL,All,"DOCTORS HEALTHCARE PLANS, INC.",DrExtra (HMO-POS SNP),Y,Y,Y,Y,N,,,0,482,0,241,H4140,4,0,Completed,07/25/2018 17:00,HMO/HMOPOS
RI,All,Blue Cross & Blue Shield of Rhode Island,BlueCHiP for Medicare Value (HMO-POS),Y,N,Y,Y,N,,,0,482,0,241,H4152,19,2,Completed,07/13/2018 13:32,HMO/HMOPOS
MO,All,"Missouri Healthcare Advisors, LLC",NHC Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H4172,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OK,All,St Francis Health System & St John Health System,Advantage Choice Plus (HMO),Y,N,Y,N,N,,,,,,,H4198,5,0,Completed,07/23/2018 18:19,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Advantage MA (PFFS),Y,Y,Y,Y,N,,,472,472,236,236,H4213,16,4,Completed,07/16/2018 15:07,PFFS
PA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan I-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H4236,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
NV,All,Anthem Inc.,Anthem Connect Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,11,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CO,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4346,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
WI,All,"Marshfield Clinic Health System, Inc.",Secure Saver (MSA),Y,Y,Y,Y,N,,,264,482,132,241,H4388,1,0,Completed,07/27/2018 16:50,MSA
TN,All,Humana Inc.,Humana Gold Plus SNP-DE H4461-022 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,22,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TN,All,Humana Inc.,Humana Gold Plus H4461-030 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4461,30,2,Completed,07/24/2018 13:42,HMO/HMOPOS
MO,All,"MO Select, LLC",Missouri Medicare Select (HMO SNP),Y,N,Y,N,N,,,,,,,H4490,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4506,3,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AL,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4513,46,2,Completed,07/25/2018 7:53,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4514,7,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Focus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete Focus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4527,15,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,41,0,Completed,07/26/2018 11:48,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4590,42,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,12,0,Completed,07/26/2018 11:48,HMO/HMOPOS
ID,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4604,13,0,Completed,07/26/2018 11:48,HMO/HMOPOS
UT,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,1,0,Completed,07/13/2018 13:55,Local PPO
UT,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Enhanced (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,4,0,Completed,07/13/2018 13:55,Local PPO
UT,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage + Rx Primary (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H4605,7,0,Completed,07/13/2018 13:55,Local PPO
NY,All,"WellCare Health Plans, Inc.",WellCare Liberty (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Rx (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,6,4,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,7,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,8,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,10,0,Completed,07/20/2018 11:11,HMO/HMOPOS
NY,All,"WellCare Health Plans, Inc.",WellCare Value (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4868,13,0,Completed,07/20/2018 11:11,HMO/HMOPOS
MO,All,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H4909,16,0,Completed,07/23/2018 14:30,Local PPO
NY,All,"ParkerCare New York, LLC",AgeWell New York LiveWell (HMO),Y,N,Y,Y,Y,100,0,100,482,0,241,H4922,11,0,Completed,07/27/2018 16:18,HMO/HMOPOS
AZ,All,Banner Health,Banner - University Care Advantage (HMO SNP),Y,N,Y,Y,Y,100,0,0,482,0,241,H4931,8,0,Completed,07/26/2018 13:57,HMO/HMOPOS
WA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5008,1,0,Completed,07/26/2018 15:09,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence MedAdvantage Basic (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5009,1,0,Completed,07/13/2018 13:55,Local PPO
WA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Medicare Advantage Harbor (HMO),Y,N,Y,Y,N,,,420,420,210,210,H5050,17,0,Completed,07/25/2018 13:04,HMO/HMOPOS
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
VT,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Rx (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,24,0,Completed,07/26/2018 11:48,PFFS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,70,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Level (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,80,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,91,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Care (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,92,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,98,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,99,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Extra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,1,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,5,0,Completed,07/25/2018 16:54,HMO/HMOPOS
IN,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,19,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,All,Imperial Health Plan of California,Imperial Traditional Plus (HMO) (HMO),Y,Y,Y,Y,N,,,601,601,25,25,H5496,9,0,Completed,06/08/2018 19:20,HMO/HMOPOS
NV,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,55,0,Completed,07/17/2018 11:44,Local PPO
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,56,0,Completed,07/17/2018 11:44,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,88,0,Completed,07/17/2018 11:44,Local PPO
IN,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,99,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,146,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,147,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,149,0,Completed,07/17/2018 11:44,Local PPO
KY,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,156,0,Completed,07/17/2018 11:44,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,185,0,Completed,07/17/2018 11:44,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,200,0,Completed,07/17/2018 11:44,Local PPO
NV,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,201,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Plus Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,202,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,204,0,Completed,07/17/2018 11:44,Local PPO
CO,All,Aetna Inc.,Aetna Medicare Prime Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,207,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,212,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,213,0,Completed,07/17/2018 11:44,Local PPO
MI,All,Aetna Inc.,Aetna Medicare Standard Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,217,0,Completed,07/17/2018 11:44,Local PPO
MA,All,Aetna Inc.,Aetna Medicare Freedom Complete (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,225,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Basics Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,229,0,Completed,07/17/2018 11:44,Local PPO
SC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,251,0,Completed,07/17/2018 11:44,Local PPO
DE,All,Aetna Inc.,Aetna Medicare Silver (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,262,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,2,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,14,0,Completed,07/17/2018 11:44,Local PPO
LA,All,Humana Inc.,HumanaChoice H5525-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,15,0,Completed,07/24/2018 13:42,Local PPO
AL,All,Humana Inc.,HumanaChoice H5525-020 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,20,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5525-024 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,24,0,Completed,07/24/2018 13:42,Local PPO
NC,All,Humana Inc.,HumanaChoice H5525-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,33,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,Humana Value Plus H5525-041 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,41,0,Completed,07/24/2018 13:42,Local PPO
PA,All,UPMC Health System,UPMC for Life PPO High Deductible with Rx (PPO),Y,N,N,Y,N,,,443,542,222,271,H5533,3,0,Completed,07/25/2018 8:08,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA8 Vantage BASIC (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,20,2,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Activo (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,31,0,Completed,07/25/2018 9:28,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare Platino OTC (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,36,0,Completed,07/25/2018 9:28,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Platinum Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5594,2,0,Completed,07/27/2018 13:42,HMO/HMOPOS
CO,All,Denver Health and Hospital Authority,Denver Health Medicare Select (HMO),Y,N,Y,N,N,,,,,0,0,H5608,2,0,Completed,07/20/2018 12:33,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-015 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-029 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,29,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KY,All,Humana Inc.,Humana Gold Plus - Diabetes and Heart (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-076 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,76,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,All,Humana Inc.,Humana Value Plus H5619-109 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,109,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ID,All,"Molina Healthcare, Inc.,",Molina Medicare Options (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,10,0,Completed,07/26/2018 20:21,HMO/HMOPOS
CA,All,"WellCare Health Plans, Inc.",Easy Choice Plus Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5087,17,0,Completed,07/20/2018 11:11,HMO/HMOPOS
LA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5117,1,0,Completed,07/24/2018 19:18,HMO/HMOPOS
TN,All,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H5141,34,0,Completed,07/26/2018 14:48,Local PPO
NJ,All,"Clover Health Holdings, Inc.",Clover Health Choice Value (PPO),Y,Y,Y,Y,N,,,0,601,0,301,H5141,42,0,Completed,07/26/2018 14:48,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,5,0,Completed,07/20/2018 11:11,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,7,0,Completed,07/20/2018 11:11,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,10,0,Completed,07/20/2018 11:11,Local PPO
FL,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5199,12,0,Completed,07/20/2018 11:11,Local PPO
WI,All,"Network Health, Inc.",Network Health Medicare Anywhere (PPO),Y,N,Y,Y,N,,,150,482,150,241,H5215,10,0,Completed,06/27/2018 15:22,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-014 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,14,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,23,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-026 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,26,0,Completed,07/24/2018 13:42,Local PPO
IL,All,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-032 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,32,0,Completed,07/24/2018 13:42,Local PPO
KS,All,Humana Inc.,HumanaChoice H5216-033 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,33,6,Completed,07/24/2018 13:42,Local PPO
UT,All,Humana Inc.,HumanaChoice H5216-046 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,46,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-053 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,53,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-061 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,61,0,Completed,07/24/2018 13:42,Local PPO
FL,All,Humana Inc.,HumanaChoice Florida H5216-070 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,70,0,Completed,07/24/2018 13:42,Local PPO
WI,All,Humana Inc.,HumanaChoice H5216-080 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,80,3,Completed,07/24/2018 13:42,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-085 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,85,0,Completed,07/24/2018 13:42,Local PPO
IA,All,Humana Inc.,HumanaChoice H5216-086 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,86,0,Completed,07/24/2018 13:42,Local PPO
TN,All,Humana Inc.,HumanaChoice H5216-098 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,98,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-100 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,100,0,Completed,07/24/2018 13:42,Local PPO
SD,All,Humana Inc.,HumanaChoice H5216-103 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,103,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-105 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,105,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-108 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,108,0,Completed,07/24/2018 13:42,Local PPO
OH,All,Humana Inc.,HumanaChoice H5216-110 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,110,0,Completed,07/24/2018 13:42,Local PPO
PA,All,Humana Inc.,HumanaChoice H5216-116 (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5216,116,0,Completed,07/24/2018 13:42,Local PPO
LA,All,Humana Inc.,HumanaChoice H5216-135 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,135,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,HumanaChoice H5216-144 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,144,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-145 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,145,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,Humana Value Plus H5216-149 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,149,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-155 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,155,0,Completed,07/24/2018 13:42,Local PPO
SC,All,Humana Inc.,HumanaChoice H5216-156 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,156,0,Completed,07/24/2018 13:42,Local PPO
GA,All,Humana Inc.,HumanaChoice H5216-157 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,157,0,Completed,07/24/2018 13:42,Local PPO
LA,All,Humana Inc.,Humana Value Plus H5216-161 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,161,0,Completed,07/24/2018 13:42,Local PPO
KS,All,Humana Inc.,Humana Value Plus H5216-166 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,166,0,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,HumanaChoice H5216-170 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,170,0,Completed,07/24/2018 13:42,Local PPO
WV,All,Humana Inc.,HumanaChoice H5216-182 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,182,0,Completed,07/24/2018 13:42,Local PPO
NJ,All,Humana Inc.,HumanaChoice H5216-183 (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5216,183,0,Completed,07/24/2018 13:42,Local PPO
KY,All,Humana Inc.,HumanaChoice H5216-187 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,187,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,HumanaChoice H5216-188 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,188,0,Completed,07/24/2018 13:42,Local PPO
IN,All,Humana Inc.,Humana Value Plus H5216-193 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5216,193,0,Completed,07/24/2018 13:42,Local PPO
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,38,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,47,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,53,0,Completed,07/26/2018 11:48,HMO/HMOPOS
OH,All,"UnitedHealth Group, Inc.",UnitedHealthcare Nursing Home Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,60,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare Assisted Living Plan (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,64,0,Completed,07/26/2018 11:48,HMO/HMOPOS
KY,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,68,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,75,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,76,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Medi-Medi Plan (HMO SNP),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,2,0,Completed,07/27/2018 13:58,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NJ,All,"UnitedHealth Group, Inc.",Erickson Advantage Signature without Drugs (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5652,2,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Guardian (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,3,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MD,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PA,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Freedom (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,6,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Basic (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,3,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Platino Ultra (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,25,0,Completed,07/20/2018 10:57,HMO/HMOPOS
WA,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5823,6,0,Completed,07/26/2018 20:32,HMO/HMOPOS
WA,All,Community Health Plan of Washington,Community HealthFirst MA Special Needs Plan (HMO SNP),Y,N,Y,Y,Y,100,25,101,482,15,241,H5826,14,0,Completed,07/17/2018 17:06,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Prestige (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,3,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Basic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,4,5,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,8,2,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,Capital Health Plan Preferred Advantage (HMO),Y,N,Y,N,N,,,,,,,H5938,6,0,Completed,07/25/2018 14:38,HMO/HMOPOS
NV,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5945,1,0,Completed,07/26/2018 14:48,HMO/HMOPOS
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Choice MA Only (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,7,1,Completed,07/09/2018 14:38,Local PPO
MN,All,"Aware Integrated, Inc.",Blue Cross Medicare Advantage Core (PPO),Y,Y,Y,Y,Y,65,65,473,482,236,241,H5959,13,2,Completed,07/09/2018 14:38,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-018 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,18,0,Completed,07/24/2018 13:42,Local PPO
NY,All,"Magellan Health, Inc.",Senior Whole Health of New York NHC (HMO SNP),N,N,N,N,N,,,,,,,H5992,7,0,Completed,06/26/2018 8:33,HMO/HMOPOS
IL,All,"Caidan Enterprises, Inc.",MeridianComplete (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6080,1,0,Completed,07/25/2018 16:54,Medicare-Medicaid Plan HMO/HMOPOS
MN,All,Medica Holding Company,Medica Advantage Solution H6154-002 (HMO-POS),Y,Y,Y,Y,Y,100,100,200,482,100,241,H6154,2,0,Completed,07/18/2018 10:13,HMO/HMOPOS
WA,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,5,0,Completed,07/13/2018 13:55,HMO/HMOPOS
NC,All,Liberty Healthcare Insurance,Liberty Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H6351,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
OH,All,CareSource Management Group Co.,CareSource Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6396,2,0,Completed,06/15/2018 9:17,HMO/HMOPOS
NM,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6526,1,0,Completed,07/26/2018 11:48,HMO/HMOPOS
MT,All,Humana Inc.,Humana Gold Plus H6622-007 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,7,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-015 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,15,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OK,All,Humana Inc.,Humana Gold Plus H6622-033 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,33,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-035 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus H6622-037 (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
PA,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-038 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,542,0,271,H6622,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Value Plus H6622-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
OH,All,Humana Inc.,Humana Gold Plus H6622-055 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,55,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NC,All,Humana Inc.,Humana Gold Plus H6622-058 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,58,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,All,"Eon Health Plan, LLC",EON SELECT (HMO),Y,Y,N,Y,N,,,482,482,241,241,H6672,4,0,Completed,07/24/2018 12:34,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,3,1,Completed,06/06/2018 14:14,HMO/HMOPOS
NH,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,5,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OR,All,Centene Corporation,Health Net Ruby (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6815,5,0,Completed,07/24/2018 19:18,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,80,0,Completed,07/26/2018 11:48,HMO/HMOPOS
NC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5253,104,0,Completed,07/26/2018 11:48,HMO/HMOPOS
WI,All,SSM Healthcare Corporation,DeanCare Gold Enhanced (Cost),N,N,N,N,N,,,,,,,H5264,2,0,Completed,06/25/2018 12:02,1876 Cost
WI,All,SSM Healthcare Corporation,DeanCare Gold Basic (Cost),N,N,N,N,N,,,,,,,H5264,3,0,Completed,06/25/2018 12:02,1876 Cost
WI,All,SSM Healthcare Corporation,DeanCare Gold Shared Value (Cost),N,N,N,N,N,,,,,,,H5264,5,0,Completed,06/25/2018 12:02,1876 Cost
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5322,24,0,Completed,07/26/2018 15:09,HMO/HMOPOS
GA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5422,7,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Classic (HMO),Y,N,N,Y,Y,100,100,601,601,252,301,H5425,6,0,Completed,07/16/2018 13:40,HMO/HMOPOS
CA,All,SCAN Health Plan,SCAN Prime (HMO),Y,N,N,Y,Y,100,100,601,601,301,301,H5425,68,0,Completed,07/16/2018 13:40,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Savings Plan (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H5427,52,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Anthem Inc.,Freedom Medi-Medi Full (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5427,87,0,Completed,07/27/2018 13:42,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,BlueMedicare Value (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5434,24,0,Completed,07/25/2018 8:35,Local PPO
GA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareDirect Essential (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5435,1,0,Completed,07/26/2018 11:48,PFFS
OR,All,Centene Corporation,Health Net Violet 1 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,11,0,Completed,07/24/2018 19:18,Local PPO
OR,All,Centene Corporation,Health Net Aqua (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5439,12,0,Completed,07/24/2018 19:18,Local PPO
IL,All,Delaware Life Insurance Company,Clear Spring Health Essential Plus (HMO),Y,N,N,Y,N,,,482,482,241,241,H5454,4,0,Completed,07/26/2018 10:44,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,72,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,76,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,86,0,Completed,07/23/2018 14:30,HMO/HMOPOS
FL,All,Anthem Inc.,Simply Comfort (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5471,93,0,Completed,07/23/2018 14:30,HMO/HMOPOS
OH,All,"Caidan Enterprises, Inc.",MeridianCare Essential (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,11,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Elite Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,25,0,Completed,07/25/2018 16:54,HMO/HMOPOS
MI,All,"Caidan Enterprises, Inc.",MeridianCare Essential Clarity (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5475,26,0,Completed,07/25/2018 16:54,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,53,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,59,0,Completed,07/17/2018 11:44,Local PPO
VA,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,83,0,Completed,07/17/2018 11:44,Local PPO
OH,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,90,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,92,0,Completed,07/17/2018 11:44,Local PPO
TX,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,104,0,Completed,07/17/2018 11:44,Local PPO
NY,All,Aetna Inc.,Aetna Medicare Premier Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,121,0,Completed,07/17/2018 11:44,Local PPO
NJ,All,Aetna Inc.,Aetna Medicare SNJ Prime Elite Plan (PPO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5521,123,0,Completed,07/17/2018 11:44,Local PPO
AL,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,171,0,Completed,07/17/2018 11:44,Local PPO
AZ,All,Aetna Inc.,Aetna Medicare Platinum Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,184,0,Completed,07/17/2018 11:44,Local PPO
MS,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,220,0,Completed,07/17/2018 11:44,Local PPO
IL,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,228,0,Completed,07/17/2018 11:44,Local PPO
LA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,234,0,Completed,07/17/2018 11:44,Local PPO
WA,All,Aetna Inc.,Aetna Medicare Select Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,242,0,Completed,07/17/2018 11:44,Local PPO
NC,All,Aetna Inc.,Aetna Medicare Value Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,243,0,Completed,07/17/2018 11:44,Local PPO
UT,All,Aetna Inc.,Aetna Medicare Essential Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,246,0,Completed,07/17/2018 11:44,Local PPO
GA,All,Aetna Inc.,Aetna Medicare Freedom Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5521,257,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Advantra Gold (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,1,0,Completed,07/17/2018 11:44,Local PPO
PA,All,Aetna Inc.,Advantra Silver (PPO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5522,4,0,Completed,07/17/2018 11:44,Local PPO
MT,All,Humana Inc.,HumanaChoice H5525-027 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,27,0,Completed,07/24/2018 13:42,Local PPO
LA,All,Humana Inc.,Humana Value Plus H5525-037 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5525,37,0,Completed,07/24/2018 13:42,Local PPO
NY,All,HealthNow New York Inc.,BlueCross BlueShield Forever Blue 751 (PPO),Y,Y,Y,Y,Y,75,75,482,482,241,241,H5526,4,0,Completed,07/26/2018 16:02,Local PPO
LA,All,"Vantage Holdings, Inc.",AAA1 Vantage PREMIUM (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,18,1,Completed,07/30/2018 8:45,HMO/HMOPOS
LA,All,"Vantage Holdings, Inc.",AAA9 Vantage 100 (HMO-POS),Y,N,Y,Y,N,,,482,482,241,241,H5576,22,0,Completed,07/30/2018 8:45,HMO/HMOPOS
PR,All,"Medical Card System, Inc.",MCS Classicare MediCa$h (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5577,14,0,Completed,07/25/2018 9:28,HMO/HMOPOS
AZ,All,Mercy Care,Mercy Care Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H5580,1,0,Completed,06/22/2018 13:23,HMO/HMOPOS
ME,All,"Martin s Point Health Care, Inc.",Martin s Point Generations Advantage Prime (HMO-POS),Y,N,Y,Y,Y,100,100,482,482,241,241,H5591,1,0,Completed,06/18/2018 13:49,HMO/HMOPOS
FL,All,Anthem Inc.,Optimum Diamond Rewards COPD (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H5594,31,0,Completed,07/27/2018 13:42,HMO/HMOPOS
KY,All,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
NY,All,"Centers Plan for Healthy Living, LLC",Centers Plan for Medicare Advantage Care (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H6988,1,0,Completed,07/26/2018 14:21,HMO/HMOPOS
OH,All,"Rifkin Managed Care Holding Company, LLC",Provider Partners Health Plan of Ohio (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H7119,1,0,Completed,07/21/2018 10:16,HMO/HMOPOS
NE,All,Aetna Inc.,Advantra Silver (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7149,1,0,Completed,07/17/2018 11:44,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage Classic Plus (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,3,0,Completed,07/17/2018 16:12,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage Total Health (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,5,0,Completed,07/17/2018 16:12,HMO/HMOPOS
IL,All,Aetna Inc.,Advantra (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7301,2,0,Completed,07/17/2018 11:44,Local PPO
NE,All,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7511,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MO,All,Humana Inc.,Humana Community (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7621,1,0,Completed,07/24/2018 13:42,HMO/HMOPOS
NH,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,2,0,Completed,07/23/2018 14:30,Local PPO
GA,All,Anthem Inc.,Anthem MediBlue Access Basic (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,6,0,Completed,07/23/2018 14:30,Local PPO
VA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan C-SNP (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,2,0,Completed,07/27/2018 12:53,HMO/HMOPOS
VA,All,Public Sector Pension Investment Board,Sunrise Advantage Plan Gold (HMO SNP),Y,N,Y,N,N,,,,,,,H7802,4,0,Completed,07/27/2018 12:53,HMO/HMOPOS
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,10,0,Completed,06/04/2018 14:49,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Diamond (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,11,0,Completed,06/04/2018 14:49,Local PPO
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,2,0,Completed,06/21/2018 16:47,Local PPO
MD,All,"Rifkin Managed Care Holding Company, LLC",Provider Partners Maryland Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,1,0,Completed,07/21/2018 10:13,HMO/HMOPOS
MI,All,Humana Inc.,Humana Gold Choice H8145-006 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,6,0,Completed,07/24/2018 13:42,PFFS
IL,All,Humana Inc.,Humana Gold Choice H8145-008 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,8,0,Completed,07/24/2018 13:42,PFFS
WV,All,Humana Inc.,Humana Gold Choice H8145-051 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,51,0,Completed,07/24/2018 13:42,PFFS
OK,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
IL,All,Humana Inc.,Humana Gold Choice H8145-121 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,121,0,Completed,07/24/2018 13:42,PFFS
NM,All,Humana Inc.,Humana Gold Choice H8145-123 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,123,0,Completed,07/24/2018 13:42,PFFS
TX,All,Humana Inc.,Humana Gold Choice H8145-126 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,126,0,Completed,07/24/2018 13:42,PFFS
IA,All,Humana Inc.,Humana Gold Choice H8145-155 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,155,0,Completed,07/24/2018 13:42,PFFS
TX,All,"Molina Healthcare, Inc.,",Molina Dual Options (Medicare-Medicaid Plan),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8197,1,0,Completed,07/26/2018 20:55,Medicare-Medicaid Plan HMO/HMOPOS
SC,All,"Independence Health Group, Inc.",First Choice VIP Care Plus (Medicare-Medicaid Plan),N,N,N,N,Y,100,0,,,,,H8213,1,0,Completed,07/24/2018 11:09,Medicare-Medicaid Plan HMO/HMOPOS
AL,All,Bright Health Management,Bright Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,1,0,Completed,07/20/2018 15:07,HMO/HMOPOS
AL,All,Bright Health Management,Bright Advantage Choice Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,4,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,10,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,12,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Basic No Rx (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,9,0,Completed,07/23/2018 10:18,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 1 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
GA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plus Plan 2 (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,11,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Montage Health,Aspire Health Plus (HMO-POS),Y,Y,Y,Y,Y,100,0,0,601,0,301,H8764,2,0,Completed,07/23/2018 13:14,HMO/HMOPOS
OK,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,9,0,Completed,07/26/2018 11:48,Local PPO
MA,All,Fallon Community Health Plan,Fallon Senior Plan Super Saver Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,32,4,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,5,Completed,06/22/2018 9:28,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Extra + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,1,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Timber + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,54,0,Completed,07/03/2018 11:07,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,22,0,Completed,07/24/2018 19:18,HMO/HMOPOS
WA,All,Catholic Health Initiatives,Soundpath Health Charter + Rx (HMO),Y,N,Y,Y,N,,,482,482,241,241,H9302,3,0,Completed,07/24/2018 10:50,HMO/HMOPOS
SC,All,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H9403,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
NM,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,1,0,Completed,07/17/2018 11:44,Local PPO
MO,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KS,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KY,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9525,8,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Signature (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,1,4,Completed,07/19/2018 14:35,Local PPO
CA,All,Humana Inc.,Humana Gold Plus H5619-013 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,13,0,Completed,07/24/2018 13:42,HMO/HMOPOS
CA,All,Humana Inc.,Humana Gold Plus H5619-021 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H5619,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
ME,All,Humana Inc.,Humana Gold Plus H5619-040 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,40,3,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-047 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,47,0,Completed,07/24/2018 13:42,HMO/HMOPOS
IN,All,Humana Inc.,Humana Gold Plus H5619-050 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,50,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus H5619-061 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,61,0,Completed,07/24/2018 13:42,HMO/HMOPOS
WA,All,Humana Inc.,Humana Gold Plus SNP-DE H5619-067 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,67,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AR,All,Humana Inc.,Humana Gold Plus H5619-069 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,69,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AL,All,Humana Inc.,Humana Gold Plus H5619-089 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,89,0,Completed,07/24/2018 13:42,HMO/HMOPOS
VA,All,Humana Inc.,Humana Gold Plus H5619-090 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5619,90,0,Completed,07/24/2018 13:42,HMO/HMOPOS
UT,All,"Molina Healthcare, Inc.,",Healthy Advantage (HMO SNP),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5628,6,0,Completed,07/26/2018 20:21,HMO/HMOPOS
WI,All,"Network Health, Inc.",Network Health Medicare Explore (HMO),Y,N,Y,Y,N,,,150,482,150,241,H5644,2,0,Completed,06/27/2018 15:22,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Ventura Medicare Plan (HMO),Y,Y,Y,Y,Y,100,1,1,601,1,301,H5649,8,0,Completed,07/27/2018 13:58,HMO/HMOPOS
CA,All,AHMC Central Health LLC,Central Health Prestige HMO (HMO),N,N,N,N,N,,,,,,,H5649,16,0,Completed,07/27/2018 13:58,HMO/HMOPOS
VA,All,"UnitedHealth Group, Inc.",Erickson Advantage Champion (HMO-POS SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5652,4,0,Completed,07/26/2018 11:48,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Royal (HMO),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,5,0,Completed,07/20/2018 10:57,HMO/HMOPOS
PR,All,Triple-S Management Corporation,Vital Plus (HMO SNP),Y,Y,Y,Y,Y,100,0,0,331,0,166,H5774,22,0,Completed,07/20/2018 10:57,HMO/HMOPOS
CT,All,Aetna Inc.,Aetna Medicare Elite Plan (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5793,10,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,"Molina Healthcare, Inc.,",Molina Medicare Options Plus (HMO SNP),Y,Y,Y,Y,Y,100,100,601,601,301,301,H5810,1,0,Completed,07/26/2018 20:29,HMO/HMOPOS
CT,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,542,0,271,H5854,9,0,Completed,07/23/2018 14:30,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO-POS Classic (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,2,4,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO MyChoice Wellness (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,8,1,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,2,Completed,07/24/2018 14:36,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,BCN Advantage HMO HealthyValue (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5883,11,3,Completed,07/24/2018 14:36,HMO/HMOPOS
FL,All,Guidewell Mutual Holding Corporation,Capital Health Plan Advantage Plus (HMO),Y,N,Y,N,N,,,,,,,H5938,1,0,Completed,07/25/2018 14:38,HMO/HMOPOS
NV,All,"Universal Health Services, Inc.",Prominence Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H5945,2,0,Completed,07/26/2018 14:48,HMO/HMOPOS
NY,All,Humana Inc.,HumanaChoice H5970-015 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,15,0,Completed,07/24/2018 13:42,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-022 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,22,0,Completed,07/24/2018 13:42,Local PPO
NY,All,Humana Inc.,HumanaChoice H5970-023 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H5970,23,0,Completed,07/24/2018 13:42,Local PPO
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Ultimate (HMO SNP),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,1,0,Completed,07/30/2018 7:32,HMO/HMOPOS
NY,All,"Affinity Health Services Holdings, Inc.",Affinity Medicare Passport Essentials NYC (HMO),Y,Y,Y,Y,Y,100,25,241,482,241,241,H5991,6,0,Completed,07/30/2018 7:32,HMO/HMOPOS
OR,All,"Cambia Health Solutions, Inc.",Regence BlueAdvantage HMO Plus (HMO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H6237,5,0,Completed,07/13/2018 13:55,HMO/HMOPOS
NC,All,"FirstHealth of the Carolinas, Inc.",FirstMedicare Direct HMO Standard (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6306,3,0,Completed,07/24/2018 9:02,HMO/HMOPOS
IN,All,Centene Corporation,Allwell Medicare (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6348,2,0,Completed,07/24/2018 19:18,Local PPO
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,4,0,Completed,07/20/2018 16:01,HMO/HMOPOS
LA,All,Louisiana Health Service & Indemnity Company,Blue Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6453,5,0,Completed,07/20/2018 16:01,HMO/HMOPOS
WI,All,Humana Inc.,Humana Gold Plus H6622-002 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,2,0,Completed,07/24/2018 13:42,HMO/HMOPOS
DE,All,Humana Inc.,Humana Gold Plus SNP-DE H6622-051 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6622,51,0,Completed,07/24/2018 13:42,HMO/HMOPOS
GA,All,"Eon Health Plan, LLC",EON DELUXE (HMO SNP),Y,Y,N,Y,N,,,482,482,241,241,H6672,1,0,Completed,07/24/2018 12:34,HMO/HMOPOS
OH,All,MEDICAL MUTUAL OF OHIO,MedMutual Advantage Choice (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H6723,2,2,Completed,06/06/2018 14:14,HMO/HMOPOS
OR,All,ATRIO Health Plans,ATRIO Bronze Rx (Basin) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,1,0,Completed,07/28/2018 12:06,Local PPO
OR,All,ATRIO Health Plans,ATRIO Silver Rx (Rogue) (PPO),Y,N,Y,Y,N,,,482,482,241,241,H6743,16,0,Completed,07/28/2018 12:06,Local PPO
MA,All,"Harvard Pilgrim Health Care, Inc.",Harvard Pilgrim Stride Basic Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H6750,6,0,Completed,07/23/2018 15:56,HMO/HMOPOS
OH,All,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Plus (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,2,0,Completed,07/03/2018 11:24,HMO/HMOPOS
OH,All,Mutual of Omaha Insurance Company,Mutual of Omaha CareAdvantage Complete (HMO),Y,Y,N,Y,Y,100,0,0,482,0,241,H6821,3,0,Completed,07/03/2018 11:24,HMO/HMOPOS
SC,All,CIGNA,Cigna-HealthSpring Preferred (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7020,4,0,Completed,07/25/2018 7:53,HMO/HMOPOS
OH,All,Aetna Inc.,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",N,N,N,N,N,,,,,0,0,H7172,1,0,Completed,07/17/2018 19:47,Medicare-Medicaid Plan HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,2,Completed,07/19/2018 14:35,Local PPO
RI,All,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Neighborhood INTEGRITY (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H9576,1,0,Completed,07/12/2018 10:53,Medicare-Medicaid Plan HMO/HMOPOS
MA,All,"BMC Health System, Inc.",BMC HealthNet Plan Senior Care Options (HMO SNP),Y,N,Y,Y,Y,100,100,482,482,241,241,H9585,1,0,Completed,07/17/2018 18:22,HMO/HMOPOS
IL,All,"Longevity Health Founders, LLC",Longevity Health Plan (HMO SNP),Y,Y,N,N,N,,,,,0,0,H9590,1,0,Completed,07/27/2018 12:44,HMO/HMOPOS
NC,All,CIGNA,Cigna-HealthSpring Preferred Direct (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9725,1,0,Completed,07/25/2018 7:53,HMO/HMOPOS
KY,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,3,0,Completed,07/20/2018 11:12,HMO/HMOPOS
NC,All,Moses H. Cone Memorial Hospital Corp.,HealthTeam Advantage Plan I (PPO),Y,N,Y,Y,Y,100,0,0,482,0,241,H9808,4,0,Completed,06/25/2018 20:32,Local PPO
MS,All,Centene Corporation,Allwell Dual Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9811,6,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MS,All,Humana Inc.,HumanaChoice R0110-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0110,2,0,Completed,07/24/2018 13:42,Regional PPO
IN,All,Humana Inc.,HumanaChoice R0865-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0865,1,0,Completed,07/24/2018 13:42,Regional PPO
KY,All,Humana Inc.,HumanaChoice R0865-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0865,1,0,Completed,07/24/2018 13:42,Regional PPO
WV,All,Humana Inc.,HumanaChoice R0923-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0923,2,0,Completed,07/24/2018 13:42,Regional PPO
NC,All,Humana Inc.,HumanaChoice R1390-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1390,1,0,Completed,07/24/2018 13:42,Regional PPO
VA,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete RP (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1548,1,0,Completed,07/26/2018 15:09,Regional PPO
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Silver (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,8,0,Completed,07/26/2018 11:48,Regional PPO
AR,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Gold (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,9,0,Completed,07/26/2018 11:48,Regional PPO
MI,All,Humana Inc.,HumanaChoice R3887-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3887,2,0,Completed,07/24/2018 13:42,Regional PPO
KY,All,Anthem Inc.,Anthem MediBlue Access Basic (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4487,1,0,Completed,07/23/2018 14:30,Regional PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare Medicare Silver (Regional PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,R6801,8,0,Completed,07/26/2018 11:48,Regional PPO
TX,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R6801,12,0,Completed,07/26/2018 11:48,Regional PPO
OK,All,St Francis Health System & St John Health System,CommunityCare Prescription Drug Plan (PDP),Y,N,Y,N,N,,,,,,,S1894,1,0,Completed,07/23/2018 18:19,Medicare Prescription Drug Plan
CA,All,California Physicians  Service,Blue Shield Rx Plus (PDP),Y,N,Y,Y,N,,,0,74,0,37,S2468,3,0,Completed,07/20/2018 14:52,Medicare Prescription Drug Plan
VT,All,Anthem Insurance Co. & BCBSMA & BCBSRI & BCBSVT,Blue MedicareRx Value Plus (PDP),Y,N,Y,N,N,,,,,0,0,S2893,1,0,Completed,07/24/2018 12:03,Medicare Prescription Drug Plan
DC,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,3,0,Completed,06/14/2018 9:57,Medicare Prescription Drug Plan
VA,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,9,0,Completed,06/14/2018 9:57,Medicare Prescription Drug Plan
WA,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,20,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AL,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,71,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
FL,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,83,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,99,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
RI,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,99,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
GA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,107,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
IL,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,113,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MN,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,121,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
ID,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,127,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MD,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,140,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
KY,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,150,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AR,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,153,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MS,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,154,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
CO,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,160,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
AK,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,165,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
LA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,167,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WA,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,169,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NY,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5552,5,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WV,All,Highmark Health,Blue Rx PDP Plus (PDP),Y,N,Y,Y,N,,,74,74,37,37,S5593,2,0,Completed,07/13/2018 14:00,Medicare Prescription Drug Plan
WV,All,Highmark Health,Blue Rx PDP Complete (PDP),Y,N,Y,Y,N,,,74,74,37,37,S5593,3,0,Completed,07/13/2018 14:00,Medicare Prescription Drug Plan
GA,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7173,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
IN,All,Indiana University Health,IU Health Plans Medicare Choice (HMO-POS),Y,Y,Y,Y,Y,100,100,482,482,241,241,H7220,4,0,Completed,07/19/2018 7:40,HMO/HMOPOS
WA,All,Premera,Premera Blue Cross Medicare Advantage Classic (HMO),Y,N,Y,Y,N,,,0,482,0,241,H7245,2,0,Completed,07/17/2018 16:12,HMO/HMOPOS
KY,All,Anthem Inc.,Anthem MediBlue Access (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7728,4,1,Completed,07/23/2018 14:30,Local PPO
TX,All,CIGNA,Cigna-HealthSpring Preferred (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,1,0,Completed,07/25/2018 7:53,Local PPO
TX,All,CIGNA,Cigna-HealthSpring Advantage (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H7787,2,0,Completed,07/25/2018 7:53,Local PPO
TN,All,BlueCross BlueShield of Tennessee,BlueAdvantage Ruby (PPO),Y,N,Y,Y,N,,,482,482,241,241,H7917,14,0,Completed,06/04/2018 14:49,Local PPO
SC,All,BlueCross BlueShield of South Carolina (BCBSSC),BlueCross Total (PPO),Y,Y,Y,Y,Y,100,100,482,482,241,241,H8003,3,0,Completed,06/21/2018 16:47,Local PPO
IL,All,"Rifkin Managed Care Holding Company, LLC",Provider Partners Illinois Advantage Plan (HMO SNP),Y,N,Y,Y,N,,,0,482,0,241,H8067,2,0,Completed,07/21/2018 10:13,HMO/HMOPOS
MI,All,Humana Inc.,HumanaChoice H8087-001 (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8087,1,0,Completed,07/24/2018 13:42,Local PPO
VA,All,Humana Inc.,Humana Gold Choice H8145-003 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,3,0,Completed,07/24/2018 13:42,PFFS
VA,All,Humana Inc.,Humana Gold Choice H8145-042 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,42,0,Completed,07/24/2018 13:42,PFFS
NC,All,Humana Inc.,Humana Gold Choice H8145-063 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,63,0,Completed,07/24/2018 13:42,PFFS
TX,All,Humana Inc.,Humana Gold Choice H8145-084 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,84,0,Completed,07/24/2018 13:42,PFFS
ND,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
SD,All,Humana Inc.,Humana Gold Choice H8145-089 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,89,0,Completed,07/24/2018 13:42,PFFS
CO,All,Humana Inc.,Humana Gold Choice H8145-120 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,120,0,Completed,07/24/2018 13:42,PFFS
KS,All,Humana Inc.,Humana Gold Choice H8145-122 (PFFS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8145,122,0,Completed,07/24/2018 13:42,PFFS
AL,All,Bright Health Management,Bright Advantage Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8280,2,0,Completed,07/20/2018 15:07,HMO/HMOPOS
NJ,All,"Horizon Healthcare Services, Inc.",Horizon NJ TotalCare (HMO SNP),Y,Y,Y,Y,Y,100,100,175,601,75,301,H8298,1,0,Completed,07/24/2018 12:52,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,14,0,Completed,07/23/2018 14:30,HMO/HMOPOS
NY,All,Anthem Inc.,Empire MediBlue Choice (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,15,0,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,1,Completed,07/23/2018 14:30,HMO/HMOPOS
ME,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8432,31,2,Completed,07/23/2018 14:30,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Plus (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,4,0,Completed,07/23/2018 10:18,HMO/HMOPOS
MA,All,"Baystate Health, Inc.",Health New England Medicare Value (HMO),Y,N,Y,Y,Y,100,0,0,482,0,241,H8578,12,0,Completed,07/23/2018 10:18,HMO/HMOPOS
TX,All,Aetna Inc.,Aetna Medicare Dual Core (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8597,2,0,Completed,07/17/2018 19:47,HMO/HMOPOS
IL,All,Health Care Service Corporation,Blue Cross Medicare Advantage Choice Plus (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H8634,3,0,Completed,06/20/2018 12:01,Local PPO
SC,All,"UnitedHealth Group, Inc.",AARP MedicareComplete (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8748,14,0,Completed,07/26/2018 11:48,HMO/HMOPOS
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,1,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,5,0,Completed,07/26/2018 11:48,Local PPO
OH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H8768,7,0,Completed,07/26/2018 11:48,Local PPO
NY,All,"Magellan Health, Inc.",SWH Whole Health FIDA (Medicare-Medicaid Plan),N,N,N,N,N,,,,,,,H8851,1,0,Completed,06/26/2018 8:34,Medicare-Medicaid Plan HMO/HMOPOS
MD,All,University of Maryland Medical System Corporation,UMHA Dual (HMO SNP),Y,Y,N,Y,Y,100,0,0,482,0,241,H8854,2,0,Completed,07/23/2018 14:14,HMO/HMOPOS
MN,All,Medica Holding Company,Medica Advantage Solution H8889-001 (PPO),Y,Y,Y,Y,Y,100,100,200,482,100,241,H8889,1,0,Completed,07/18/2018 10:13,Local PPO
ND,All,"Good Samaritan Insurance Plan, LLC",Great Plains Medicare Advantage (HMO SNP),Y,N,Y,N,N,,,,,,,H8967,1,0,Completed,07/27/2018 12:53,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Standard Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,15,0,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Saver Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,30,7,Completed,06/22/2018 9:28,HMO/HMOPOS
MA,All,Fallon Community Health Plan,Fallon Senior Plan Flex Enhanced Rx (HMO),Y,N,Y,Y,Y,100,100,482,482,241,241,H9001,34,6,Completed,06/22/2018 9:28,HMO/HMOPOS
OR,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9003,6,0,Completed,07/25/2018 13:04,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Focus Medical (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,33,0,Completed,07/03/2018 11:07,HMO/HMOPOS
OR,All,Providence Health & Services,Providence Medicare Prime + RX (HMO),Y,Y,Y,Y,N,,,0,482,0,241,H9047,37,0,Completed,07/03/2018 11:07,HMO/HMOPOS
WA,All,Providence Health & Services,Providence Medicare Summit + RX (HMO-POS),Y,Y,Y,Y,N,,,0,482,0,241,H9047,47,0,Completed,07/03/2018 11:07,HMO/HMOPOS
NC,All,"Gateway Health Plan, LP",Gateway Health Medicare Assured Diamond (HMO SNP),Y,Y,Y,Y,N,,,0,482,0,241,H9190,7,0,Completed,07/26/2018 8:56,HMO/HMOPOS
PA,All,"Health Partners Plans, Inc.",Health Partners Medicare Prime (HMO),Y,N,Y,Y,N,,,25,542,10,271,H9207,2,0,Completed,07/25/2018 15:07,HMO/HMOPOS
FL,All,Centene Corporation,Allwell Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9276,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
ME,All,"WellCare Health Plans, Inc.",WellCare Access (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9364,2,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OR,All,Aetna Inc.,Aetna Medicare Choice Plan (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9431,5,0,Completed,07/17/2018 11:44,Local PPO
UT,All,IASIS Healthcare,Steward Health Choice Generations (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9455,1,0,Completed,07/30/2018 15:49,HMO/HMOPOS
IN,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,17,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
IN,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,18,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
MO,All,Anthem Inc.,Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,44,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
NV,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,62,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
ME,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,2,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ME,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,3,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MA,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,4,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NY,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,7,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
DC,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,11,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IN,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,30,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
TX,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,45,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ND,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,50,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NE,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,50,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,51,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OR,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,60,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
HI,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,67,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
RI,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,144,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NJ,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,146,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
PA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,148,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
FL,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,153,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AL,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,154,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IN,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,157,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
KY,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,157,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IL,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,159,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MS,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,162,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
LA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,163,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
IA,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,167,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MT,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,167,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NV,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,171,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OR,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,2,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
WA,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,2,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
RI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,8,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
LA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,103,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MN,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,123,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
HI,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,163,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MD,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,214,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AL,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,220,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AR,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,225,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NJ,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,249,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NC,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,253,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
TN,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,257,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
KY,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,260,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MN,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,270,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MT,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,270,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NV,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,274,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MO,All,CIGNA,Cigna-HealthSpring Advantage (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9460,2,0,Completed,07/25/2018 7:53,HMO/HMOPOS
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Vitality (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,2,6,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,3,6,Completed,07/19/2018 14:35,Local PPO
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Medicare Plus Blue PPO Essential (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9572,4,6,Completed,07/19/2018 14:35,Local PPO
AR,All,Centene Corporation,Allwell Medicare Select (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9630,3,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,1,Completed,07/16/2018 15:07,HMO/HMOPOS
AR,All,USAble Mutual Insurance Company,Medi-Pak Advantage (HMO),Y,Y,Y,Y,N,,,472,472,236,236,H9699,4,2,Completed,07/16/2018 15:07,HMO/HMOPOS
KY,All,"WellCare Health Plans, Inc.",WellCare Essential (HMO-POS),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9730,5,0,Completed,07/20/2018 11:12,HMO/HMOPOS
OH,All,Bright Health Management,Bright Advantage Flex (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H9878,1,0,Completed,07/20/2018 15:07,Local PPO
IN,All,Humana Inc.,HumanaChoice R0865-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R0865,3,0,Completed,07/24/2018 13:42,Regional PPO
VA,All,Humana Inc.,HumanaChoice R1390-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R1390,2,0,Completed,07/24/2018 13:42,Regional PPO
MO,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R3444,12,0,Completed,07/26/2018 11:48,Regional PPO
TX,All,Humana Inc.,HumanaChoice R4182-003 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R4182,3,0,Completed,07/24/2018 13:42,Regional PPO
NH,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5329,1,0,Completed,07/26/2018 11:48,Regional PPO
IL,All,Humana Inc.,HumanaChoice R5361-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R5361,1,0,Completed,07/24/2018 13:42,Regional PPO
AZ,All,Humana Inc.,HumanaChoice R7220-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7220,1,0,Completed,07/24/2018 13:42,Regional PPO
TN,All,Humana Inc.,HumanaChoice R7315-001 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7315,1,0,Completed,07/24/2018 13:42,Regional PPO
AL,All,Humana Inc.,HumanaChoice R7315-002 (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7315,2,0,Completed,07/24/2018 13:42,Regional PPO
MA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Choice (Regional PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,R7444,1,0,Completed,07/26/2018 11:48,Regional PPO
AL,All,Tennessee Rural Health Improvement Association,Farm Bureau Essential Rx (PDP),Y,Y,Y,N,N,,,,,,,S2668,5,0,Completed,07/25/2018 17:38,Medicare Prescription Drug Plan
PR,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S2874,1,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
DE,All,"Magellan Health, Inc.",Magellan Rx Medicare Basic (PDP),N,N,N,N,N,,,,,,,S4607,3,0,Completed,06/14/2018 9:57,Medicare Prescription Drug Plan
OK,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,14,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NY,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,77,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
DE,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,79,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
KS,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,88,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
SD,All,"WellCare Health Plans, Inc.",WellCare Classic (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,89,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
DE,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,102,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MD,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,102,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NC,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,105,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
KY,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,112,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
ND,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,121,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
NY,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,138,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
TN,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,147,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MN,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,158,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WY,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,158,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
UT,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,162,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
HI,All,"WellCare Health Plans, Inc.",WellCare Value Script (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,164,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
WI,All,"WellCare Health Plans, Inc.",WellCare Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S4802,166,0,Completed,07/20/2018 11:12,Medicare Prescription Drug Plan
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Prescription Blue Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5584,1,0,Completed,07/19/2018 14:43,Medicare Prescription Drug Plan
MI,All,Blue Cross Blue Shield of Michigan Mutual Insuranc,Prescription Blue Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5584,5,0,Completed,07/19/2018 14:43,Medicare Prescription Drug Plan
OH,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,14,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
KY,All,Anthem Inc.,Anthem Blue MedicareRx Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,18,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
CO,All,Anthem Inc.,Anthem Blue MedicareRx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5596,59,0,Completed,07/23/2018 14:30,Medicare Prescription Drug Plan
CT,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,5,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MO,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,297,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MN,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,304,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MT,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,304,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
UT,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,310,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
FL,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,113,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
HI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,135,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WV,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,176,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
DC,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,208,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
LA,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,213,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
VT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,219,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
GA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,226,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
LA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,237,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MT,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,241,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
SD,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,241,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
ID,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,247,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
HI,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,249,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NM,All,Health Care Service Corporation,Blue Cross MedicareRx Value (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5715,3,0,Completed,06/20/2018 12:01,Medicare Prescription Drug Plan
MN,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,Y,15,0,0,74,0,37,S5743,1,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
ND,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,N,Y,Y,Y,25,0,0,74,0,37,S5743,1,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
WY,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,N,Y,N,Y,25,0,,,,,S5743,1,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
MT,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5743,4,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
DC,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,128,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OK,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,146,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AZ,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,151,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
UT,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,154,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AK,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,197,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
HI,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,198,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
PA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,40,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
FL,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,45,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
IN,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,49,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MS,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,54,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
SD,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,59,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NM,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,60,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OR,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,64,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
CA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,66,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
DC,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,279,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NC,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,282,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
GA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,284,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MI,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,287,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
KY,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,289,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
MO,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,297,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NM,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,303,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
CO,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,304,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
DE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,4,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,5,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WV,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,13,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
MO,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,36,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CO,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,54,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
CO,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,55,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WA,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,61,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
ID,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,62,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
HI,All,CVS Health Corporation,SilverScript Choice (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,66,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
AR,All,CVS Health Corporation,SilverScript Plus (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,107,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
NM,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,168,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
OR,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,172,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
UT,All,CVS Health Corporation,SilverScript Allure (PDP),Y,N,Y,Y,Y,25,25,10,74,5,37,S5601,173,0,Completed,06/25/2018 12:06,Medicare Prescription Drug Plan
WA,All,"Cambia Health Solutions, Inc.",Asuris Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5609,1,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
NY,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,13,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
OH,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,68,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
SD,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,123,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WY,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,123,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WA,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,148,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WV,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,215,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NC,All,CIGNA,Cigna-HealthSpring Rx Secure (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,217,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
DC,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,250,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AL,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,257,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MI,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,258,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
LA,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,266,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NE,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,270,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
OR,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,275,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ID,All,CIGNA,Cigna-HealthSpring Rx Secure-Extra (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,276,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
NH,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,280,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CT,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,281,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
KY,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,294,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
WI,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,295,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
AR,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,298,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
MS,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,299,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
CO,All,CIGNA,Cigna-HealthSpring Rx Secure-Essential (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5617,306,0,Completed,07/25/2018 7:53,Medicare Prescription Drug Plan
ME,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,104,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
CT,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,105,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
RI,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,105,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WV,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,108,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OH,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,116,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MN,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,127,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NE,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,127,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NM,All,Express Scripts Holding Company,Express Scripts Medicare - Value (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,128,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,195,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
MD,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,208,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
WV,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,5,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
FL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,10,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
KY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,14,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,24,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
WY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,24,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,29,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
HI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,32,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,34,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,2,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
RI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,2,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
FL,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,10,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
KS,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,22,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MO,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,76,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ND,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,83,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
WY,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,83,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ID,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,89,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NH,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,92,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AK,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,94,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
DC,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,103,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
DE,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,103,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AL,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,106,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IL,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,107,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NM,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,110,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,114,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NC,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,133,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
SC,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,134,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
GA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,135,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
KY,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,138,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MN,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,145,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
RI,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,149,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NJ,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,150,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AR,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,165,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,171,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AK,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,180,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ID,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Basic (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,1,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
CT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,348,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
RI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,348,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
SC,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,354,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,358,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
KY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,360,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,374,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NH,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,378,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
FL,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,383,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ME,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,384,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NJ,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,386,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
PA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,388,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
UT,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,216,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IA,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,241,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
NE,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,241,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
OR,All,Express Scripts Holding Company,Express Scripts Medicare - Saver (PDP),Y,N,N,Y,N,,,74,74,37,37,S5660,246,0,Completed,07/20/2018 12:32,Medicare Prescription Drug Plan
IA,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,63,0,32,S5743,1,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
NE,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Standard (PDP),Y,Y,Y,Y,N,,,0,74,0,37,S5743,1,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
ND,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,N,Y,Y,Y,25,0,0,74,0,37,S5743,4,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
WY,All,"BCBS MN, MT, NE, ND, WY, Wellmark IA and SD",MedicareBlue Rx Premier (PDP),Y,N,Y,N,Y,25,0,,,,,S5743,4,0,Completed,07/25/2018 14:38,Medicare Prescription Drug Plan
NH,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,125,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
FL,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,134,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TX,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,145,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NE,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,148,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
CO,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,150,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
WA,All,Aetna Inc.,Aetna Medicare Rx Value Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5768,153,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AR,All,USAble Mutual Insurance Company,AR Blue Cross - Medi-Pak Rx Premier (PDP),Y,Y,Y,Y,N,,,74,74,37,37,S5795,2,0,Completed,07/16/2018 15:07,Medicare Prescription Drug Plan
NY,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5805,1,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NJ,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,38,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
GA,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,44,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
OH,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,48,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
KY,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,49,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
AR,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,53,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
TX,All,Aetna Inc.,Aetna Medicare Rx Saver (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,56,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
FL,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,285,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
CA,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,295,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
KS,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,301,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
NV,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,305,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
UT,All,Aetna Inc.,Aetna Medicare Rx Select (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5810,307,0,Completed,07/17/2018 11:44,Medicare Prescription Drug Plan
ME,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,1,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,2,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,12,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IN,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,14,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AR,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,18,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
OK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,22,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NM,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,25,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,26,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ID,All,"UnitedHealth Group, Inc.",AARP MedicareRx Preferred (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5820,30,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AL,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,1,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
LA,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,19,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
TX,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,20,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NM,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,24,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MI,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,71,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MT,All,Humana Inc.,Humana Enhanced (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,83,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ME,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,101,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
VT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,102,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
FL,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,105,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MI,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,394,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,399,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
KS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,405,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NM,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,407,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AK,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,415,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
AZ,All,Blue Cross Blue Shield of Arizona,Blue MedicareRx Essential (PDP),Y,N,N,Y,Y,25,25,74,74,37,37,S6506,3,0,Completed,07/25/2018 16:49,Medicare Prescription Drug Plan
PA,All,"Aware Integrated, Inc.",Basic Blue Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,3,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
WV,All,"Aware Integrated, Inc.",Basic Blue Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,3,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
WY,All,"Aware Integrated, Inc.",Journey Rx Value (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,13,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
DC,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,4,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
DE,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,4,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
PA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,5,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,24,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NE,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,24,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
DE,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,37,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MD,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,37,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NC,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,40,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WY,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,57,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,62,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
UT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,63,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
ME,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,1,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
CT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,2,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
NY,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,3,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
NJ,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,4,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
DC,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,5,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
KY,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,15,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
WI,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,16,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
NM,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,26,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
AZ,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,28,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
PA,All,Capital BlueCross,SecureRx - Option 3 (PDP),Y,Y,Y,N,N,,,,,,,S8067,1,0,Completed,07/19/2018 16:39,Medicare Prescription Drug Plan
WA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,113,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
VA,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,132,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
OH,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,137,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
MT,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,145,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
AZ,All,Humana Inc.,Humana Preferred Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,146,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NH,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,148,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CT,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,149,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
NC,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,154,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
SC,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,155,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
CO,All,Humana Inc.,Humana Walmart Rx Plan (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5884,173,0,Completed,07/24/2018 13:42,Medicare Prescription Drug Plan
ID,All,"Cambia Health Solutions, Inc.",Regence Medicare Script Enhanced (PDP),Y,Y,Y,Y,N,,,0,2,0,1,S5916,2,0,Completed,07/13/2018 13:55,Medicare Prescription Drug Plan
DE,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,350,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
VA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,352,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,363,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Saver Plus (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,372,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
VT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,385,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MD,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,387,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MS,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,401,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
IA,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,406,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
MT,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,406,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
CO,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,408,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
ID,All,"UnitedHealth Group, Inc.",AARP MedicareRx Walgreens (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S5921,412,0,Completed,07/26/2018 11:48,Medicare Prescription Drug Plan
NY,All,Express Scripts Holding Company,Express Scripts Medicare - Choice (PDP),Y,N,N,Y,N,,,74,74,37,37,S5983,6,0,Completed,07/20/2018 12:33,Medicare Prescription Drug Plan
NJ,All,"Horizon Healthcare Services, Inc.",Horizon Medicare Blue Rx Enhanced (PDP),Y,Y,Y,Y,Y,25,25,50,74,25,37,S5993,3,0,Completed,07/24/2018 12:52,Medicare Prescription Drug Plan
AZ,All,Blue Cross Blue Shield of Arizona,Blue MedicareRx Value (PDP),Y,N,N,Y,Y,25,25,74,74,37,37,S6506,1,0,Completed,07/25/2018 16:49,Medicare Prescription Drug Plan
IA,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,7,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
MT,All,"Aware Integrated, Inc.",Journey Rx Standard (PDP),Y,Y,Y,Y,Y,25,0,0,74,0,37,S6986,7,0,Completed,07/20/2018 16:42,Medicare Prescription Drug Plan
ME,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,1,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
CT,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,2,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
MA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,2,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
TX,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,21,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WY,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,24,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AZ,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,27,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
ID,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,30,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
CA,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Plus (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,31,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
NH,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,34,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
OH,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,46,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
IN,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,47,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
WI,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,48,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
AR,All,Mutual of Omaha Insurance Company,Mutual of Omaha Rx Value (PDP),Y,Y,N,Y,Y,25,0,0,74,0,37,S7126,51,0,Completed,07/03/2018 11:24,Medicare Prescription Drug Plan
VT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,2,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
SC,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,9,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
MO,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,18,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
OK,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,23,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
MT,All,Rite Aid Corporation,EnvisionRxPlus (PDP),Y,N,N,Y,Y,25,25,63,74,37,37,S7694,25,0,Completed,07/26/2018 9:24,Medicare Prescription Drug Plan
IA,All,Humana Inc.,Humana Gold Plus H0028-011 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,11,0,Completed,07/24/2018 13:42,HMO/HMOPOS
KS,All,Humana Inc.,Humana Gold Plus H0028-012 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,12,0,Completed,07/24/2018 13:42,HMO/HMOPOS
AZ,All,Humana Inc.,Humana Gold Plus H0028-021 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,21,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-031 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,31,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus SNP-DE H0028-032 (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,32,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-035 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,35,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-037 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,37,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-038 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,38,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Humana Inc.,Humana Gold Plus H0028-041 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0028,41,0,Completed,07/24/2018 13:42,HMO/HMOPOS
TX,All,Centene Corporation,Allwell Medicare (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0062,2,0,Completed,07/24/2018 19:18,HMO/HMOPOS
MT,All,Health Care Service Corporation,Blue Cross Medicare Advantage Classic (PPO),Y,Y,Y,Y,N,,,0,482,0,241,H0107,3,0,Completed,06/20/2018 12:01,Local PPO
GA,All,"WellCare Health Plans, Inc.",WellCare Prime (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0111,2,0,Completed,07/20/2018 11:11,Local PPO
AL,All,UAB Health System,VIVA Medicare Premier (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0154,11,0,Completed,07/11/2018 10:32,HMO/HMOPOS
NE,All,"UnitedHealth Group, Inc.",UnitedHealthcare Dual Complete (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0169,3,0,Completed,07/26/2018 15:09,HMO/HMOPOS
TX,All,"WellCare Health Plans, Inc.",WellCare TexanPlus Classic (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0174,2,0,Completed,07/20/2018 11:11,HMO/HMOPOS
AR,All,"WellCare Health Plans, Inc.",WellCare Premier (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0270,1,0,Completed,07/20/2018 11:11,Local PPO
ID,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,2,0,Completed,07/26/2018 11:48,Local PPO
IL,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assure (PPO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0271,4,0,Completed,07/26/2018 11:48,Local PPO
WI,All,"UnitedHealth Group, Inc.",UnitedHealthcare MedicareComplete Assist (PPO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0294,10,0,Completed,07/26/2018 11:48,Local PPO
AZ,All,Centene Corporation,Allwell CHF/Diabetes Medicare (HMO SNP),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0351,38,0,Completed,07/24/2018 19:18,HMO/HMOPOS
AL,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0432,8,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus Choice Plan (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,21,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,California Physicians  Service,Blue Shield 65 Plus (HMO),Y,N,Y,Y,N,,,0,601,0,301,H0504,28,0,Completed,07/20/2018 14:52,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Select Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,31,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,Aetna Inc.,Aetna Medicare Prime Plan (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0523,61,0,Completed,07/17/2018 11:44,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Senior Advantage Medicare Medi-Cal Plan North (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,30,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Kern (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,35,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage San Diego (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,37,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,38,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Basic SnJoaq (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,43,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.","Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,51,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Santa Cruz (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0524,54,0,Completed,07/25/2018 13:04,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,29,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",Sharp SecureHorizons Plan by UnitedHealthcare (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,145,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,146,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,"UnitedHealth Group, Inc.",AARP MedicareComplete SecureHorizons Plan 2 (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0543,167,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem Care On Site (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,50,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,53,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Dual Advantage (HMO SNP),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,54,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Anthem Inc.,Anthem MediBlue Plus (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0544,57,0,Completed,07/23/2018 14:30,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Seniority Plus Sapphire (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,111,3,Completed,07/24/2018 19:18,HMO/HMOPOS
CA,All,Centene Corporation,Health Net Ruby Select (HMO),Y,Y,Y,Y,Y,100,0,0,601,0,301,H0562,113,0,Completed,07/24/2018 19:18,HMO/HMOPOS
CO,All,"UnitedHealth Group, Inc.",Rocky Mountain B Basic Plan (Cost),Y,N,Y,N,N,,,,,,,H0602,40,0,Completed,06/13/2018 13:44,1876 Cost
AZ,All,"UnitedHealth Group, Inc.",AARP MedicareComplete Plan 1 (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0609,26,0,Completed,07/26/2018 11:48,HMO/HMOPOS
CO,All,"Kaiser Foundation Health Plan, Inc.",Kaiser Permanente Senior Advantage Core (HMO),Y,Y,Y,Y,Y,100,0,0,482,0,241,H0630,13,0,Completed,07/25/2018 13:04,HMO/HMOPOS
